exam 1 medications Flashcards
long acting brochodialters
use
drugs
treatment of choice for acute bronchial asthma or copd
ex-samuetrol/fluticose
or albuterol/ipatropum
long acting brochodialters
rationale/nursing interventions
not
rinse
wait
caution
CNS
NOT A RESCUE MED
rinse mouth
wait 1-2 minutes between puffs
caution w/ HTN, CV disease. diabetes
CNS stimulation- anxiety, insomnia, sleeplessness
anti-inflammatory agents (corticosteriods)
Use
Meds
used to decrease severity of athsma attacks
decrease edema,mucus production
ex-fluticisone, salmetrol/flucticose
anti-inflammatory agents (corticosteriods)
Rationale/nursing interventions
nit
rinse
give
monitor
may
notify
NOT A RESCUE MED
rinse mouth after inhalation-thrush
give after inhaler
monitor glucose
may take several weeks
notify if weight gain, fluid retention, weakness, mood change
leukotriene modifiers
use
drugs
interfere with inflammatory repsoisne
used for maintenance therapy, helps prevent need of short acting
NOT USED FOR ACUTE
ex-montelukast
leukotriene modifiers
rationale/nursing interventions
take
monitor
notify
not
take on empty stomach- administer 1 hr before or 2 hr after meals
monitor liver enzyme
notify if jaundice
not a rescue med-used for maintenance therapy
rapid acting bronchodialters
use
drug
used for quick relief- takes affect in minutes and lasts for 4-5 hrs
beta cell activation, smooth muscle relaxation and broinchidiation
ex-alvuetrol and bitoerol
rapid acting bronchodilator
rationale/nursing interventions
monitor
monitor for tachycardia and HTN
anticholinergic
use
drug
facilitate smooth muscle relaxation and brinchodialation
ex-ipatropum bromide
tiotropoim bromide
anticholinergic
rationale/nursing interventions
produces
relief
Produces dry mouth- give ice chips, fluids
relief time is 60-90 mins
methylazathines
use
meds
CNS stimualnt
produce brinchodialtion through relaxation of smooth muscle
theophylline, aminophylline
methylazathines
rationale/nursing interventions
administer
therapeutic
Administer w/ full glass of water/milk
therpatuc level of 10-20, monitor for toxicity-anoerixa, n/v, restlessness, insomnia, dysthymia, seizures
