Resp meds Flashcards
Name short-acting beta2 adrenergic agonists
albuterol, levalbuterol
end in “terol”
Name long-acting beta2 adrenergic agonists
salmeterol, formoterol, indacaterol
MOA for beta2 adrenergic agonists
bronchodilators
adverse side effects of beta2 adrenergic agonists
chest pain, palpitations
nervousness, tremors, restlessness
usage of albuterol
acute asthma attacks
bronchospasms
usage of salmeterol
long term management of COPD, chronic bronchitis
considerations for beta2 adrenergic agonists
- avoid caffeine
- Shake well before using
- after inhalation, rinse mouth to avoid candidiasis (thrush)
using a spacer can decrease likelihood of thrush
what common foods/drinks to avoid that has caffeine
coffee
cola
chocolate
name the leukotriene modifiers drugs
montelukast
MOA for montelukast
inhibit leukotriene (inflammatory stuff)
usage for montelukast
chronic asthma
seasonal allergic rhinitis
adverse effects of leukotriene meds
suicidal ideations
liver damage in zileuton & zafirlukast
considerations for montelukast
take in the PM
may take 1-2 wks to work
leukotrienes think Long-term
Glucocorticoid meds
beclomethasone
fluticasone
prednisone
use of glucocorticoids
- chronic asthma
- nasal polyps & rhinitis
steroids think slow onset so NOT for acute asthma attacks
side effects of glucocorticoids
6 S’s
sugar - hyperglycemia
soft bones - osteoporosis
sick - decreased immunity
sore throat
salt - water & salt retention -> hypertension
stomach - peptic ulcer dx
nursing considerations for glucocorticoids
- rinse mouth after to prevent candidiasis
- avoid NSAIDs
- consume more Ca & vit D
- increase fluid intake
contraindication for glucocorticoids
- recent live virus immunization
- systemic fungal infection
- oral candidiasis
