SVN and MDI

Indications for Albuterol administration

Wheezing noted; history/exam consistent with asthma or COPD; dyspnea and signs of respiratory distress associated with bronchospasm.

Contraindications for Albuterol

Maximum of 3 doses, allergy to albuterol, diastolic BP >120 mmHg (requires online medical command approval), concern for CHF (discuss with medical command).

Route of administration for Albuterol

Inhalation.

SVN Dose of Albuterol

Albuterol 2.5 mg via nebulizer.

MDI Dose of Albuterol

Determine number of puffs that make one dose per physician order.

Steps for SVN Administration of Albuterol

1. Assemble nebulizer (mask or mouthpiece); 2. Attach nebulizer to oxygen cylinder at 6 L/min; 3. Confirm medication & pour into nebulizer container; 4. Instruct patient to breathe deeply and hold breath for 3 to 5 seconds before exhaling.

Notes for SVN Administration

Give supplemental oxygen prior to medication. Escalate from nasal cannula to NRB as needed to maintain normal oxygenation. Observe for fatigue, decreased mentation, or respiratory failure.

Steps for MDI Administration of Albuterol

1. Inspect MDI & assemble spacer; 2. Instruct patient to exhale deeply and place lips around mouthpiece; 3. Instruct patient to depress MDI, inhale one puff, and hold breath for 3 to 5 seconds before exhaling; 4. After a few breaths, repeat dose if required.

Actions of Albuterol

Short-acting bronchodilator.

Common side effects of Albuterol

Tachycardia, anxiety, tremors, headache.

Documentation requirements for Albuterol administration

Time administered, doses, times of administration, patient response, and communicate during transfer of care.