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EMT Medications - salbutamol
Details
10
Medical
Professional
02/27/2013

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Cards

Term
Trade Names
Definition
  1. Ventolin
Term
Indications
Definition
  1. Bronchospasm due to bronchial asthma, chronic bronchitis and other chronic bronchopulmonary disorders.
  2. Respiratory distress with bronchospasm.
Term
Contraindications
Definition
  1. Hypersensitivity to salbutamol.
Term
Precautions
Definition
  1. Should not be used with patients presenting with acute heart failure.
  2. Cardiovascular diseases such as cardiac dysrhythmias and hypertension.
  3. Patents with diabetes mellitus can risk further reducing serum potassium levels and lead to possible adverse cardiovascular events.
Term
Side Effects
Definition
  1. Nervousness
  2. Nausea/Vomiting
  3. Headache
  4. Heart palpitations
  5. Tachycardia
  6. Transient muscle cramps
  7. Muscle tremors
  8. Weakness
Term
Adult Dose
Definition
  • Nebulizer = 2.5mg – 5.0mg nebule, repeat every 5 minutes as needed.
  • MDI = min 6 puffs, max 20 puffs, each puff is 100mcg.
Term
Pediatric Dose
Definition
  • Nebulizer = 0.15mg per kg diluted to 2.5ml in NS OR
  • Patients less than 10kg: 1.25mg diluted in NS to 2.5ml.
  • Patients 10kg to 20kg: 2.5mg
  • Patients greater than 20kg: 2.5mg to 5.0mg
  • MDI = 2 puffs, max 10, each puff is 100mcg.
Term
Notes
Definition
  1. Use of EMS service medication is preferred over using patient’s medication.
  2. Nebulized is the preferred method of delivery.
Term
Classification
Definition
  1. Bronchodilator: Beta 2 selective adrenergic agonist (sympathomimetic).
Term
Pharmacodynamics
Definition
  1. Selectively stimulates the beta-adrenergic receptors of the lungs, uterus and vascular smooth muscles.
  2. Bronchodilation results from the relaxation of the vascular smooth muscles, which relieves bronchospasm and reduces airway resistance.
  3. Higher doses will drive serum potassium into the cells.
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