medicationALT pulmicort final.pdf - ACTIVE LEARNING...

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Unformatted text preview: ACTIVE LEARNING TEMPLATE: Medication Amri Goldson - Kramer STUDENT NAME______________________________________ Pulmicort ( brand) Budesonide ( generic) MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________ B CATEGORY CLASS__Category _____________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Potent, locally acting anti- inflammatory and immune modifier. Therapeutic Use Decreases frequency or severity of asthma attacks. Improves asthma symptoms. Complications headache, rash, otitis media, fungal infections, back pain, abdominal pain, nausea, vomiting and anaphylaxis Medication Administration Flexhaler Inhaln for adults 180-360 mcg twice daily (do not exceed 720 mcg twice daily) Inhaln for children 6 years or older 180-360 mcg twice daily (do not exceed 360 mcg twice daily) Contraindications/Precautions Hypersensitivity to budesonide Acute attack of asthma or status asthmaticus. Diabetes or Glaucoma Lactation Interactions Strong CYP3A4 inhibitors, including ritonavir,atazanavir, clarithromycin, indinavir, intraconazole, ketoconazole, nefazodone, nelfinavir, saquinavir and telithromycin decrease methabolism and increases levels of budesonide. Nursing Interventions Monitor respiratory status and lung sounds. Assess for dyspnea, retractions, flaring of nostrils and the use of accessory muscles. Use pulse oximetry to monitor oxygen saturation. Monitor peak expiratory flow rates and forced expiratory volumes. Client Education Evaluation of Medication Effectiveness Management of the symptoms of chronic asthma. Improvement in asthma symptoms. ACTIVE LEARNING TEMPLATES Advise patients using inhalation corticosteroids and bronchodilater to use bronchodilator first and to allow 5 mins to elapse before administering the corticosteroid. Advise patient to rinse mouth with water after treatment to decrease risk of developing local candidiasis. Advise patient to notify health care professional if sore throat or mouth or symptoms of anaphylaxis occurs. Advise female patients to notify health care professional if pregnancy is planned or suspected or if breastfeeding. Teach patient to prime the unit by turning cover and lifting off, hold upright with mouthpiece up and twist brown grip fully to the right then fully to the left until it clicks. ...
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