Week 9 Respiratory Flashcards
albuterol (Ventolin, Proventil) class
Beta2-Adrenergic Agonists
albuterol (Ventolin, Proventil) EPA
Stimulates beta2-adrenergic receptors in the smooth muscle of the bronchi and bronchioles, resulting in bronchodilation
albuterol therapeutic use
Rescue medication used to treat or prevent bronchospasm in people with asthma or other obstructive airways diseases
albuterol ADRs
chest pain, palpitations, nervousness, restlessness, tremors, agitation
albuterol contraindications and interactions
cardiac tachydysrhythmias
coronary artery disease
MAOIs and tricyclic antidepressants increase risk of ADRs
ipratropium (Atrovent) class
inhaled anticholinergic
ipratropium (Atrovent) EPA
Blocks the muscarinic Ach receptors in the smooth muscles of the bronchi in the lungs, inhibiting bronchoconstriction and mucus secretion (very similar to atropine)
ipratropium (Atrovent) therapeutic use
Long-term management of asthma or other conditions (COPD) that cause bronchoconstriction and increase in secretions.
ipratropium (Atrovent) ADRs
dry mouth, increased intraocular pressure, urinary retention
ipratropium (Atrovent) contraindications and interactions
glaucoma
prostatic hyperplasia or bladder neck obstruction
theophylline (Theolair) class
Methylxanthines
theophylline (Theolair) EPA
Relaxes the bronchial smooth muscle, promoting bronchodilation
theophylline (Theolair) therapeutic use
Second line treatment for chronic lung disorders that cause bronchoconstriction (COPD)
theophylline (Theolair) ADRs
Tachycardia, agitation and seizures. Toxicity-Ventricular dysrhythmias or convulsions
theophylline (Theolair) contraindications and interactions
heart disease
liver dysfunction
use caution with seizure disorders
theophylline (Theolair) interventions
monitor serum levels - narrow therapeutic range
beclomethasone (QVAR) class
inhaled glucocorticoid
beclomethasone (QVAR) EPA
Suppress the release of inflammatory mediators and decrease the recruitment of airway eosinophils. Increases the number and sensitivity of beta2-adrenergic bronchodilators
beclomethasone (QVAR) therapeutic use
Prophylactic management of asthma with inhaled steroids. Acute asthma flare-ups, systemic corticosteroids used.
beclomethasone (QVAR) ADRs
Pharyngitis, cough, dry mouth, and candidiasis (thrush)
beclomethasone (QVAR) contraindications and interactions
recent live virus immunization
oral candidiasis
beclomethasone (QVAR) interventions
rinse mouth and throat with water after use to avoid thrush
use a spacer
inhaler administration education
prednisone class
glucocorticoid
prednisone EPA
affect the inflammatory process to reduce inflammation