Upper Resp - Bronchodilators Flashcards
Upper Resp Bronchodilators
2 Drug Classes/Drug Groups
- Anticholinergics
- Sympathomimetics
Anticholinergics
Drug Names
“-tropium”
Ipratroprium
Tiotropium
“-clidinium”
Aclidinium
Umeclidinium
Anticholinergics
Action
Blocks vagal effects to relax bronchi
Anticholingerics
Indications
Bronchospasms of COPD
Anticholinergics
Contraindications
- Not for emergency bronchospasms
- P & L
- Conditions worsened by anticholinergics
Anitcholinergics
Adverse Effects
Due to anticholinergic effects:
-paradoxical bronchoconstriction, dizzy, HA, fatigue, palpitations, urinary retention
Anticholinergics
Specific Nursing Conditions
Adequate hydration
Environmental conditions - overheating
Void prior to admin
Small, frequent meals
Anticholinergics
Drug-Drug Interactions
Anticholinergics
Sympathomimetics
Drug Names
“-terol”
- Levabuterol
- Albuterol
“-proterenol”
- Isoproterenol
- Metaproterenol
“-rine”
- Ephedrine
- Epinephrine
Sympathomimetics
Action
beta 2 adrenergic receptor agonist
selective
Bronchodilators are also known as
Antiasthmatics
Sympathomimetics
Indications
Acute asthma attack
Bronchospasm
Prevention of exercise-induced asthma
Sympathomimetics
Contraindications
P & L
Conditions worsened by SNS stimulation
Depends on severity of underlying condition
Sympathomimetics
Adverse Effects
Increased BP & HR, CNS stim, GI upset, arrhythmias, HTN, bronchospasm, sweating, flushing
Sympathomimetics
Specific Nursing Conditions
Reflexes and orientation
Small, frequent meals
ECG
Safety measures
