Which condition is a contraindication to nebulized albuterol use in the field?

Which condition is a contraindication to nebulized albuterol use in the field?

• A. Known cardiac disease such as MI, Angina, CHF or arrhythmia
• B. Allergies to pollen
• C. Chronic kidney disease
• D. Age over 70 years

Answer: (A)

Nebulized albuterol can stimulate the heart as well as the lungs, so its use is avoided in patients with known cardiac disease because the drug can provoke tachycardia, arrhythmias, or increased myocardial oxygen demand, potentially worsening ischemia or heart failure. This makes cardiac disease a contraindication in the field. The other options do not represent absolute contraindications: pollen allergies don’t bar albuterol use, chronic kidney disease isn’t a contraindication, and age alone isn’t a contraindication.

Nebulized albuterol can stimulate the heart as well as the lungs, so its use is avoided in patients with known cardiac disease because the drug can provoke tachycardia, arrhythmias, or increased myocardial oxygen demand, potentially worsening ischemia or heart failure. This makes cardiac disease a contraindication in the field. The other options do not represent absolute contraindications: pollen allergies don’t bar albuterol use, chronic kidney disease isn’t a contraindication, and age alone isn’t a contraindication.