Respiratory Meds

Question 1

Acetylcyteine/Mucomyst

Answer 1

Class: antidotes, mucolytic
Indications: overdose of acetaminophen
Side Effects: rash, vomiting, nausea, bronchospasm.
Route: PO, IV, Inhaln.
Implementation: PO: dilute oral solution with a soft drink.
Contraindications: hypersensitivity.

Question 2

albuterol/Proventil, Ventolin

Answer 2

Class: Bronchodilators, adrenergics.
Indications: COPD, Bronchospasm, asthma.
Action: bronchodilation.
Side Effects: paradoxical bronchospasm, chest pain, restlessness, tremor, palpitations.
Route: PO, Inhaln.
Implementation: PO: administer with meals to minimize gastric irritation.
Contraindications: hypersensitivity.

Question 3

salmetrol/Serevent

Answer 3

Class: bronchodilator, adrenergic.
Indications: asthma, bronchospasm, COPD.
Action: bronchodilation.
SE: headache, bronchospasm.
Contraindications: acute asthma attacks

Question 4

Ipratropium bromide (duo Neb)

Answer 4

Class: bronchodilator, anticholinergics.
Route: Inhaln.
Indication: Therapy of reversable airway obstruction due to COPD.
Side Effects: bronchospasm
Contraindications: acute bronchospasms
Teaching: rinse mouth after use of inhaler.

Question 5

Fluticasone salmetrol/ advair diskus

Answer 5

Class: anti-inflammatory, corticosteroids.
Route: inhaln.
Indication: asthma.
SE: bronchospasm, headache.
Contraindication: acute attack of asthma.

Question 6

methylprednisolone/ Solu-medrol

Answer 6

Class: anti-inflammatory, immunosuppressants, corticosteroids.
Indication: Chronic inflammatory disease: allergies, immunosuppressant.
Route: IM, PO, IV
Administer: with meals, shake solution well and do not dilute.
Teaching: avoid grape fruit juice
SE: nausea, hypertension.
Contraindication: active infection.

Question 7

How do you use an inhaler?

Answer 7

1. remove the cap and hold inhaler up right
2. shake the inhaler.
3. tilt your head back slightly and breath out slowly.
4. Position inhaler.
5. press down on inhaler to release medication and breath in slowly.
6. hold breath for 10 seconds
7. repeat puff as directed and wait 1 minute between each puff.