Caution Any condition that would be aggravated by the anticholinergic effects

Caution any condition that would be aggravated by the

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Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Anticholinergic Nursing Considerations for Anticholinergic Assess: History and Physical Exam and known allergy Acute bronchospasm, bladder neck obstruction or prostatic hypertrophy, orientation, affect, and reflexes Pulse and B/P, respirations and adventitious sounds and urinary output
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Anticholinergics Prototype Anticholinergics
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Inhaled Steroids Inhaled Steroids Very effective treatment for bronchospasm Beclomethasone ( Beconase AQ ) Budesonide ( Pulmicort Respules , Pulmicort Flexhaler ) Ciclesonide ( Alvesco ) Fluticasone ( FloventDiscus , Flovent HFA ) Triamcinolone (generic)
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Inhaled Steroids Inhaled Steroids Actions Decrease the inflammatory response in the airway Indications Prevention and treatment of asthma Treat chronic steroid-dependent bronchial asthma Pharmacokinetics Well absorbed from the respiratory tract Metabolized by natural systems, mostly within the liver, excreted in the urine
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Inhaled Steroids (cont.) Inhaled Steroids (cont.) Contraindications Not used for emergency during an acute attack or status asthmaticus Pregnancy or lactation Adverse Effects Sore throat Hoarseness Coughing Dry mouth Pharyngeal and laryngeal fungal infections
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Inhaled Steroids Nursing Considerations for Inhaled Steroids Assess: History and Physical Exam and known allergy Systemic infections, pregnancy and lactation VS, respirations, adventitious sounds, nares
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Inhaled Steroids Prototype Inhaled Steroids
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Leukotriene Receptor Antagonists Leukotriene Receptor Antagonists Act more specifically at the site of the problem associated with asthma Zafirlukast ( Accolate ) Montelukast ( Singulair ) Zileuton ( Zyflo )
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Leukotriene Receptor Antagonists Leukotriene Receptor Antagonists Actions Selectively and competitively block or antagonize receptors for the production of leukotrienes Indications Prophylaxis and chronic treatment of bronchial asthma in adults and in patients younger than 12 years of age Pharmacokinetics Rapidly absorbed from GI tract, extensively metabolized in the liver and primarily excreted in feces Caution Hepatic or renal impairment Pregnancy and lactation
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Leukotriene Receptor Antagonists (cont.) Leukotriene Receptor Antagonists (cont.)
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