Bronchodilators

1
Bronchodilators

• Temple College
• EMS Professions

2
Names

• albuterol (Proventil, Ventolin)
• metaproterenol (Metaprel, Alupent)
• isoetharine (Bronkosol)
• bitolterol mesylate (Tornalate)
• salmeterol xinafoate (Serevent)

3
Actions

• Stimulate beta-2 receptor sites
• Relax smooth muscle in airway walls
• Dilate airways
• Lower resistance to air flow
• Decrease respiratory effort

4
Supplied As

• Solution in handheld metered-dose inhalers (MDI)
• Solution for use in small volume nebulizers (SVN)

5
Indications

• Shortness of breath
• Rapid breathing
• Wheezing
• Accessory muscle use

• Nasal flaring
• Restlessness, anxiety
• Retractions

6
Contraindications

• Patient unable to use device
• Maximum medication dose taken from personal
  inhaler

7
Side Effects

• Increased heart rate
• Tremors, shakiness
• Nervousness
• Dry mouth
• Nausea, vomiting

8
Precautions

• Oxygen first
• Medication history
• Vitals before, after treatment