Week 6: Mucolytic: Upper Respiratory Meds Flashcards
1
Q
Mucolytic Drug
A
acetylcysteine
2
Q
Expected Pharmacologic Action
A
thin and enhance the flow of secretions in the respiratory passages
3
Q
Therapeutic Use
A
- acute and chronic pulmonary disorders exacerbated by excessive/ large amount of secretions
- used in cystic fibrosis
- acetylcysteine is an antidote for acetaminophen poisoning
4
Q
Complications
A
- when administered orally: aspiration and bronchospasm
- dizziness, drowsiness, hypotension, tachycardia (CNS)
- hepatotoxicity
5
Q
Medication Administration
A
- by inhalation to liquify nasal and bronchial secretions and facilitate coughing
- orally or IV for acetaminophen toxicity
- be prepared to suction if aspiration occurs with oral administration
6
Q
Contraindications
A
- pregnancy risk category B
- not used in clients who are hypersensitive to acetylcysteine
- use cautiously in hypothyroidism, CNS depression, renal or liver disease, and seizure disorders
- caution in patient with asthma due to potential for bronchospasms
7
Q
Nursing Interventions
A
- monitor vital signs
- monitor liver function tests
- monitor PT, BUN, Creatinine, Glucose, Electrolytes and acetaminophen levels in clients who have acetaminophen toxicity
8
Q
Client Education
A
acetylcysteine has an odor that smells like rotten eggs
9
Q
Evaluation of Medication Effectiveness
A
-improvement of manifestations as demonstrated by regular respiratory rate, clear lung sounds, and increased ease of expectoration
