DRUG              CLASSIFICATION                 INDICATION                  SIDE EFFECTS             ADVERSE EFFECTS                  NURSING RESPONSIBILITIES
Generic Name:                                                                                                                                Monitor therapeutic effectiveness which is
                                                                                      Headache                   Body        as          a        indicated     by      significant    subjective
    Albuterol Inhalation    Albuterol   belongs  to      Albuterol is    used    to                              Whole: Hypersensitivity          improvement in pulmonary function within
                                                                                      Dizziness
                            a class of drugs known       prevent      and     treat                              reaction.                        60–90 min after drug administration.
    Brand Name:                                                                       Spinning sensation, 
                            as bronchodilators.          difficulty      breathing,                                                              Monitor for: S&S of fine tremor in fingers,
                                                                                      Light headedness,
    ProAir HFA, ProAir                                   wheezing, shortness of                                  CNS: Tremor, anxiety,            which     may     interfere    with   precision
                                                                                      Sleep           problems
    RespiClick, Proventil                                breath, coughing, and                                   nervousness,                     handwork; CNS stimulation, particularly in
                                                                                      (insomnia), 
    HFA, Ventolin HFA,                                   chest tightness caused                                  restlessness,                    children 2–6 y, (hyperactivity, excitement,
                                                                                      Tremor
                                                         by lung diseases such as                                convulsions, weakness,           nervousness, insomnia), tachycardia, GI
                                                                                      Nervousness,
                                                         asthma      and    chronic                              headache,
                                                                                      Sweating,                                                   symptoms. Report promptly to physician.
                                                         obstructive     pulmonary                               hallucinations. 
    Dosage:                                                                           Nausea,                                                    Consult physician about giving last albuterol
                                                         disease (COPD; a group                                                                   dose several hours before bedtime, if drug-
                                                                                      Vomiting,                  CV: Palpitation,
                                                         of diseases that affect                                                                  induced insomnia is a problem.
    2.5 mg                                                                            Diarrhea,                  hypertension,
                                                         the lungs and airways).                                                                 Avoid contact of inhalation drug with eyes.
                                                                                      Dry mouth and throat,      hypotension,
                                                                                      Muscle     cramps,   and   bradycardia,        reflex      Do not increase number or frequency of
                                MECHANISM OF             CONTRAINDICATIONS
                                                                                      Unusual taste in your      tachycardia. Special             inhalations without advice of physician.
    Route:                         ACTION
                                                                                      mouth.                     Senses: Blurred    vision,      Notify physician if albuterol fails to provide
    Inhalation                                           Pregnancy (category C),                                 dilated pupils.                  relief because this can signify worsening of
                            Albuterol acts on beta-2
                            adrenergic receptors to      lactation. Use of oral                                                                   pulmonary function and a reevaluation of
                                                         syrup in children <2 y.                                 GI: Nausea,                      condition/therapy may be indicated.
                            relax    the     bronchial
                                                                                                                 vomiting. Other: Muscle         Do not use OTC drugs without physician
    Frequency:              smooth muscle. It also                                                               cramps, hoarseness.
                            inhibits the release of                                                                                               approval. Many medications (e.g., cold
    3 or 4 times per day    immediate                                                                                                             remedies) contain drugs that may intensify
    as needed.              hypersensitivity                                                                                                      albuterol action.
                            mediators from cells,
                            especially mast cells.