albuterol sulfate trade name
proventil hfa, proair hfa
proair and proventil name
albuterol sulfate
albuterol MOA
bronchodilation
albulterol onset of action
5-15 minutes
albuterol peak effects
1-1.5 hrs
albuterol duration of effect
3-6 hrs
albuterol half life
<3 hrs
albuterol indications
asthma, bronchospasms associated w/ copd
albuterol contraindications
symptomatic tachycardia
albuterol side effects
Anxiety, head ache, palpitations, dizziness
albuterol MDI dose
1 or 2 90 mcg sprays
albuterol adult dose
2.5mg in 2.5ml NS over 5-15 min
albuterol pedi dose
2.5mg in 2.5ml NS over 5-15 min
albuterol precautions
monitor vitals and ekg, use caution w/ pt’s with heart disease or HTN, check lung sounds before and after
albuterol interactions
beta blockers may blunt effects of drug, MAOI and TCA may potentiate cardiovascular effects, SE may increase with other sympathetic agonists
Ipatropium bromide trade name
Atrovent
atrovent name
Ipatropium bromide
atrovent drug class
parasympatholytic
atrovent MOA
muscarinic Ach-R blocker, dries respiratory tract
atrovent onset of action
varies
atrovent peak effects
1.5-2 hrs
atrovent duration of effect
4-6 hrs
atrovent half-life
1.5-2 hrs
atrovent indications
asthma and COPD bronchospasms
atrovent contraindications
hypersensitivity and not to be used as primary treatment of bronchospasm
atrovent side effects
anxiety, HA, palpitations, dizziness
atrovent adult dose
500 mcg
atrovent pedi dose
250-500 mcg
atrovent precautions
vitals and ekg monitored, use caution w/ pt’s w/ heart disease, htn, elderly, check lung sounds
atrovent interactions
few prehospitally
Mag sulfate drug class
Antidysrhythmic
Mag sulfate MOA
Ca2+ channel blocker, cns depression, smooth muscle relaxation
Mag sulfate onset of action
Immediate iv, 1 hr im
Mag sulfate peak effects
Varies
Mag sulfate duration of effect
1 hour
Mag sulfate half life
N/A
methylprednisolone brand name
solu-medrol
solu-medrol generic name
methylprednisolone
solu-medrol drug class
corticosteroid
solu-medrol MOA
immunosuppressant
solu-medrol onset of action
2-6 hrs
solu-medrol peak effect
4-8 days
solu-medrol duration of effect
1-5 weeks
solu-medrol half life
3.5 hrs
solu-medrol indications
anaphylaxis, asthma, copd
solu-medrol contraindications
none EMS
solu-medrol side effects
fluid retention, chf, htn, head ache
solu medrol asthma/anaphylaxis dose adult
125-250mg iv
solu medrol pedi asthma/anaphylis dose
2mg/kg iv/io/im; max of 80mg
solumedrol precautions
one dose prehospitally
solumedrol interactions
lasix and thiazide diuretics increase K loss, decreased effect with phenytoin, phenobarbital, and rifampin
albuterol drug class
sympathomimetic
mag sulfate indications
asthma/bronchospasm, VF or pulseless VT
mag sulfate contraindications
3rd degree heart block, shock, severe hypertension
mag sulfate side effects
flushing, sweating, bradycardia, hypotension
mag sulfate adult asthma dose
2g in 100cc NS IV over 10 min
mag sulfate asthma pedi dose
25-50 mg/kg IV over 15-30 min, max dose 2g
mag sulfate precautions
monitor vitals, watch for respiratory depression, have CaCl2 ready
mag sulfate drug interactions
digitalis