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Bronchodilators - CT

Respiratory Therapy

Epinephrine (Adrenalin) -Alpha and Beta -cardiac stimulant -used to stop bleeding during bronchs -very rapid onset (3-5 mins)
Racemic Epinephrine (Vaponephrine and Micronephrine) -Alpha and beta -Croup is main use in peds pts -Post extubation stridor is main use in adults -SVN: 2.25% solution, 0.25-0.5 ml (QID) -Rapid onset (3-5 mins) -Monitor HR closely (due to beta 1 properties)
Albuterol (& HFA) (Ventolin, Proventil) -beta 1 & 2,short acting -Onset is 15 mins, peak 30-60 mins,TID or QID -tremors most common side effect -dosage: 0.25 ml-1.0 ml -conc: 0.5% in BA nebs or 0.083% normally -with saline is 0.5 ml (0.083%)(prepackaged) -can lower K+ (will use 2-3ml)
Alupent (Metaproterenol) -Onset 1-5 mins with peak at 60 mins -beta 2, short acting -SVN, tablet, or syrup
Maxair Autohaler (Pirbuterol) -beta 2, short acting -Onset 5 mins, with peak at 30 mins -Given MDI Q4-Q6
Xopenex (& HFA) (Racemic Albuterol) (Levalbuterol) -beta 2, short acting -Dose: 0.31mg in peds, 0.63, or 1.25 in adults -onset 15 mins with peak at 30-60 mins -less cardiac side effects (no beta 1 stim.) -have to mix with saline -MDI OR SVN
Serevent (Salmeterol) -long acting beta 2 -Onset: 20 mins with peak at 3-5 hours -Duration: 12 hrs -Not useful in emergencies -pts usually take daily -MDI OR DPI
Foradil (Formoterol) -long acting beta 2 -Onset 15 mins, peak at 30-60 mins -Duration: 12 hrs -DPI OR SVN (BID)
Brovana (Aformoterol) -long acting beta 2 -duration: 12 hrs -separate neb, stays in fridge -onset 15 mins, peak at 30-60 mins -SVN,given BID
Atrovent (& HFA) (Ipratropium Bromide) -short acting -MDI, SVN, nasal spray -Dosage is 2.5 ml -only FDA approved aerosolized anticholinergic
Spiriva (Tiotropium Bromide) -long acting -DPI - 1 inhalation or capsule per day -onset 30 mins, peak of 3 hrs
DuoNeb (SVN) (Albuterol & Atrovent) -both short acting -2.5 mg albuterol and 0.5 mg Atrovent
Combivent (MDI) (Albuterol & Atrovent) -both short acting -Respimat form since MDI discontinued -Onset 15 mins, peak 1-2 hrs -Duration 4-6 hrs
Created by: SammieKay08