Term
|
Definition
-chronic obstructive pulmonary disease
-decreased forced expiratory volume
-chronic bronchitis, bronchiectasis, emphysema (irreversible); asthma (reversible) |
|
|
Term
| Alpha-1 & Beta 1&2 Adrenergic |
|
Definition
| Epinephrine, adrenalin, primatene mist, bronkaid mist side effects: tremors, tachycardia, dysrhythmias |
|
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Term
|
Definition
-treat acute & chronic asthma, bronchitis, exercise-induced asthma
SE: tachycardia, palpitations, nervousness, tremors
-tolerance can develop
Examples: Albuterol (Proventil), Pributerol (MaxAir), Salmeterol (Serevent), Terbutaline (Brethine), Levabuterol (Xopenex) |
|
|
Term
|
Definition
| -beta-2 adrenergic for pre-term labor |
|
|
Term
|
Definition
-beta-2 adrenergic for asthma, bronchitis
-nebulizer; short acting
-active ingredient of Albuterol w/o SE |
|
|
Term
| *Metaproterenol (Alupent, Metaprel) |
|
Definition
-beta-2 & some beta-1
-treat bronchosapsm & asthma
-beta-1 at high doses causes tremors tachycardia
-1 minute onset
-2-3 MDI inhalations, wait, then 2nd dose if needed |
|
|
Term
|
Definition
-non-selective beta-1 & beta-2 adrenergic
-tachycardia from beta-1
-not used often |
|
|
Term
| Ipratropium bromide (Atrovent) |
|
Definition
-anticholinergic for COPD
-caution w/ n-a glaucoma |
|
|
Term
| Ipratropium & albuterol (combivent) |
|
Definition
| -anticholinergic w/ fewer SE for chronic bronchitis |
|
|
Term
| Methylxanthine (Xanthine) |
|
Definition
| -bronchodilator for asthma |
|
|
Term
| Aminophylline (Theophylline) |
|
Definition
-promotes bronchodilation
-narrow therapeutic range
-smoking increases metabolism of drug
-avoid other caffeine products
SE: convulsions, cardiac arrest
drug-drug: Tagamet, Dilantin |
|
|
Term
|
Definition
-causes inflammation
-mucus production
-not for acute asthma, for exercise-induced asthma
Examples: Singulair, Accolate, Zyflo |
|
|
Term
|
Definition
-leukotriene that prevents & maintains chronic asthma
-CI: status asthmaticus, severe asthma attack
-take during night for asthma, during day for allergies |
|
|
Term
|
Definition
| -reduces inflammation in bronchioles |
|
|
Term
|
Definition
| -decreases inflammation & bronchoconstriction |
|
|
Term
|
Definition
-anti-inflammatory for refractory asthma
Examples: Vanceril, Aristocort, Decadron |
|
|
Term
| Beclomethasone (Vanceril) |
|
Definition
-more effective for asthma control
-SE: hoarseness, throat irritation
-oral care important |
|
|
Term
| Triamcinolone (Aristocort) |
|
Definition
-tablet for asthma
-SE: gastric irritation (take with food) |
|
|
Term
|
Definition
-prevents asthma reaction
-not for an acute asthma attack
-SE: cough, bad taste (drink water before and after drug) |
|
|
Term
|
Definition
| liquefy & loosen thick mucous secretions |
|
|
Term
| Acetylcysteine (Mucomyst) |
|
Definition
-smells like rotten eggs
-use as antidote for acetaminophen (Tylenol) overdose
-mixed w/ water or juice
-nebulizer
-SE: stomatitis, rhinitis |
|
|
Term
| Nursing Measures for Lower Respiratory Agents |
|
Definition
-monitor drug levels
-monitor VS, esp. resp.
-assess lips/fingernails for cyanosis
-assess breath sounds for wheezing, rale, rhonchi
-pulmonary PT: postural drainage, clapping
-hydration important
-medic-alert bracelet
-appropriate use of MDI and spacer
-observe for effectiveness of meds |
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