Page 119 - 2023 SMOG Digital

ALBUTEROL Lactation Yes Trade Name: Proventil / Ventolin
Class / Mechanism of Action
Beta2 Agonist (Bronchodilator)
Synthetic sympathomimetic that relaxes bronchial smooth muscle, causing bronchodilation, with little
cardiac impact. Onset of action is 2-15min.
Indications
Labeled Indications: Treatment or prevention of bronchospasm in patients with reversible obstructive
airway disease; prevention of exercise-induced bronchospasm
• Asthma
• Reactive Airway / Bronchospasm
• COPD
• May also be used in Crush Syndrome (Hyperkalemia)
Contraindications
• Hypersensitivity to albuterol or any component of the formulation
• Symptomatic tachycardia
Adverse Reactions / Precautions
• Risk of abortion during 1 st or 2 nd trimester
• Headache, Dizziness, Flushing, Diaphoresis, Tremor, Weakness
• Angina, A-Fib, Arrhythmia, Chest Pain, Palpitations
• Dyspnea, Bronchospasm in asthmatics
Dose and Administration: ADULT PEDIATRIC Always Reference BROSELOW Tape
Bronchospasm: Bronchospasm:
Metered-dose inhaler (90mcg/puff): Metered-dose inhaler (90mcg/puff):
• 2 puffs q4-6hr prn • 4-8 puffs q4-6hr prn
Solution for nebulization: Solution for nebulization:
• 2.5mg 3-4 times daily prn • Children ≤4 years: 2.5mg q4-6hr prn
• Children ≥5 years: 2.5-5mg q4-8hr prn
Exacerbation of asthma (acute, severe): • Children ≥12 years: Refer to adult dosing.
Metered-dose inhaler:
• 4-8 puffs q20min for up to 4 hours,
then q1-4hr prn
Solution for nebulization: Exacerbation of asthma (acute, severe):
• 2.5-5mg q20min for 3 doses, then 2.5-10mg Metered-dose inhaler (90mcg/puff):
q1-4hr prn • Children <12 years: 4-8 puffs q20min for
3 doses, then q1-4hr prn
• Children ≥12 years: Refer to adult dosing.
Solution for nebulization:
• Children <12 years: 0.15mg/kg (minimum:
2.5mg) q20min for 3 doses, then 0.15-0.3mg/kg
(maximum: 10mg) q1-4hr prn
• Children ≥12 years: Refer to adult dosing.

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