b. Long-acting bronchodilators. • Short-acting beta agonists are used in the cases of asthma attacks or acute symptoms. They are also used in preventing a problem that is known such as (EIB). Bronchodilators in treatment of COPD
• Remember that LABAS are contradicted for those patients with asthma who are not also on an inhaled steroid. • Monitor the frequency of use of the SABAS by the patient. Overuse leads to harmful side effects. • For patients receiving more than one drug by inhalation, the bronchodilator should be given first, and the next inhalation drug after five minutes. This will allow the bronchodilator to expand the airways hence second medication will work more effectively. The choice of an inhaler depends on: • The cost of the inhaler. • The ability of the patient to use the inhaler. - Some patients may be at risk of suboptimal use of handled inhalers and may prefer to use nebulized therapy instead • The preference of the doctor prescribing the inhaler. Nurses are in a key position of helping in identifying the correct inhaler for different types of patients.
The side effects of bronchodilators include the following: 1. The patient may experience a dry mouth, through irritation and a bad taste in the mouth. 2. If the drug is taken orally, there are increased chances of systemic effects like tachycardia, hypertension and tremors. These effects are as a result of stimulation of beta-receptors. 3. While used incorrectly by the patience while administering the drug, the metered dose inhaler (MDI) may be absorbed. Demonstration is therefore important while showing the patience how to use the MDI. 4. Some drugs contain preservatives that may bring about allergic reactions. The patience should be told to notify their HCP if a rash, lightheadedness or chest pains occur after the inhaler has been used. Side effects
. So as to develop and provide a proper care plan for each individual patient, there are quite a number of things they need to know about the medication and conditions of the patient. . In the use of bronchodilators for the treatment of COPD, there are some nursing responsibilities and teachings required.
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- Fall '12