Albuterol: Difference between revisions

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==Adult Dosing==
==Adult Dosing==
*Mild Asthma/COPD - 90mcg/inh via inhalation aerosol q4hrs PRN wheezing
*Mod/Severe Asthma/COPD exacerbation - 5mg Nebulized q15mins
*[[Hyperkalemia]] (not-FDA approved) - 15-20mg Nebulized


==Pediatric Dosing==
==Pediatric Dosing==
*Mild asthma exacerbation - 1-2 puffs of 90mcg/inh via inhaled aerosol q4hrs PRN wheezing
*Mod/Severe asthma exacerbation - 2.5mg nebulized q20mins
*Wheezing - 2.5mg nebulized q20mins


==Special Populations==
==Special Populations==
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]:
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]: C
*[[Lactation Risk Categories]]:
*[[Lactation Risk Categories]]: Probably safe
*Renal Dosing
*Renal Dosing
**Adult
**Adult: no adjustment
**Pediatric
**Pediatric: no adjustment
*Hepatic Dosing
*Hepatic Dosing
**Adult
**Adult: not defined
**Pediatric
**Pediatric: not defined


==Contraindications==
==Contraindications==
*Allergy to class/drug
*Allergy to class/drug
*caution if ischemic heart disease
*caution if hypertension
*caution if arrhythmias
*caution if hypokalemia
*caution if diabetes mellitus
*caution if seizure disorder
*caution if hyperthyroidism
*caution if pheochromocytoma
*caution if pregnancy
*caution if elderly patients


==Adverse Reactions==
==Adverse Reactions==
===Serious===
===Serious===
*hypersensitivity reactions
*bronchospasm, paradoxical
*hypertension
*angina
*MI
*hypokalemia
*arrhythmias


===Common===
===Common===
*tremor
*nervousness
*headache
*nausea
*tachycardia
*muscle cramps
*palpitations
*insomnia
*dizziness


==Pharmacology==
==Pharmacology==
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==See Also==
==See Also==


==Sources==


==References==
<references/>
<references/>
[[Category:Drugs]]
 
[[Category:Pharmacology]] [[Category:Pulmonary]]

Revision as of 19:30, 5 April 2020

General

  • Type: Beta-2 agonist
  • Dosage Forms: aerosol inhaler, liquid nebulized form, PO
  • Common Trade Names: ProAir HFA, Proventil, Ventolin HFA, ReliOn Ventolin HFA, Accuneb

Adult Dosing

  • Mild Asthma/COPD - 90mcg/inh via inhalation aerosol q4hrs PRN wheezing
  • Mod/Severe Asthma/COPD exacerbation - 5mg Nebulized q15mins
  • Hyperkalemia (not-FDA approved) - 15-20mg Nebulized

Pediatric Dosing

  • Mild asthma exacerbation - 1-2 puffs of 90mcg/inh via inhaled aerosol q4hrs PRN wheezing
  • Mod/Severe asthma exacerbation - 2.5mg nebulized q20mins
  • Wheezing - 2.5mg nebulized q20mins

Special Populations

Contraindications

  • Allergy to class/drug
  • caution if ischemic heart disease
  • caution if hypertension
  • caution if arrhythmias
  • caution if hypokalemia
  • caution if diabetes mellitus
  • caution if seizure disorder
  • caution if hyperthyroidism
  • caution if pheochromocytoma
  • caution if pregnancy
  • caution if elderly patients

Adverse Reactions

Serious

  • hypersensitivity reactions
  • bronchospasm, paradoxical
  • hypertension
  • angina
  • MI
  • hypokalemia
  • arrhythmias

Common

  • tremor
  • nervousness
  • headache
  • nausea
  • tachycardia
  • muscle cramps
  • palpitations
  • insomnia
  • dizziness

Pharmacology

  • Half-life: 2.7-6h
  • Metabolism: liver, CYP450
  • Excretion: urine primarily, feces
  • Mechanism of Action: stimulates beta-2 adrenergic receptors, relaxing airway smooth muscle

See Also

References