respiratory tract drugs-pharm

Respiratory tract drugs-pharm

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Unformatted text preview: hylline levels – Too low=bronchospasm – Used for severe asthma Used Other methylxanthines include Other aminophylline and dyphylline aminophylline 50 Glucocorticoid/LABA Combinations: Glucocorticoid/LABA (combination of brochodilator and (combination inhaled steroid) inhaled Available combinations – Fluticasone/salmeterol (Advair) – Budesonide/formoterol (Symbicort) Indicated for long-term maintenance in Indicated adults and children adults Not recommended for initial therapy • (LABA – long acting beta agonist (LABA brochodilator) brochodilator) 51 Chronic Asthma Management Chronic Important to reduce exposure to allergens Important and triggers and – Exercise-induced Exercise-induced Sources of allergens: house dust mites, Sources pets, cockroaches, mold pets, Factors that can exacerbate asthma: Factors tobacco smoke, wood smoke, household sprays sprays 52 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 Wait one minute between bronchodilators puffs teach patient how to manage an exacerbation teach patient to decrease triggers limit caffeine intake keep extra supply of medication on hand Dry powder inhalers are breath-activated/no hand lung coordination Bronchodilator first – then glucocorticoid! Wean oral glucocorticoid when switching to inhaled glucocorticoid 53 Diluents Diluents Mucolytic Drugs Acetylcysteine (Mucomyst) Helps the person cough a little bit more Diluents---water and saline solutions 54 54 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 55 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. 56 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 57 Adverse Reactions Adverse Bronchospasm Voice alteration Rash Chest pain Fever Nausea and vomiting Runny nose 58 Expectorants Expectorants Robitussin (no therapeutic level) – People with many sinus infections People – Help to thin secretions Help 59 59 Diluents/Mucolytic DNursing Implications iluents/Mucolytic maintain patent airway review desired effect with patient assess for common side effects- runny nose, coughing – Adverse: bronchospasm teach that unpleasant taste may go away with repeated doses may be used to treat acetaminophen overdose caution in older adults 60 Critical Thinking Question Critical You are doing a clinical rotation in a fa...
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This document was uploaded on 03/25/2014.

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