Score: _________ Grade: ___________

DRUG SUMMARY

Name of Drug Date Classification Dose Mechanism Specific Side Effects Nursing Implications
Generic Ordered Frequency of Action Indication
(Brand) Route

Albuterol April 29, Bronchodilator 1/2 neb. Binds to beta2- ~Used as a CNS: BEFORE:
adrenergic ~Assess lung sounds, pulse, and
(Salbutamol) 07 s q 4 hr bronchodilator nervousness, blood pressure before
receptors in airway
nebulizatio smooth muscle, in the restlessness, administration and during peak of
medication. Note amount, color,
n leading to activation management tremor, and character of sputum
of adenylcyclase of reversible headache, produced.
and increased airway insomnia. ~Monitor pulmonary function
levels of cyclic-3', tests before initiating therapy and
obstruction CV: chest pain periodically throughout course to
5'-adenosine
monophosphate caused by palpitations, determine effectiveness of
medication.
(cAMP). Increases asthma or angina,
in cAMP activate COPD arrhythmias, DURING:
kinases, which hypertension. ~Observe for paradoxical
inhibit the bronchospasm (wheezing). If
~Used as a GI: nausea, condition occurs, withhold
phosphorylation of
myosin and quick-relief vomiting. medication and notify physician
or other health care professional
decrease agent for Endo: immediately.
intracellular acute hyperglycemia. ~ Instruct mother to take missed
calcium. Decreased dose as soon as remembered,
bronchospasm spacing remaining doses at
intracellular calcium and for F and E: regular intervals. Do not double
relaxes smooth
muscle airways. prevention of hypokalemia. doses or increase the dose or
frequency of doses.
exercise- Neuro: tremor.
Relaxation of induced AFTER:
~ Inform the mother not to smoke
airway smooth bronchospasm near the child and to avoid
muscle with respiratory irritants.
subsequent ~ Advise the mother to rinse the
bronchodilation child’s mouth with water after
each inhalation dose to minimize
dry mouth.

Reference: DAVIS DRUG GUIDE FOR NURSES 8th EDITION___