medication review

1. Salbutamol

2. Albuterol Sulfate is a beta2-
adrenergic agonist .
Binding of Albuterol to beta2-
receptors in the lungs results
in relaxation of bronchial
smooth muscles.

3. Albuterol Sulfate is a
bronchodilator witch used For
symptomatic relief and
prevention of bronchospasm.

4. Prevent or treat bronchospasm in
patient with reversible obstructive
air way disease such as: asthma,
bronchitis, chronic obstructive
pulmonary disease , Cystic fibrosis.
Prevent exercise-induced asthma.
Hyperkalemia.

5. Inhalation Rout :
available in inhaler spry and
inhaler solution.
Oral Route :
available in tablet and syrup.
Intravascular route:

6. For treatment of acute
bronchospasm
Less than 1 year :
0.05 to 0.15 mg /kg/dose every
4 to 6 hours.
From 1 year to 4 years:
1.25 to 2.5 mg every 4 to 6
hours.

7. From 5 years to 11 years:
2.5 mg every 4 to 6 hour.
12 years and older :
2.5 to 5 mg every 6 hours
Regular use as maintenance
therapy isn’t recommended

8. To prevent exercise-induced
bronchospasm:
adult and children age 4 years
and older:
2 buffs ( using metered dose
inhaler)15 min before exercise
up to 12 buffs may taken in 24
hours

9. CNS: tremors, anxiety,
insomnia, headache,
dizziness, restlessness,
hallucination, flushing,
irritability.
CV: palpation, tachycardia,
hypertension, angina,
hypotension, arrhythmia .

10. ENT: dry and irritation of
nose and throat
GI: heartburn, nausea,
vomiting,
 MS: muscle cramps.
RESP: cough, dyspnea,

11. Albuterol interact with
other adrenergic,
antidepressants, Steroids,
diuretics,
B-blockers inhibit the
action of Albuterol

12. Albuterol increase the
action of CNS stimulants and
decrease the digoxin level .
Albuterol increase the
caffeine stimulation.

13. Sing and symptoms:
Exaggeration of adverse
reaction, seizures, angina,
hypotension, hypokalemia.
Treatment:
Administration of B1 adrenergic
blocker.

14. Assess:
respiratory function ;vital
capacity, forced expiratory
volume, ABGs,lung sound hart
rate and rhythm, BP, sputum,
patient ability to self medicate
evidence of allergic reaction,
paradoxical bronchospasm.

15. Perform /provide:
storage in light resistance
container, don’t expose to
temperatures over 86 F (30 C).
Evaluate :
therapeutic response;
absence of dyspnea,
wheezing after one hour,
improve air way exchange .

16.  Teach patient /family:
to use exactly as prescribed; take
missed dose when remembered,
alter dosing schedule .
not to use OTC medication ;
excess stimulation may occur.
use of inhaler; use demonstration,
and to wash inhaler with warm
water .

17. use of inhaler; use demonstration,
and to wash inhaler with warm
water.
to avoid getting medicine in the
eye; blurring of vision my result .
to limit caffeine in take.
to stop drug immediately and call
the doctor when paradoxical
bronchospasm occur.

18. Don’t confuse
Albuterol /atenolol or albutein.
Salbutamol /salmeterol
Ventolin /vantin