Patient’s name: JJ Attending Physician: Dr.

H
Age: 5 months Admitting Diagnosis: diarrhea with Cough

Generic Name: Ambroxol

Brand Name: Mucosolvan
Description: Ambroxol is kind of strong expectorant, clinically proven active mucolytic agent. The
medicine helps to remove sticky phlegm from the respiratory tract easily and quickly by enhancing
the bronchial secretions that loosen congested phlegm. It also releases and strengthens tiny
striking hairs inside the windpipe and bronchial tubes, which is referred to as the cilia , which can
then expel the abnormal phlegm with their conveyor-belt like action. Ambroxol increases the
body's production of surfactant which helps to overcome infection in the bronchi.
Composition:

 Each tablet contains ambroxol hydrochloride 30 mg.

 Each 5 ml of the syrup contains ambroxol hydrochloride 15 mg.

Uses:

 It is used to relieve chronic inflammatory pulmonary conditions.

 It is used to treat bronchiectasis, bronchitis with bronchospasm asthma. During acute
exacerbations of bronchitis the medicine should be given with the appropriate antibiotic.
 The medicine has local anesthetic properties which contribute to the soothing effect of the
syrup.

Dosage:

 For adults, one Ambroxol tablet (30 mg to 120 mg ) taken in 2 to 3 divided doses
 Children up to 2 years: half a teaspoonful syrup two times daily
 Children 2 - 5 years: half a teaspoonful syrup three times daily
 Children over 5 years: One teaspoonful syrup two-three times daily.
 Otherwise as directed by your physician.
Indications:

Adjuvant therapy in patients with abnormal, viscid, or inspissated mucous secretions in acute and chronic
bronchopulmonary diseases, and in pulmonary complications of cystic fibrosis and surgery, tracheostomy, and
atelectasis. Also used in diagnostic bronchial studies and as an antidote for acute acetaminophen poisoning.

Contraindications:

There are no absolute contraindication but in patients with gastric ulceration relative caution should
be observed.

Side effects:
there are no such harmful side effects of the medicine. It is usually well tolerated. In some cases,
nausea and vomiting might occur.

Nursing Responsibilities:
 Assessment & Drug Effects

 Monitor for S&S of aspiration of excess secretions, and for bronchospasm

(unpredictable); withhold drug and notify physician immediately if either occur.
 Lab tests: Monitor ABGs, pulmonary functions and pulse oximetry as indicated.
 Have suction apparatus immediately available. Increased volume of respiratory tract
fluid may be liberated; suction or endotracheal aspiration may be necessary to establish and
maintain an open airway.
 Patient & Family Education

 Report difficulty with clearing the airway or any other respiratory distress.