APPENDIX I
MEDICATION ADMINISTRATION
Student Name: __________Erin Nowlin_______________
Client Allergies: _penicillin
DRUG
Generic:
Albuterol
sulfate
Brand:
DOSAGE
ROUTE &
FREQUENCY
Client:
Client Initial: ___DAD________
FLUID
TYPE
Primary:
Inhale 2.5mg/3 mL
solution every 4
hours
O2 Sat
Pharmacologic
Classification:
PURPOSE OF
DRUG
(Indication)
Specific to the
Client:
wheezing
Adrenergic
bronchodilator
Usual:
Onset: 5-15
min
Peak:30-120
min
Duration:2-6
hr
CLASSIFI
CATION
_ Isotonic
_ Hypotonic
_ Hypertonic
Accuneb
Date of Care: _____04/14/2011__________
Adults: 2.5 mg t.i.d. Secondary:
or q.i.d. by
nebulizer, given
over 5 to 15
minutes. Use 3 ml
of 0.083% solution.
Usual:
Action (patho):
Relaxes bronchial,
uterine, and
vascular smooth
muscle by
stimulating beta2
receptors
To prevent or
treat
bronchospasm in
patients with
reversible
obstructive
airway disease
MAJOR
NURSING
IMPLICATIONS
Adverse Reactions (2):
Respiratory:
bronchospasm, cough,
Wheezing, dyspnea,
Bronchitis, increased
sputum
CV: tachycardia,
Palpitations,
Hypertension
MATH
CALCULATIONS
gtt/min:
mL/hr:
Interactions: (2)
CNS stimulants: May
increase CNS stimulation. Push rate:
MAO inhibitors, tricyclic
antidepressants: May
increase adverse CV
Dilution:
effects.
V/S to assess
before admin.
O2 Sat, RR
Effects on Labs: (2)
May decrease potassium
level
Labs to assess
before admin.
Nursing
Considerations (2):
(Must Show all math)
Drug may decrease
sensitivity of spirometry
used for diagnosis of
asthma
Patient may use tablets
and aerosol together.
Monitor these patients
closely for signs and
symptoms of toxicity
Client Teaching(1):
Warn patient about risk of
paradoxical
bronchospasm and to stop
drug
immediately if it occurs
Antidote:
None listed.
Black Box Warning:
None listed.
Remember Pain is the 5th V/S
References: Kluwer, W. (2011) Nursing 2011 drug handbook (31st ed.). Ambler,Pennsylvania:Lippincott Williams&Wilkins