part 11

Question 1

For what pt’s are inhaled glucocorticoids have contraindications?

Answer 1

-pt’s with positive sputum cultures for Candida albicans

Question 2

For what pt’s are oral glucocorticoids have contraindications?

Answer 2

• pt’s with systemic fungal infections
• pt’s receiving live virus vaccines
• watch in pt’s with DM it causes hyperglycemia

Question 3

What can we teach pt’s about enhancing inhalation of glucocorticoids?

Answer 3

-use SABA 5 minutes before the glucocorticoid in order to get the steroid to the bronchial tree

Question 4

What can we teach pt’s about minimizing adverse effects of inhaled glucocorticoids?

Answer 4

• rinse mouth post inhalation
• if pt is switching from oral to inhaled they need to supplement with oral at times of extreme stress
• to minimize bone loss pt needs to take calcium, D, and perform weight bearing exercise

Question 5

What should pt’s not consume if they are taking Theophylline?

Answer 5

caffeine

-warn pt’s to never take a double dose of this medication if a dose is missed