Unformatted text preview: ACTIVE LEARNING TEMPLATE: Medication Amri Goldson - Kramer
Pulmicort ( brand) Budesonide ( generic)
MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________
_____________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Potent, locally acting anti- inflammatory and
immune modifier. Therapeutic Use
Decreases frequency or severity of asthma
Improves asthma symptoms. Complications
headache, rash, otitis media, fungal infections, back pain,
abdominal pain, nausea, vomiting and anaphylaxis Medication Administration
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
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
Assess for dyspnea, retractions, flaring
of nostrils and the use of accessory
Use pulse oximetry to monitor oxygen
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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