Which common side effect should the nurse prepare the client for when starting albuterol?

When starting albuterol, a common side effect that clients may experience is increased heart rate. Albuterol is a beta-2 adrenergic agonist used primarily as a bronchodilator in conditions like asthma and chronic obstructive pulmonary disease (COPD). Its mechanism of action involves stimulating beta-2 receptors in the lungs, leading to relaxation of bronchial smooth muscle. However, this can also lead to stimulation of beta-1 receptors located in the heart, resulting in an increased heart rate, known as tachycardia.

It’s essential for nurses to prepare clients for this side effect by explaining that it may occur, especially upon initiation of treatment or dosage changes. Monitoring heart rate, particularly in clients with pre-existing cardiovascular conditions, becomes an important aspect of nursing care when administering albuterol. Understanding this side effect helps clients manage their expectations and promotes adherence to the treatment regimen as they become more aware of potential physiological responses to the medication.