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Time

Cite reference: Drug Names Drug Class & Dose, Route, Rationale
Frequency, Safe Dose Range, Is your pts dose in the safe range
Generic Name:

Safety
1. Potential Side Effects 2. Nursing Implications

Evaluation
1. Assessment Results (#/data) 2. Was Drug Effective, Partially Effective, Not Effective and Why?
Assessment Results: Lung sounds HR BP Sputum: Effectiveness:

Why is this patient getting this drug?


Drug Class:

Side Effects:

albuterol
Brand Name: Dose: 2.5mg Route: NEB inhal HHN Frequency: a4hr Dose Range for this Patient considering why med is ordered, age, size:

Bronchodilators Proventil
Binds to beta2adrenergic receptors in airway smooth muscle, leading to activation of adenyl
Why receiving: Wheezing, SOB

CNS: nervousness, restlessness, tremor, headache, insomnia (Pedi: occurs more frequently in young children than adults), hyperactivity in children. CV: chest pain, palpitations, angina, arrhythmias, hypertension. GI: nausea, vomiting.
Nursing Implications: Assess lung sounds, pulse, and blood pressure before administration and during peak of medication. Note amount, color, and character of sputum produced.

If partially effective or not effective, why:

2.5-10 mg q 1-4 hr prn


Is the ordered dose within the safe range: yes Is this drug a controlled substance? no

Monitor pulmonary function tests before initiating therapy and periodically during therapy to determine effectiveness of medication. Observe for paradoxical bronchospasm (wheezing). If condition occurs, withhold medication and notify physician or other health care professional immediately. Lab Test Considerations: May cause transient in serum potassium concentrations with nebulization or higher-thanrecommended doses.

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