Bronchodilators Flashcards
(27 cards)
Why don’t we use Methylxanthines anymore?
The was a small margin between therapeutic range and toxic range
- Small margin of therapeutic range, slight increase would lead to toxic range
What is Salmeterol?
What is Salmeterol used for?
What is Salmeterol not used for?
Long Acting Beta-2 Agonist
Used for treatment for long term airways problems
Not used for asthma attacks or sudden bronchospasm
If you are using a steriod and bronchodilator inhaler, which inhaler should you use first? Why?
- Use bronchodilator first
-> open up airway; allows steroid to reach inflamed areas easier
When using a Steriodal Inhaler, it is important to ____ mouth to prevent oral ____.
Rinse; Thrush
If you are using TWO different inhalers, you must WAIT ____ minutes in between uses.
Five
Josh was told by his doctors to use his inhaler for 2 puffs. What should Josh do when using his inhaler?
wait ONE minute between each puff
What types of medications are spacers used for?
Bronchodilators and Steroid Inhalers
Why are spacers used?
- Help reduce side effects
- Pvts medication from being delivered into the back of the pharynx
- Takes medication deeper into the lungs
Why would you rinse a spacer with warm water after using it?
- For infection control
-> pvt bacterial growth
What is the Therapeutic Class of Albuterol (Short Acting Beta-2 Agonist)?
Therapeutic Class:
- Bronchodilators
What is the Pharmacologic Class of Albuterol?
Pharmacologic Class:
- Adrenergic Agonist (B2)
What is the MOA of Albuterol?
MOA:
- Selective beta-2 adrenergic agonist bind to beta-2 receptors
- Relax bronchial smooth muscle
- Bronchodilation
USED AS A RESCUE DRUG
What are the Indications for Albuterol?
Indications:
- COPD
- Acute Asthma Attacks
- Bronchospasm
What are the Therapeutic Effects of Albuterol?
- Bronchodilation
What are Side Effects of Albuterol?
Side Effects:
- Nervousness/Tremors
- Dry Mouth
- Tachycardia
Jumanji was prescribed Albuterol. What should the nurse monitor for this patient?
- Monitor for side effects:
-> increased HR
-> nervousness
-> tremors. - Monitor V/S
Mr. Snuffleupagus was perscribed Albuterol. What type of patient education should the nurse provide about Albuterol?
- Educate patients on proper inhaler technique with spacer/nebulizer
- Educate patient on proper storage
-> Dry place
-> Check Expiration date - Short Acting Bronchodilators for rescue use only
What is the Therapeutic Class of Ipatropium?
Therapeutic Class:
- Bronchodilator
What is the Pharmacologic Class of Ipatropium?
Pharmocologic Class:
- Anticholinergic
What is the MOA of Ipatropium?
MOA:
- Blocks muscarinic receptors in smooth muscle airways
- Inhibits action of ACh
- Bronchodilation
What are the Indications of Ipatropium?
Indications:
- COPD
- Asthma (off label usage)
- Rhinitis (Runny Nose)
True/False: Ipatropium can be used as the first-line for asthma attacks
False, Ipatropium can NOT be used as the first-line for asthma attacks
What is the Therapeutic Effects of Ipatropium?
Thearpeutic Effects:
- Bronchodilation
What are Side Effects of Ipatropium?
Side Effects:
- Nervousness/Tremors
- Dry mouth (excessive)
- Throat/Nasal irritation
- Bitter taste
