Mucolytics Flashcards

1
Q

Medications

A
  • Acetylcysteine

- Dornase alfa (Cystic fibrosis)

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2
Q

Actions

A

-Work to break down mucous in order to aid the high-risk respiratory patient in coughing up thick, tenacious secretions

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3
Q

Indications

A
  • Patients who have difficulty coughing up secretions
  • Patients who develop atelectasis
  • Patients undergoing diagnostic bronchoscopy
  • Postoperative patients
  • Patients with tracheostomies
  • Illnesses such as: COPD, cystic fibrosis, pneumonia, TB
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4
Q

Contraindications

A

-Acute bronchospasm

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5
Q

Caution

A
  • Pregnancy/lactation

- Peptic ulcer and esophageal varices

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6
Q

Adverse effects

A
  • GI upset
  • Stomatitis and/or rhinorrhea
  • Bronchospasm
  • Rash
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7
Q

Assessment

A
  • History: check for contraindication or cautions

- Physical: skin, BP and pulse, lung sounds

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8
Q

Nursing diagnoses

A
  • Acute pain
  • Disturbed sensory perception
  • Deficient knowledge
  • Ineffective airway clearance
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9
Q

Implementation

A
  • DO NOT COMBINE IN NEBULIZER

- Wipe face and mask with water after

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10
Q

Evaluation

A
  • Response to drug
  • Effectiveness of teaching plan
  • Effectiveness of safety measures
  • Compliance with drug regimen
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