Dr. Robert Axelrad Dental Office

Making Brampton Smile Since 1997

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Blue asthma inhaler isolated on white background

Blue asthma inhaler isolated on white background

Albuterol is a very well known essential drug found in the dental office emergency kit. You may know it better as Salbutamol – the ‘puffer’ or inhaler that is routinely used by individuals who suffer from asthma.

Mechanism of Action
Albuterol acts by dilating (opening up) the bronchioles that are in a state of spasm (closure) during an asthmatic attack. This is especially important during the acute phase of anaphylaxis, when the bronchioles (breathing passages that lead to the lungs) are closing off.

Epinephrine, as discussed in the blog posted on November 25th, 2015 also acts by causing bronchodilation. It is the primary drug that is required to deal with the bronchospasm during anaphylaxis. Epinephrine acts fast and it wears off quickly too. Albuterol is used to compliment the epinephrine (as an adjunct) during anaphylaxis to maintain the bronchioles in a dilated (open) state. It acts to provide the patient with longer relief of symptoms. Its peak effects occur in 30-60 minutes.

What is also important to know is that Albuterol is a selective Beta-2 agonist…please refer back to the blog on Epinephrine posted on November 25th,2015. This means that it just acts on the bronchioles and not the alpha-one or beta-one receptors that are located in the heart and skin (extremities) respectively. This is important and valuable because Albuterol’s actions are site specific. It provides selective bronchodilation with minimal systemic cardiovascular effects!

For adults, two sprays of the inhaler provides 180-200 micro grams and this can be repeated as necessary. A child’s dosage is half of this, 90-100 micrograms or one spray as necessary.

In the next blog we will look at the drug Nitro glycerine. It is used to treated acute angina…until then.

Yours in excellent dental health!

Dr. Robert Axelrad, Brampton Dentist

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Our office is now open. We are taking the following precautions to combat COVID-19;

  • A plexiglass barrier stands on the front desk in the waiting room.
  • All patients have their temperature taken with a non-touch digital infra-red thermometer.
  • All staff wear mask, gloves, gown, bonnet, goggles and face shield.
  • Hand sanitizers are readily available for staff and patient use.
  • Patients will wait outside or in their car until their appointment time.
  • No visitors are permitted in the office.
  • Social distancing will remain in effect in the office.
  • Patients experiencing influenza-like-illness (fever with a cough, sore throat or muscle aches) should not come to the office.
  • Air purifiers with hepa filters have been installed in each operatory and waiting room.
  • All COVID-19 precautions put forth by both the dental and hygiene boards have been put into force in the office.

We look forward to seeing you soon. 
Dr Axelrad and Staff