Ryan

Question 1

What is the pharmacology, action, rationale and nursing responsibilities for Ibuprofen?

Answer 1

Pharmacology: inhibition of COX enzymes to prevent prostaglandin synthesis & thromboxane A2 synthesis thus reducing inflammatory response.
Action: Antipyretic (reduce fever), analgesic, anti-inflammatory
Rationale: pain
Nursing responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, don’t give if having asthma attack - may cause bronchospasm, may cause bleeding

Question 2

What is the pharmacology, action, rationale and nursing responsibilities for Salbutamol?

Answer 2

Pharmacology: beta 2 agonist (relaxation of smooth muscle) – causes bronchodilation
Action: bronchodilation
Rationale: bronchospasm - asthma
Nursing responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, 2 nurses, spacer, ensure using correct technique at home

Question 3

What is the pharmacology, action, rationale and nursing responsibilities for Ipratropium Bromide?

Answer 3

Pharmacology: anticholinergic – binds to ACH receptors preventing contraction of muscle = relaxation
Action: bronchodilation
Rationale: bronchospasm - asthma
Nursing responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, 2 nurses, spacer, ensure using correct technique at home - DONT MIX IN NEB WITH SALBUTAMOL

Question 4

What is the pharmacology, action, rationale and nursing responsibilities for Alvesco?

Answer 4

Pharmacology: PREVENTER - gluco-corticosteroid that acts on the lungs as an anti-inflammatory
Action: reduces swelling and mucus production
Rationale: bronchospasm - asthma
Nursing responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, 2 nurses, ensure correct technique

Question 5

What is the pharmacology, action, rationale and nursing responsibilities for prednisolone?

Answer 5

Pharmacology: glucocorticoid that decreases the inflammatory response
Action: reduces swelling and mucus production
Rationale: bronchospasm - asthma
Nursing responsibilities: 5 moments of hand hygiene, 8 rights of medication administration + allergies, check drug guide to ensure knowledge, ensure patient knowledge, 2 nurses, ensure correct technique