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Pharmacology
Asthma Nursing
39
Pharmacology
Undergraduate 2
03/22/2011

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Cards

Term
Bronchodilators  (think AAZT)
Definition

Albuterol

Iproaropium (Atrovent)

Zafirlukast (Accolate)

Teophylline (slo-phylline)

Term
When not to use Broncodilators
Definition
Uncontrolled arrhythmias, Hypertension, CAD
Term
Key Nursing for Bronchodilators
Definition
Monitor Patients BP, Pulse, RR breathsounds teach patient to drink fluids and avoid smoking when and when not to use acute broncho's and long acting.
Term
Adverse reactions of all Bronchodilators
Definition
Anxiety Nervousness Palapations Tachycardia Hypertension Arrythmia (((((HEART)))))
Term
When to use Theophylliline (a Xanathine bronchodilator)
Definition
Chronic/long term ASTHMA and bronchospam, Asthma, Bronchitis, Emphasemia
Term
When not or precations to use Theophylline (a Xanathine bronchodilator)
Definition
Acute asthma Peptic Ulcer disease Liver disease Seizure disorders heart disease
Term
Main ADR for Theophylline (a Xanathine bronchodilator)
Definition
bronchodilator ADR's abdominal cramping epigastric pain diarrhea hypotension
Term
Foods and Meds to avoid for Theophylline(a Xanathine bronchodilator)
Definition
CYP450 (((eVERYTHING!))) Charbroiled food antibiotics Coffee
Term
Nursing For Theophylline (a Xanathine bronchodilator)
Definition
Assess contraindcations Vitals, RR, BP, Pulse Monitor SERUM DRUG LEVELS (10-20 mg) ALTs Assess for peptic ulcers
Term
Drugs Simular to Theophylline (a Xanathine bronchodilator)
Definition
Aminophylline same ADR's Dyphylline (90% less potent; give 4x/day
Term
When to use zafirlukast(Accolate) A leukotriene Modifier
Definition
Prophylaxis of Chronic Asthma Bronchial Asthma
Term
When not to use Zafirlukast (Accolate) (a Xanathine bronchodilator)
Definition
Acute Asthma
Term
Key Nursing for Zafirlukast (Accolate) (a Xanathine bronchodilator)
Definition
Vitals, Resp, HR Alt and CBC behavior change Take on empty stomach report signs of liver issues (jaundice)
Term
ADR for Zafirlukast (accolate) (a Xanathine bronchodilator)
Definition
Bronchodilator ADR's Rhinitis suicidal thoughts
Term
Drugs simular to Zafirlukast (accolate)
(a Xanathine bronchodilator)
Definition
Singular (approved for young kids)
Zyflo (preg C; liver damage potential)
Term
When to use Atrovent (Ipratropium)
(an anticholinergic bronchodilator)
Definition
Mostly used for COPD
Chronic bronchitis
Term
When NOT to use Atrovent (Ipratropium)
(an anticholinergic bronchodilator)
Definition
Acute Asthma
peanut/soy allergies
closed angle glaucoma
urinary tract obstructions
heart issues/hypertension
Term
ADR's of Atrovent (Ipratropium)
(an anticholinergic bronchodilator)
Definition
Bronchodilator ADR's
drymouth
nosebleed
GI
bitter taste
worsen glaucoma
cough
pharyngitis
Term
Key Nursing For Atrovent (Ipratropium)
(an anticholinergic bronchodilator)
Definition
Vitals Resp. HR
assess for allergy to Soy/peanuts and Atropine
assess for glaucoma
assess for urinary retention i/o's
Term
When to use Albuterol (Pro Air)
Definition
Acute Asthma attacks
Term
When not to use Albuterol
Definition
For chronic asthma attacks
Term
ADR's of Albuterol (Pro-Air)
(a beta 2 bronchodilator)
Definition
Bronchodilator ADR's
hyperglycemia
chest pain
throat irritation
Term
Inhaled corticosteroids ADR's
Definition
oral candidiasis
Term
what do inhaled corticosteroids do for asthma?
Definition
decrease inflammation
Term
when to use inhaled corticosteroids
Definition
Chronic bronchitis, Asthma
Term
When NOT to use inhaled corticosteroids
Definition
acute asthma treatment
Term
Name the inhaled corticosteroids
Definition
Beclomethasone and Cromolyn
Term
Key nursing for Inhaled corticosteroids
Definition
tell pt to use bronchodilator FIRST then wait 5 min and admin this med.
rinse mouth to decrease chances of infection
do not cause tachycardia
Term
ADR's of Beclomethasone
Definition
Corticosteriod ADR's (infections)
hoarseness
drymouth
cataracts development (long term)
Term
Drugs simular to Beclomethasone
Definition
Pulmicort
Aerobid (topical)
Flovent
Azmacort
Term
What do Antitussives do?
Definition
Suppress cough reflex
Term
name some Antitussives
CHRB
Definition
Codeine
Hydrocodone
Robitussin DM
Benadryl
Term
Name ADR's for antitussives
Definition
drowsyness
drying of respiratory secretions
constipation
dizzyness
Term
Key nursing for Antitussives
Definition
assess breath sounds, cough and secretions
admin codine w/caution w/ CNS depresnt
Term
Main things to remember about Robitussin DM?
Definition
do not give to children under 2 may cause respiratory depression
limit to 1 week
Term
describe what an expectorant is to pt
Definition
decrease the thickness of secretions; releives dry hacking cough
Term
When will need to use an Expectorant?
Definition
when u have a cough associated with upper respiratory tract infection; or dry hacking cough
Term
What are the ADR's of expectorants?
Definition
n/v/d
drowsyness
abdominal pain
Term
List someexpectorants
Definition
guaifenesin
Mucomyst (is a mucolytic)
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