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Albuterol

Ventolin HFAShort-acting beta 2 agonistMetered dose inhaler, nebulized solution, and other inhalation forms

Mechanism

Activates beta 2 adrenergic receptors in bronchial smooth muscle, producing bronchodilation.

Uses

  • Treatment of bronchospasm
  • Prevention of exercise induced bronchospasm

Common effects

  • Tremor
  • Nervousness
  • Tachycardia
  • Headache

Serious risks

  • Paradoxical bronchospasm
  • Cardiovascular effects
  • Hypokalemia
  • Excessive rescue use signaling poor control

Monitoring

  • Symptom relief
  • Frequency of rescue use
  • Inhaler technique
  • Heart rate and potassium when clinically relevant

Counseling

  • Demonstrate and reassess inhaler technique
  • Know the difference between rescue and controller therapy
  • Seek review if relief is reduced or use increases
  • Prime and clean the device according to its label
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