Pharmaste Daily: October 20, 2026

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DAILY SELECTION · October 20, 2026

Question focus: Clinical practice. Drug cards rotate across medication classes.

QUESTION OF THE DAY

Make a choice. Understand the why.

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DRUG OF THE DAY

albuterol sulfate inhalation aerosol

Short-acting beta2-adrenergic agonist (SABA)

Before opening the card, recall one use, one safety check and one counseling point.

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Names and formulations

  • Ventolin HFA: metered-dose inhaler; priming and cleaning are device specific

Ventolin HFA priming, cleaning, dose-counter use, and inhalation technique are device specific; teach the actual inhaler dispensed.

Common use

Treatment or prevention of bronchospasm in reversible obstructive airway disease and prevention of exercise-induced bronchospasm.

Mechanism of action

Stimulates beta2 receptors in bronchial smooth muscle, increasing cyclic AMP and producing bronchodilation.

Important adverse effects and monitoring

  • Increasing need or reduced response can signal deteriorating asthma and requires prompt reassessment.
  • Monitor symptom relief, use frequency, tremor, heart rate, and potassium when high systemic exposure is plausible.
  • Paradoxical bronchospasm can occur and may be life threatening.

Patient counseling

  • Demonstrate inhaler technique, priming, cleaning, and dose-counter interpretation for the dispensed device.
  • Seek care if the usual dose stops working or is needed more often than prescribed.

Interaction to recognize

With: nonselective beta blockers

Why it matters: May block bronchodilation and can provoke severe bronchospasm in patients with asthma.

Practical response: Avoid when possible; if a beta blocker is essential, selection and monitoring require clinician oversight.

Check the original sources

Selected learning points; verify current labeling for the complete prescribing information.

Featured from our existing free, reviewed collections. Revisit a concept as it returns in the rotation. Featuring a resource today does not change its original source-check date.

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