Medication Information Sheet Student Name: _____________ ______________ Date: ___________ Patient Initials: _________ Generic Name: ___________Albuterol__________Trade

Name: ___________Accuneb________________ Pronunciation: ______________(al-byooter-ole)_________ Classification / Therapeutic use of Medication: _Bronchodilator (respiratory smooth muscle relaxant)_______ Source/Page #__Pearson 29
Patient Dose Pt. Route Pt. Frequency of Administration Recommended Route & Dosage Maximum Safe Daily Dose or dosage range Time/s Due (PNC shift)

Uses: Why is your patient getting this medication related to their diagnosis and/or condition?

PO: 2-4 mg 3-4 times/day, 4-8 mg sustained release 2 time/day Inhaled 1-2 inhalations q4-6h Administration Considerations

ORAL: To relieve bronchospasm associated with acute or Do no crush extended release tabs. Scored tabs chronic asthma, bronchitis, or other reversible may be broken In half. obstructive airway diseases. Also used to prevent Note: an initial dose of 2 mg t.i.d. or q.i.d. is exercise-induced bronchospasm. recommended for older adult patients. Store tablets and syrup between 2-25 degrees c in tight, light resistant container INHALATION: If ordered with beclomethasone, give 20-30min before beclomathasone unless otherwise directed by physician. Administer albuterol inhalation aerosol canister only with the actuator provided. Store canisters between 59-86 deg F away from heat and direct sunlight. Interactions: Is this medication incompatible with any medications, OTCs, herbals or foods? _______No Contraindications or Cautious Use _____Yes Explain: DRUG: with epinephrine, other sympathomimetic Contraindications: Albuterol or levalbuterol hypersensitivityl congenital long QT syndrome. Use bronchodilators, possible additive effects; MAOIs, tricyclic antidepressants potentiate action on vascular of oral syrup in children younger than 2yr. system; beat-adrenergic blockers antagonize the effects Cautious Use: Cardiovascular disease, renal impairment, hypertension, hyperthyroidism, diabetes of both drugs. mellitus, older adults; history of seizures; hypersensitivity to sympathomimetic amines or to fluorocarbon propellant used in inhalation aerosols; pregnancy category C.

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Medication Information Sheet Student Name: _____________ ______________ Date: ___________ Patient Initials: _________ Adverse Effects/ Side Effects (limit to ten) Nursing Implications: Assessment & Drug Effects 1. Tremor 2. Anxiety Monitor therapeutic effectiveness, which is 3. Nervousness indicated by significant subjective 4. Palpitation improvement in pulmonary function with 605. Hypertension 90 min after drug administration. 6. Hypotension Monitor for: S&S of fine tremor in fingers, 7. Bradycardia which may interfere with precision 8. Blurred vision handwork; CNS stimulation, particularly in 9. Dilated pupils children 2-6 y, (hyperactivity, excitement, 10. Nausea/vomiting nervousness, insomnia), tachycardia, GI symptoms. Report promptly to physician. Labtests: Periodic ABGs, pulmonary functions, and pulse oximetry. Consult physician about giving last albuterol dose several hours before bedtime, if druginduced insomnia is a problem.

Patient and/or Family Education Review directions for correct use of medication and inhaler. Avoid contact of inhalation drug with eyes. Do not increase number or frequency of inhalations without advice of physician. Notify physician if albuterol fails to provide relief because this can signify worsening of pulmonary function and a reevaluation of condition/therapy may be indicated. Note: Albuterol can cause dizziness or vertigo; take necessary precautions. Do not use OTC drugs without physician approval. Many medications (eg. Cold remedies) contain drugs that may intensify albuterol action.

If an IV medication (IVP, IVPB) Administration Considerations:

Is the IV medication incompatible with other IV drips and/or solutions: ______No _____Yes Explain:

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