Anticholinergics (Bronchodilation) Flashcards
1
Q
Medications
A
“-tropium” or “-clidinium”
- Ipratropium
- Tiotropium
- Aclidinium
- Umeclidinium
2
Q
Actions
A
-Blocks the vagal effects leading to relaxation of smooth muscle in bronchi (bronchodilation)
3
Q
Indications
A
-Maintenance treatment of bronchospasm associated with COPD
4
Q
Cautions
A
- Any condition that would be aggravated by the anticholinergic effects of the drug
- Not for acute episodes, required immediate intervention
- Pregnancy/lactation
5
Q
Adverse effects
A
- Related to the anticholinergic effects of the drug
- Dizziness, headache, fatigue, nervousness, dry mouth, sore throat, palpitations, and urinary retention
- Paradoxical bronchoconstriction
6
Q
Drug-drug
A
-Other anticholinergics
7
Q
Assessment
A
- History: allergy to drug, atropine, anticholinergics, conditions that are cautioned against, pregnancy/lactation
- Physical: VS, skin assessment, orientation and reflexes, urinary output, lung sounds and respirations
8
Q
Nursing diagnoses
A
- Acute pain
- Imbalanced nutrition: less than body requirements
- Deficient knowledge
9
Q
Implementation
A
- Adequate hydration
- Environmental controls
- Void prior to med admin
- Safety measures
- Small, frequent meals; sugarless lozenges for dry mouth
- Injury prevention
- Pt teaching
10
Q
Evaluation
A
- Monitor patient response
- Evaluate the effectiveness of the teaching plan
- Evaluate the effectiveness of comfort measures
- Evaluate patient compliance with the regimen
