Book Ch. 17 Flashcards
beta2 agonist complications
3
- tachycardia
- angina
- tremors
glucocorticoid ex
- beclomethasone (IN)
2. prednisone (PO)
theophylline therap. uses
long term control of chronic asthma or COPD
prednisone complications
7
when used for 10 days or more can result in -
- suppression of adrenal gland function
- bone loss
- hyperglycemia and glycosuria
- myopathy
- peptic ulcer disease
- infection
- disturbances of fluid and electrolytes
prednisone is to
PO gluco.
montelukast is to
leukotriene modifiers
inhaled anticholinergics - ipratropium, tiotropium administration and education
4
- usual adult dosage is 2 puffs
- rinse mouth after to get rid of unpleasant taste
- if two inhaled meds are prescribed, wait at least 5 mins between meds
- do not swallow tiotropium capsules - an inhalation device is used for administration of the capsule
inhaled anticholinergics
2
- ipratropium
2. tiotropium
ipratropium
inhaled anticholinergic
theophylline complications
4
- GI distress
- restlessness
- dysrhythmias (more severe intoxication)
- seizures (more severe intoxications)
what order do you inhale beta2 agonist and glucocorticoid
inhale beta2 agonist first because it promotes bronchodilation and enhances absorption of the glucocorticoid
theophylline blood levels
monitor theophylline blood levels to keep within therap. range (5-15); a/e are unlikely to occur at levels < 20
beta2 adrenergic agonists
5
- albuterol
- formoterol
- salmeterol
- terbutaline
gluco. pharm action
3
- prevent inflammation
- suppress airway mucus production
- reduce airway mucosa edema
oral glucocorticoid
prednisone
long-acting beta2 agonists that are inhaled every 12 hr for long term control and not used for an asthma attack or exacerbation
2
formoterol
salmeterol
montelukast complications
2
- depression
2. suicidal ideations
beclomethasone (IN) - treat candidiasis with what
nystatin oral suspension
constipation is an a/e of
tiotropium
zileuton and zafirlukast complication
liver injury
albuterol and terbutaline pharm action
4
- bronchodilation
- bronchospasm is relieved
- histamine release is inhbited
- ciliary motility is increased
methylxanthine
1
theophylline
used for long-term control of chronic asthma or COPD
theophylline (methylxanthine class)
nervousness and insomnia are an a/e of what and not what
a/e of beta agonists - not an a/e of glucocorticoids
leukotriene modifiers
3
- montelukast
- zileuton
- zafirlukast
beclomethasone complications
3
- difficulty speaking
- hoarseness
- candidiasis
contraindicated in clients who have an allergy to peanuts
inhaled anticholinergics - ipratropium, tiotropium
montelukast therap. uses
2
- long term therapy of asthma in adults
2. prevent exercise induced bronchospasm
theophylline client education
period monitoring of blood levels are needed; report nausea, diarrhea, or restlessness, which are indicative of toxicity
ipratropium/tiotropium complications
local anticholinergic effects - dry mouth, hoarseness
terbutaline is to
beta2 adrenergic agonist - along with albuterol
theophylline pharm action
1
- relax bronchial smooth muscle - dilation
tiotropium
inhaled anticholinergic
beclomethasone is to
gluco. inhalaed
beta2 agonist that are inhaled and long acting for long term control of astham
3
formoterol
salmeterol
terbutaline
theophylline - treat dysrhythmias from this with what
lidocaine
inhalted glucocorticoid
beclomethasone
