Patient: __H.J.M___ Attending Physician: Dr._A M.

D__

Age: __2 months old Ward/Bed Number: _Critical ward_ Impression / Diagnosis: Respiratory Failure secondary to aspiration

Pneumonia.

Name of Drug Dosage, Route, Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Frequency,
Timing

Generic Name: Dosage: 1 Relaxes bronchial, To prevent or treat CNS: tremor, dizziness, Drug may decrease  Check the physician's
nebule uterine and vascular bronchospasm in patients headache, CNS stimulation sensitivity of order.
Albuterol
smooth muscle by with reversible obstructive spirometry used for
CV: tachycardia, palpitation  Observe and follow the 14
stimulating beta2 airway disease. diagnosis of asthma.
patient's rights.
receptors. GI: nausea, vomiting,
Brand Name: Use cautiously in
anorexia, heartburn,  Warn the mother about
Route: PAI patients with CV
Salbutamol possibility of paradoxical
EENT: dry and irritated nose disorders and those
bronchospasm. Tell to
and throat, nasal congestion, who are unusually
stop the drug immediately
epistaxis responsive to
Classification: if it occurs.
adrenergic.
Frequency: Metabolic: Hypokalemia
Excess inhaler uses  Tell the mother to wash
Q2H
which may lead to the inhaler with warm
Functional:
tolerance and water.
Contraindications: Side Effects:
Bronchodilator paradoxical  Use minimal doses for
Contraindicated in  fine tremor bronchospasm. minimal periods; drug
Timing: patients hypersensitive to
 headache tolerance can occur with
Chemical: salbutamol and its
8:00 AM-10:00 prolonged used.
ingredients.  muscle cramps
Beta 2- AM-12:00 Hypersensitivity to
adrenergic NOON-2:00 adrenergic amines and  dry mouth
antagonist PM-4:00 PM- fluorocarbons.  palpitation
6:00 PM-8:00
 chest pain
PM
 angina

 arrhythmias