acetylcysteine (mucolytic) Flashcards

1
Q

acetylcysteine is part of which pharmacological class

A

mucolytic

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2
Q

pharmacological action of acetylcysteine

A

thin and enhance the flow of secretions in the respiratory passages

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3
Q

therapeutic use of acetylcysteine

A

acute and chronic pulmonary disorders exacerbated by large amounts of secretions

cystic fibrosis

antidote for acetaminophen poisoning

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4
Q

complications of acetylcysteine

A

aspiration and bronchospasm when administered orally
dizziness; drowsiness; hypotension; tachycardia
hepatoxicity

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5
Q

because aspiration and bronchospasm can occur on acetylcysteine what manifestations should nurses monitor for

A

monitor for manifestations of aspiration and bronchospasm

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6
Q

if aspiration and bronchospasm occurs while on acetylcysteine what should nurse do

A

stop medication immediately and notify the provider

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7
Q

because dizziness; drowsiness; hypotension; tachycardia can occur while on acetylcysteine what nursing interventions should be taken

A

monitor vital signs; advise client to change positions slowly and avoid activities that require alertness

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8
Q

because hepatoxicity can occur while taking acetylcysteine what should be monitored

A

monitor liver function tests

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9
Q

safety of acetylcysteine is not established in clients who are

A

pregnant; lactating

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10
Q

acetylcysteine should not be used in clients who are

A

hypersensitive to acetylcysteine

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11
Q

acetylcysteine should be used cautiously in clients who have

A

hypothyroidism; CNS depression; renal or liver disease; seizure disorders

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12
Q

due to the potential of bronchospasm; acetylcysteine should be used cautiously in clients who have

A

asthma

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13
Q

how is acetylcysteine administered

A

inhalation to liquefy nasal and bronchial secretions and facilitate coughing

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14
Q

acetylcysteine is administered orally or IV for

A

acetaminophen toxicity

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15
Q

nurses should be prepared to ________ clients if aspiration occurs with oral administration of acetylcysteine

A

prepared to suction

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16
Q

what should be monitored in clients who have acetaminophen toxicity

A

liver function tests; PT BUN; creatinine; glucose; electrolytes; acetaminophen levels

17
Q

acetylcysteine has an odor that smells like

A

rotten eggs

18
Q

how is the effectiveness of acetylcysteine evaluated

A

improvement of manifestations as demonstrated by regular respiratory rate; clear lung sounds; increased ease of expectoration