Respiratory Tract Drugs(2)

Respiratory Tract Drugs(2)

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Unformatted text preview: include Other aminophylline and dyphylline aminophylline 47 Glucocorticoid/LABA Combinations Glucocorticoid/LABA Available combinations – Fluticasone/salmeterol (Advair) – Budesonide/formoterol (Symbicort) Indicated for long-term maintenance in Indicated adults and children adults Not recommended for initial therapy 48 Chronic Asthma Management Chronic Chronic drug therapy – Agents for long-term control (eg, inhaled Agents glucocorticoids) glucocorticoids) – Agents for quick relief of ongoing attack 49 Chronic Asthma Management Chronic Important to reduce exposure to allergens Important and triggers and Sources of allergens: house dust mites, Sources pets, cockroaches, mold pets, Factors that can exacerbate asthma: Factors tobacco smoke, wood smoke, household sprays sprays 50 Drugs to Treat Asthma and Other Pulmonary Diseases Pulmonary Nursing Implications monitor vital signs teach patient common side effects of medications stop smoking teach patient to correctly take medication teach patient how to manage an exacerbation teach patient to decrease triggers limit caffeine intake keep extra supply of medication on hand 51 Diluents Diluents Mucolytic Drugs Acetylcysteine (Mucomyst) Diluents---water and saline solutions 52 Sputum and Mucus: How They Differ Differ Sputum (phlegm) is an abnormal Sputum abnormal secretion originating in the lower respiratory tract. respiratory Mucus is a normal secretion produced Mucus normal by surface cells in mucous membranes. by 53 Mechanism of Action Mechanism Reduce the viscosity of mucus by directly Reduce acting with the mucus to make it thinner and can be removed more easily by coughing. coughing. Breakdown chemical structure of mucus Breakdown molecules. molecules. 54 Uses Uses Respiratory infections---bronchitis, Respiratory pneumonia, CF, COPD pneumonia, Acetylcysteine (Acetadote)----may be ----may used to treat Tylenol overdose---prevents the development of hepatotoxicity in overdoses of acetaminophen. overdoses 55 Adverse Reactions Adverse Bronchospasm Voice alteration Rash Chest pain Fever Nausea and vomiting Runny nose 56 Diluents/Mucolytic Diluents/Mucolytic Nursing Implications maintain patent airway review desired effect with patient assess for common side effects teach that unpleasant taste may go away with repeated doses may be used to treat acetaminophen overdose caution in older adults 57 Critical Thinking Question Critical You are doing a clinical rotation in a family practice setting. You You have been assigned to follow Ms. K through her visit to the primary care provider. As you complete your interview with Ms. K, she asks whether you can answer some questions. Ms. 1. She says, “I have a lot of stuffiness with my nose. I’m not sure She whether I want to take anything for it because my friend told me that she started to take a medication that was a decongestant spray, and now she can’t stop taking it. Do you know anything about this?” How should you reply? know 2. She then asks, ...
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This document was uploaded on 09/11/2013.

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