Xanthines Flashcards
1
Q
Medications
A
-Caffeine+Theophylline
2
Q
Actions
A
- Direct effect on the smooth muscles of the respiratory tract, both in the bronchi and in the blood vessels
- Exact MOA not known
3
Q
Indications
A
-Symptomatic relief or prevention of bronchial asthma and for reversal of bronchospasm associated with COPD
4
Q
Contraindications
A
-Lactation
5
Q
Caution
A
- Pregnancy
- GI problems, Coronary disease, respiratory dysfunction, renal or hepatic disease, alcoholism, or hyperthyroidism
6
Q
Adverse effects
A
- Related to theophylline levels in the blood
- GI upset, irritability, tachycardia, hyperglycemia, seizures, brain damage, and even death
7
Q
Drug-drug interactions
A
- Any drug metabolized in the liver has the potential to interact with xanthines
- Substances in cigarettes
8
Q
Assessment
A
- History: allergy, smoking/cigarette use, gastric, heart, repsiratory, liver or kideny issues, pregnancy and lactation
- Physical: VS, ECG, labs: liver and renal fx, theophylline levels
9
Q
Nursing diagnosis
A
- Acute pain
- Disturbed sensory perception
- Deficient knowledge
10
Q
Implementation
A
- Administer with food or milk to relieve GI upset
- Comfort measures to minimize adverse effects
- Pt teaching
11
Q
Evaluation
A
- Monitor patient response
- Evaluate effectiveness of teaching plan
- Evaluate effectiveness of comfort measures
- Evaluate patient compliance with regimen
