Nursing Considerations for Xanthines Nursing Considerations for Xanthines

Nursing considerations for xanthines nursing

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Nursing Considerations for Xanthines Nursing Considerations for Xanthines Assess: History and Physical Exam and known allergy Peptic ulcer, gastritis, renal or hepatic dysfunction, and coronary disease Monitor blood pressure, pulse, cardiac auscultation, peripheral perfusion, and baseline electrocardiogram Skin, BS, liver and renal function, appropriate lab values, as well as theophylline levels
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Xanthines Prototype Xanthines
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Xanthines (Continued) Prototype Xanthines (Continued)
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Sympathomimetics Sympathomimetics Mimic the effects of the sympathetic nervous system. One of the actions of the sympathetic nervous system is dilation of the bronchi with increased rate and depth of respiration Albuterol ( Proventil HFA , and others), Arformoterol ( Brovana ) Rphedrine (generic) Epinephrine ( EpiPen ), formoterol ( Foradil ) and more.
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Sympathomimetics Sympathomimetics Actions Beta 2 selective adrenergic agonists Indications Acute asthma attach Bronchospasm in acute or chronic asthma Prevention of exercise-induced asthma Pharmacokinetics Rapidly distributed after injection, transformed in the liver to metabolites that are excreted in the urine Contraindications Depends on the severity of the underlying condition
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Sympathomimetics (cont.) Sympathomimetics (cont.) Adverse Effects Sympathomimetic stimulation CNS stimulation GI upset, cardiac arrhythmias, hypertension, bronchospasm, sweating, pallor, and flushing Drug-to-Drug Interactions General anesthetics
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Sympathomimetics Nursing Considerations for Sympathomimetics Assess: History and Physical Exam and known allergy Cigarette use, pregnancy and lactation Cardiac disease, vascular disease, arrhythmias, diabetes, and hyperthyroidism Reflexes and orientation, VS, reflexes and orientation and appropriate lab values
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Sympathomimetics Prototype Sympathomimetics
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Sympathomimetics (Continued) Prototype Sympathomimetics (Continued)
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Question Question Please answer the following question as true or false. The adverse effects of the Xanthines are related to theophylline levels in the blood and include brain damage.
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Answer Answer True Rationale: Adverse Effects: Related to theophylline levels in the blood; GI upset, nausea, irritability, and tachycardia to seizure, brain damage, and even death.
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Anticholinergic Anticholinergic Patients who cannot tolerate the sympathetic effects of
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