ALBUTEROL

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(al-byoo’ter-ole)
Accuneb, Novosalmol , Proventil, Proventil HFA, Proventil Repetabs, Salbutamol, Ventolin, Ventolin Rotocaps, Volmax
Classifications: autonomic nervous system agent; beta-adrenergic agonist (sympathomimetic); bronchodilator (respiratory smooth muscle relaxant)
Pregnancy Category: C

NURSING IMPLICATIONS

Assessment & Drug Effects

• Monitor therapeutic effectiveness which is indicated by significant subjective improvement in pulmonary function within 60–90 min after drug administration.
• Monitor for: S&S of fine tremor in fingers, which may interfere with precision handwork; CNS stimulation, particularly in children 2–6 y, (hyperactivity, excitement, nervousness, insomnia), tachycardia, GI symptoms. Report promptly to physician.
• Lab tests: Periodic ABGs, pulmonary functions, and pulse oximetry.
• Consult physician about giving last albuterol dose several hours before bedtime, if drug-induced insomnia is a problem.

Patient & Family Education

• Review directions for correct use of medication and inhaler (see ADMINISTRATION).
• Avoid contact of inhalation drug with eyes.
• Do not increase number or frequency of inhalations without advice of physician.
• Notify physician if albuterol fails to provide relief because this can signify worsening of pulmonary function and a reevaluation of condition/therapy may be indicated.
• Note: Albuterol can cause dizziness or vertigo; take necessary precautions.
• Do not use OTC drugs without physician approval. Many medications (e.g., cold remedies) contain drugs that may intensify albuterol action.
• Do not breast feed while taking this drug without consulting physician.

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