Bronchodilators
Names n albuterol (Proventil, Ventolin) n metaproterenol (Metaprel, Alupent) n isoetharine (Bronkosol) n bitolterol mesylate (Tornalate) n salmeterol xinafoate (Serevent)
Actions n Stimulate beta-2 receptor sites n Relax smooth muscle in airway walls n Dilate airways n Lower resistance to air flow n Decrease respiratory effort
Supplied As n Solution in handheld metered-dose inhalers (MDI) n Solution for use in small volume nebulizers (SVN)
Indications n Shortness of breath n Rapid breathing n Wheezing n Accessory muscle use n Nasal flaring n Restlessness, anxiety n Retractions
Contraindications n Patient unable to use device n Maximum medication dose taken from personal inhaler
Side Effects n Increased heart rate n Tremors, shakiness n Nervousness n Dry mouth n Nausea, vomiting
Precautions n Oxygen first n Medication history n Vitals before, after treatment