SCCM Resource Library-Drug Shortage Alert: Albuterol Sulfate Nebulized Solution

Pdf Summary

A drug shortage alert has been issued for Albuterol Sulfate Nebulized Solution. Albuterol is commonly used in various respiratory and non-respiratory disease states. The shortage is due to increased demand, manufacturer discontinuation, and temporary supply issues. The alert provides potential management strategies, pharmacotherapeutic considerations, and safety implications related to the shortage.<br /><br />The document recommends that albuterol be reserved for critical scenarios such as status asthmaticus, with alternatives like albuterol metered-dose inhalers (MDIs) or levalbuterol considered if other options are also not available. Specific management strategies are provided for different indications in critically ill patients, including asthma exacerbation, COPD exacerbation, and acute hyperkalemia.<br /><br />Pharmacotherapeutic considerations emphasize the indication-dependent use of albuterol and the need for proper education and technique when using MDIs. Safety implications include the need for infection prevention processes for device cleaning, medication safety safeguards, and access to drug references for less familiar medications. The impact on ICU care is discussed, including challenges in alternative medication availability and potential delays in care.<br /><br />Specific guidelines and dosing information are provided for each indication, such as the use of adjunct therapies like epinephrine, ipratropium, IV steroids, magnesium infusion, terbutaline, aminophylline, theophylline, and ketamine in certain scenarios.<br /><br />Overall, the alert provides comprehensive information and recommendations for managing the current albuterol shortage in critically ill patients, emphasizing the importance of appropriate use, conservation, and safety considerations.

Asset Subtitle

Pharmacology, Crisis Management, 2023, 00:02:00

Meta Tag

Content Type Article

Knowledge Area Pharmacology

Knowledge Area Crisis Management

Knowledge Area Pulmonary

Membership Level Nonmember

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag Resource Allocation

Year 2023

Keywords

drug shortage alert

Albuterol Sulfate Nebulized Solution

respiratory disease

non-respiratory disease

increased demand

manufacturer discontinuation

temporary supply issues

management strategies

pharmacotherapeutic considerations

safety implications

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