Indications for Salbutamol therapy are (list 2)
- Bronchospasm associated with asthma, bronchitis or emphysema
- Bronchospasm & wheezing secondary to other causes, such as anaphylaxis
Asthma patients with severe / life threatening bronchoconstriction that is refractory to salbutamol therapy may be treated medically with __________ (medication, dose, and route) after mandatory clinicall consult.
Epinephrine, 0.5mg IM
Epinephrine may be used for failing respirations in patients with treatment-resistant ________ (asthma/copd/both)
Asthma
Contraindications for Salbutamol therapy are (list 2)
- Hypersensitivity
- Hemodynamically significant tachyarrhythmias
Pediatric dosing for salbutamol is (give both dosages and age ranges)
- 0mg for > 1 yr of age.
- 5mg for < 1 yr. of age.
Patients experiencing an asthma/COPD exacerbation should be positioned __________
upright
Asthma/COPD patients with failing repsirations should be treated with _____
IPPV (Intermittent Positive Pressure Ventilations)
Oxygen should be run through a nebulizer at a flow rate of _____ (range) LPM to ensure proper misting of the medication
6 - 8 LPM
Adult dosage for nebulized salbutamol is ___ mg in ___ mL of N/S
5 mg in 5 mL
CPAP may be considered for asthma/COPD patients _____ (after/alongside/before) treatment with salbutamol.
After
In-line nebulization of salbutamol is possible alongside CPAP, but should only be attempted after traditional bronchodilator therapy has already been initiated.
Precautions for Salbutamol administration are (list 3)
- Coronary disease (increased MVO2)
- COPD pts with degenerative heart disease.
- Diabetes (decreases the effectiveness of insulin)
When using inline nebulization with CPAP and a single O2 tank, the oxygen flow rate should be adjusted to ___ LPM above the manufacturer-recommended flow rate
7 LPM
Signs of Salbutamol toxicity are ____________ and should prompt discontinuation of salbutamol therapy
H.R > 150 (>200 in pediatric patients) or severe tremor or ventricular dysrhythmias
The onset of Salbutamol is ___ minutes
5
Asthma/COPD patients with dyspnea that is not relieved with bronchodilator therapy may be treated with _____ (non-pharmaceutical intervention) after mandatory clinicall consult
CPAP
Intermittent Positive Pressure Ventilations (IPPV) should be administered if respirations are failing in the asthma/COPD patient refractory to bronchodilator therapy
