Expectorants Flashcards
Expectorants
Drug Names
Guaifenesin
Expectorants
Actions
Enhances the output of respiratory tract fluids by reducing the adhesiveness and surface tension of these fluids, allowing easier movement of the less viscous secretions
Expectorants
Indications
Symptomatic relief of respiratory conditions characterized by a dry, non-productive cough as seen in illnesses such as cold, bronchitis, influenza
Expectorants
Contraindications and Cautions
Contraindications
-allergy
Caution
- pregnancy/lactation
- persistent cough
Expectorants
Adverse effects
GI symptoms (most common)-n/v/anorexia
headache and dizziness
mild rash
prolonged use may mask serious underlying condition
Expectorants
Nursing Process: Assessment
History
- Allergy
- Pregnancy and lactation
- Persistent cough due to smoking, asthma, or emphysema
Physical Exam
- Skin (adverse effect)
- Temperature (underlying infection)
- Orientation, affect (CNS effects)
- Respirations and lung sounds for respiratory response
Expectorants
Nursing Process: Diagnoses
Acute pain related to adverse effects
Disturbed sensory perception related to CNS effects
Deficient knowledge
Expectorants
Nursing Process: Implementation
Small frequent meals to prevent GI effects
Safety- No driving if dizziness or drowsiness occurs
Patient teaching-Read labels for multi-drug products that may already contain the drug
No longer than one week
Take with full glass of water
Expectorants
Nursing Process: Evaluation
Response to drug:
- improved effectiveness of cough
- adverse effects
Effectiveness of teaching plan
Effectiveness of safety measures
Compliance with drug regimen
