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Indications
asthma (rescue inhaler), bronchospasm
Side effects
tachycardia
tremors
tossing/turning at night (restless)
hypertension
Adverse reactions
cardiac arrhythmia
paradoxical bronchospasm
angina
hypokalemia
Precautions
cardiac disease
hypertension
seizure disorders
potassium sparing diuretics (hypokalemia)
Contraindications
use w/ MAO inhibitors (hypertensive crisis)
use w beta blockers like metoprolol (blocks effects of albuterol → more bronchospasms)
hypersensitivty to adrenergic amines
severe milk protein allergies (for some formulations)
Nursing consideration
monitor vitals (HR, BP, RR)
monitor EKG (due to cardaic arrhythmia)
monitor for sx of paradoxical bronchospasm (wheezing!!!)
see if med is working (pulmonary function test before and after)
Patient education
shake before use
don’t exceed 3 doses of 2-4 puffs every 20 minutes
use before LABA
avoid taking at night (cuz of restlessness)