What should you assess before giving terbutaline?
Assess heart rate, ECG, and heart sounds, especially during exercise (See Appendices G, H). Report a rapid heart rate (tachycardia) or signs of other arrhythmias, including palpitations, chest discomfort, shortness of breath, fainting, and fatigue/weakness.
What do you monitor on terbutaline?
tell your doctor if you have or have ever had an irregular heartbeat, heart disease, high blood pressure, an overactive thyroid gland, diabetes, or seizures. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking terbutaline, call your doctor.
What are the nursing implications of bronchodilators?
The nursing interventions for patients using bronchodilators or antiasthmatics include: Relieve GI upset. Administer oral drug with food or milk to relieve GI irritation if GI upset is a problem. Monitor drug response.
What are two 2 contraindications for the administration of terbutaline during labor?
Beta-mimetics (eg, terbutaline) may be contraindicated in the presence of cardiac arrhythmia, valvular disease, and ischemic heart disease and may alter glucose homeostasis in patients with diabetes.
What are two contraindications for administering terbutaline during labor?
Are there women who should not take terbutaline? Women who have medical conditions that could be aggravated by the possible side effects of terbutaline shouldn’t take the drug. This includes women with heart conditions or hyperthyroidism, and poorly controlled diabetes.
How do you administer terbutaline?
How is terbutaline administered? Terbutaline can be given subcutaneously, which means injected into the skin, or intravenously (IV), which means given through a vein. The usual dose of terbutaline is 0.25 milligrams (mg). It’s usually injected into the shoulder or given through a vein in the arm.
What is the antidote for terbutaline?
There is no specific antidote. Treatment consists of discontinuation of terbutaline together with appropriate symptomatic therapy. The judicious use of a cardioselective beta-receptor blocker may be considered, bearing in mind that such medication can produce bronchospasm.
What was terbutaline originally used for?
Terbutaline is a beta-2 adrenergic agonist used as a bronchodilator and to prevent premature labor. Terbutaline was first synthesized in 1966 12 and described in the literature in the late 1960s and early 1970s. It is a selective beta-2 adrenergic agonist used as a bronchodilator in asthmatic patients.
What are the nursing considerations for Salbutamol via nebuliser?
Nursing Considerations: Monitor respiratory rate, oxygen saturation, and lungs sounds before and after administration. If more than one inhalation is ordered, wait at least 2 minutes between inhalations. Use a spacer device to improve drug delivery, if appropriate.
How is terbutaline administered?
Terbutaline injection comes as a solution (liquid) to inject under the skin. It is usually given by a doctor or nurse in a medical facility when needed to treat symptoms of asthma, chronic bronchitis, or emphysema. If the symptoms do not improve within 15 to 30 minutes after the first dose, another dose may be given.