Salmeterol (Serevent)

ATI-format individual drug card with NCLEX-focused assessment, safety, teaching, and source attribution.

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Salmeterol (Serevent)

ATI class: Long-acting beta2 agonist bronchodilator

Action

  • ATI/source-folder candidate for Salmeterol (Serevent); verify mechanism against the source table before validation.

Therapeutic use

  • Review under Lower Respiratory Tract Disorders medication safety.

Nursing assessment

  • Assess symptom control, nighttime symptoms, rescue inhaler frequency, heart rate, and tremor.
  • Confirm it is not being used for acute bronchospasm.
  • Monitor for paradoxical bronchospasm and cardiovascular symptoms.

Administration

  • Verify route against the order and source table.

Side effects

  • Verify common side effects against the source table.

Adverse effects

  • Tachycardia
  • Tremor
  • Headache
  • Hypokalemia
  • Paradoxical bronchospasm

Interactions

  • Beta blockers can reduce effect.
  • Other sympathomimetics can increase cardiovascular adverse effects.
  • MAOIs or tricyclic antidepressants may increase cardiovascular effects.

Contraindications

  • See source-specific contraindications and precautions before administration.

Precautions

  • Acute asthma symptoms as monotherapy
  • Significant dysrhythmia or cardiac disease requires caution.
  • Asthma therapy requires source-specific controller regimen review.

Client teaching

  • Use on schedule for control, not for sudden breathing trouble.
  • Keep rescue inhaler available.
  • Report worsening breathing, chest pain, or severe palpitations.

Medication outcomes

  • Therapeutic response with no priority adverse effects.

Antidote / rescue

  • No specific antidote is seeded; hold/question unsafe doses and manage toxicity per provider, facility, or poison-control guidance.

NCLEX priority cues

  • Rescue inhaler comes before controller inhaler during acute symptoms.
  • Inability to speak, cyanosis, or exhaustion is an emergency.
  • Increasing rescue use suggests poor control and needs review.

Medication classes

Bronchodilators

Source attribution

Google Drive source topic: Lower Respiratory Tract Disorders
google-drive
Sentinel pharmacology API reference
sentinel-api
Manual ATI-format NCLEX candidate normalization
manual-seed

Related study cards

Shows the medication class, ATI cues, source references, and connected study cards for this drug.

12 study links
Med classmedication class
Bronchodilators

Opens narrowed airways by relaxing bronchial smooth muscle or reducing vagal bronchoconstriction.

ATI cuePrecaution
Acute asthma symptoms as monotherapy

ATI medication precaution concept.

ATI cueNursing Assessment
Assess symptom control, nighttime symptoms, rescue inhaler frequency, heart rate, and tremor.

ATI medication nursing assessment concept.

ATI cuePrecaution
Asthma therapy requires source-specific controller regimen review.

ATI medication precaution concept.

ATI cueMechanism of Action
ATI/source-folder candidate for Salmeterol (Serevent); verify mechanism against the source table before validation.

ATI medication mechanism of action concept.

ATI cueInteraction
Beta blockers can reduce effect.

ATI medication interaction concept.

ATI cueNursing Assessment
Confirm it is not being used for acute bronchospasm.

ATI medication nursing assessment concept.

ATI cueAdverse Effect
Headache

ATI medication adverse effect concept.

ATI cueAdverse Effect
Hypokalemia

ATI medication adverse effect concept.

ATI cueNCLEX Priority Cue
Inability to speak, cyanosis, or exhaustion is an emergency.

ATI medication nclex priority cue concept.

ATI cueNCLEX Priority Cue
Increasing rescue use suggests poor control and needs review.

ATI medication nclex priority cue concept.

ATI cueClient Teaching
Keep rescue inhaler available.

ATI medication client teaching concept.