Dosage & Mechanism of

Drug Name Indication Adverse Effects Contraindication Nursing Responsibility

Route Action

Bronchospa Synthetic Pregnancy

ALBUTEROL sm sympathomimetic To relieve Body as a Whole: (category C), Assessment &
(al-byoo'ter-ole)) Adult: PO 2–4 amine and bronchospasm Hypersensitivity lactation. Use of Drug Effects
mg 3–4 moderately associated with reaction. CNS: oral syrup in
Accuneb, times/d, 4–8 selective beta2- acute or Tremor, anxiety, children <2 y.  Monitor therapeutic
Novosalmol  , mg sustained adrenergic agonist chronic asthma, nervousness, effectiveness which
Proventil, release 2 with bronchitis, or restlessness, is indicated by
Proventil HFA, times/d comparatively long other reversible convulsions, significant
Proventil Inhaled 1–2 action. Acts more obstructive weakness, subjective
Repetabs, inhalations prominently on airway headache, improvement in
Salbutamol, q4–6h beta2 receptors diseases. Also hallucinations. CV: pulmonary function
Ventolin, Child: PO 2–6 (particularly used to prevent Palpitation, within 60–90 min
Ventolin y, 0.1–0.2 smooth muscles of exercise- hypertension, after drug
Rotocaps, mg/kg t.i.d. bronchi, uterus, induced hypotension, administration.
Volmax (max: 4 and vascular bronchospasm. bradycardia, reflex  Monitor for: S&S
mg/dose); 6– supply to skeletal tachycardia. of fine tremor in
Classifications: 12 y, 2 mg 3– muscles) than on Special Senses: fingers, which may
autonomic nervous 4 times/d; beta1 (heart) Blurred vision, interfere with
system agent; Inhaled 6– receptors. Minimal dilated pupils. GI: precision handwork;
beta-adrenergic 12 y, 1–2 or no effect on Nausea, vomiting. CNS stimulation,
agonist inhalations alpha-adrenergic Other: Muscle particularly in
(sympathomimetic) q4–6h receptors. Inhibits cramps, children 2–6 y,
; bronchodilator histamine release hoarseness. (hyperactivity,
(respiratory smooth by mast cells. excitement,
muscle relaxant) nervousness,
insomnia),
tachycardia, GI
symptoms. Report
promptly to
physician.
 Lab tests:
Periodic ABGs,
pulmonary
 functions, and pulse
oximetry.
 Consult
physician about
giving last albuterol
dose several hours
before bedtime, if
drug-induced
insomnia is a
problem.

Generic name: Adult and child Third-generation Treatment of CNS: fever, Hypersensitivity  Before giving
> 12 years, 1-2g cephalosporin that infection of the headache, dizziness to cephalosporins drug, ask patient if
Ceftriaxone sodium once daily. inhibits cell-wall respiratory ad CV: phlebitis, he is allergic to
Severe synthesis, urinary tract; GI: diarrhea, penicillins or
Brand name: infections: 4g promoting osmotic sepsis, pseudomembranous cephalosporin.
daily. Child> instability; usually meningitis, colitis  Obtain specimen
Rocephine 50kg, use adult bactericidal. infections of GU: genital pruritus, for culture and
dose. Infants > the bones, candidiasis sensitivity tests
15 days and joints and soft Hema: before giving first
child < 12 yrs, tissues; intra- thrombocytosis, dose.
20-80mg/kg abdominal eosinophilia,
body weight infections, leukopenia
once daily. IV genital Skin: pain,
doses > infections, induration,
50mg/kg body infections in tenderness at
weight should immuno- injection site, rash,
be given over compromised pruritus
30 minutes. patients, Other:
perioperative hypersensitivity
prophylaxis reactions, serum
sickness,
anaphylaxis, chills