Rez Gioz P.

Apego January 23, 2014 N-40 Patients name: Antonieto, Buron Name of Drug Classification of Drug Therapeutic: Bronchodilator Mechanism of Action It relieves nasal congestion and reversible bronchospasm by relaxing the smooth muscles of the bronchioles. Indication 1. To control and prevent reversible airway obstruction caused by asthma or chronic obstructive pulmonary disorder (COPD) 2. Quick relief for bronchospasm 3. For the prevention of exercise-induced bronchospasm 4. Long-term control agent for patients with chronic or persistent bronchospasm Contraindications 1. Cardiac disease including coronary insufficiency, a history of stroke, coronary artery disease and cardiac arrhythmias 2. Hypertension 3. Hyperthyroidism 4. Diabetes 5. Glaucoma 6. Geriatric patients older individuals are at higher risk for adverse reactions and may require lower dosage 7. Pregnancy especially near term 8. Lactation 9. Children less than 2 years of Side Effects 1. Nervousness 2. Restlessness 3. Tremor 4. Headache 5. Insomnia 6. Chest pain 7. Palpitations 8. Angina 9. Arrhythmias 10. Hypertension 11. Nausea and vomiting 12. Hyperglycemia 13. Hypokalemia Nursing Responsibilities 1. Assess lung sounds, PR and BP before drug administration and during peak of medication. 2. Observe fore paradoxical spasm and withhold medication and notify physician if condition occurs. 3. Administer PO medications with meals to minimize gastric irritation. 4. Extended-release tablet should be swallowedwhole. It should not be crushed or chewed. 5. If administering medication through inhalation, allow at least 1 minute between inhalation of aerosol medication. 6. Advise the patient to rinse mouth with water

Generic Name: Albuterol Trade Name: Pregnancy Salbutamol, Category B Proventil, Ventolin Availability: PO (Children 6-12 years old): 2 mg 34 times a day or 4 mg as extendedrelease tablets twice a day; may be carefully increased as needed but not to exceed 24 mg/day Inhalation

(Adults and children more than 4 years of age): 2 inhalations every 4-6 hours

age because safety of its use has not been established 10. Excess inhaler use which may lead to tolerance and paradoxical bronchospasm disease;

after each inhalation to minimize dry mouth. 7. Inform the patient that Albuterol may cause an unusual or bad taste.

Chief complaint: Right cerebral tumor left sided weakness