Respiratory Medications (33) Flashcards
CROMOLYN SODIUM: Nursing Considerations
- Available as nasal solutions, nebulizer solution, and PO
- Full therapeutic effect may take several weeks
- PO: take 30 minutes before meals, do not crush
- Not appropriate for acute asthma
- Rx; Preg Cat B
CROMOLYN SODIUM: Side Effects
- Nasal burning and irritation
- Headache
- Dry mouth
- Rash
- Bronchospasm
CROMOLYN SODIUM: Purpose
Prophylaxis and treatment of allergic rhinitis and bronchial asthma.
CROMOLYN SODIUM: Side Effects
- Nasal burning and irritation
- Headache
- Dry mouth
- Rash
- Bronchospasm
GUAIFENESIN: Nursing Considerations
- Increase fluid intake
- Do not crush pills
- Take with full glass of water
- OTC, Rx; Preg Cat C
GUAIFENESIN: Side Effects
- Nausea
- Headache
- Dizziness
- Anorexia
GUAIFENESIN: Purpose
Relief of chest congestion by loosening mucus and bronchial secretions
GUAIFENESIN: Nursing Considerations
- Increase fluid intake
- Do not crush pills
- Take with full glass of water
- OTC, Rx; Preg Cat C
TERBUTALINE SULFATE: Nursing Considerations
- Inhalation and subQ used for short-term control; PO as long-term
- PO: take with food to decrease GI upset
- Contact provider if unrelieved shortness of breath
- Do not use OTC meds without contacting provider
- Rx; Preg Cat B
TERBUTALINE SULFATE: Side Effects
- Nervousness
- Restlessness
- Tremor
- Palpations, dysrhythmias
- Headache
- Hypokalemia
- Hyperglycemia
- Paradoxical bronchospasms
TERBUTALINE SULFATE: Nursing Considerations
- Inhalation and subQ used for short-term control; PO as long-term
- PO: take with food to decrease GI upset
- Contact provider if unrelieved shortness of breath
- Do not use OTC meds without contacting provider
- Rx; Preg Cat B
TERBUTALINE SULFATE: Purpose
Treatment of bronchospasms
SALMETEROL: Nursing Considerations
- Do not use to treat acute symptoms; do not as a use a rapid-acting bronchodilator
- Contact provider if using more than 4 inhalations of a rapid-acting bronchodilator for 2 or more consecutive days
- Teach patient inhaler setup and use
- Rx; Preg Cat C
SALMETEROL: Side Effects
- Headache
- Tremors, anxiety
- Throat irritation
- Myalgia
- Nausea, vomiting
- Cough
- Palpitation, dysrhythmias
- Hypo/hypertension
- Dry nose
- Paradoxical bronchospasm
SALMETEROL: Purpose
Prevention of exercise-induced bronchospasms, treatment of COPD and asthma
SALMETEROL: Nursing Considerations
- Do not use to treat acute symptoms; do not as a use a rapid-acting bronchodilator
- Contact provider if using more than 4 inhalations of a rapid-acting bronchodilator for 2 or more consecutive days
- Teach patient inhaler setup and use
- Rx; Preg Cat C
CROMOLYN SODIUM: Nursing Considerations
- Available as nasal solutions, nebulizer solution, and PO
- Full therapeutic effect may take several weeks
- PO: take 30 minutes before meals, do not crush
- Not appropriate for acute asthma
- Rx; Preg Cat B
CROMOLYN SODIUM: Side Effects
- Nasal burning and irritation
- Headache
- Dry mouth
- Rash
- Bronchospasm
CROMOLYN SODIUM: Purpose
Prophylaxis and treatment of allergic rhinitis and bronchial asthma
BUDESONIDE/FORMOTEROL: Nursing Considerations
- Not for bronchospasms needing rapid response
- Rinse mouth with water after each use
- Teach proper use of inhaler
- Rx
BUDESONIDE/FORMOTEROL: Side Effects
- Thrush
- Throat irritation
- Vomiting, abdominal pain
- Flulike symptoms
- Back pain
- Headache
- Respiratory infection
BUDESONIDE/FORMOTEROL: Purpose
Prevention of bronchospasm in asthma and COPD
IPRATROPIUM BROMIDE: Nursing Considerations
- Can use with spacer
- Not for acute bronchospasm needing rapid response
- Teach use of metered dose inhaler: inhale, hold breath, exhale slowly
- Don’t mix in nebulizer with cromolyn sodium
- Assess for hypersensitivity, including soy products, atropine, peanuts
- Encourage 10–12 glasses water/day
- Avoid OTC cough/hay-fever medications
- Use caution with hazardous activities
- Rx; Preg Cat B
IPRATROPIUM BROMIDE: Side Effects
- Nervousness
- Nausea, cramps
- Dry mouth
- Palpitations
- Blurred vision
- Headache
IPRATROPIUM BROMIDE: Purpose
Treatment of bronchospasms, COPD, and rhinorrhea
BENZONATATE: Nursing Considerations
- PO: onset 15–20 minutes, duration 3–8 hours
- Capsules should be swallowed whole; do not chew, because release of med may cause local anesthetic effect and choking
- Avoid activities requiring alertness until response to med is known
- Rx; Preg Cat C
BENZONATATE: Side Effects
- Dizziness
- Drowsiness
- Rash
- Sedation, headache
- Nausea
- Constipation
BENZONATATE: Purpose
Treatment of nonproductive cough
TIOTROPIUM: Nursing Considerations
- Take once daily
- Oral inhalation: onset 30 minutes, peak 2 hours, duration 24 hours
- Teach how to correctly use inhaler: insert dry powder capsule into inhaler device just before inhalation; do not swallow capsules; rinse mouth with water after inhalation (decreases side effects)
- Do not use as a rescue inhaler (delayed onset, long duration of action)
- Rx; Preg Cat C
TIOTROPIUM: Side Effects
- Oral thrush
- Vomiting, abdominal pain
- Skeletal pain
- Pharyngitis
- Cough, URI
- Depression, paresthesia
- Chest pain, increased heart rate
- Dry mouth
- Urinary difficulty
TIOTROPIUM: Purpose
Prevention of bronchial swelling and bronchospasms associated with COPD
THEOPHYLLINE: Nursing Considerations
- PO: peak 2 hours; take with full glass of water; best on empty stomach
- Check all OTC and other meds for ephedrine before taking with this med
- Avoid alcohol, caffeine, smoking
- Avoid activities requiring alertness until response to med is known
- Contact provider if toxicity: nausea, vomiting, anxiety, insomnia, convulsions
- Drink 8–10 glasses of fluid per day
- Rx; Preg Cat C
THEOPHYLLINE: Side Effects
- Restlessness
- Palpitations, sinus tachycardia
- Dizziness
- Anorexia
- Vomiting
- Headache
- Insomnia
- SIADH
- Flushing
- Hyperglycemia
- Tachypnea
THEOPHYLLINE: Purpose
Treatment of bronchial asthma, bronchospasm of chronic bronchitis, and emphysema
