Pulmonary Meds Flashcards
Benadryl (diphenhydramine), Allegra (fexofenadine), Zyrtec (cetirizine HCL), Claritin (loratadine)
Anthihistamines
Stand-out size effect of antihistamines
Arrhythmias
Antihistamine PT Implications
Risk of orthostatic HTN, monitor during exercise
Corticosteroid: Qvar (beclomethasone dipropionate), Pulmicort (budesonide), AeroBid (flunisolide); Leukotrien Modifier: Zyflo (zileuton); Mas-cell stabiilzer: Nasalcrom (cromolyn sodium)
Types of Anti-Inflammatory drugs
Anti-Inflammatory Agent Actions
Rduce airway edema and prevent bronchoconstriction by inhibiting inflammatory cell production, suppressing release of inflammatory mediators (cytokines/prostaglandins/leukotrienes), and reversing capillary permeability
Anti-Inflammatory Agent Indications
bronchospasm and asthma
Anti-Inflammatory PT Indications
These are NOT bronchodilators and shouldn’t be used in asthma attacks
Contact MD if experiencing signs/sx of liver dysfunction (fatigue, flu symptoms, jaundice)
Anticholinergic: Atrovent (ipratropium), Spiriva (tiotropium); Sympathomimetrics: Ventolin (albuterol), Primatene Mist (epinephrine), Severent (salmeterol); Xanthine derivative: Theo-Dur (theophylline), Aminophylline
Bronchodilators
Bronchodilator Indications
bronchospasm, wheezing, SOB in asthma and COPD
Bronchodilator Actions
Make sure pts take their inhaler before therapy and bring their short-acting sympathomimetics (rescue meds)
Cardiac/visual abnormalities may indicate toxicity
Mucinex (guaifenesin), terpin hydrate
Expectorant Meds
Expectorant Meds PT Implications
Airway clearance interventions within 1 hour after administration can exploit expectorant effects
Pulmozyme (dornase alpha), Mucosil or Mucomyst (acetylcysteine)
Mucolytics
Mucolytic Agent Actions
Administered by a nebulizer** to alter composition/consistency of mucous secretions for easier expectorant
Mucolytic PT Implications
Airway clearance interventions within 1 hour after administration can exploit expectorant effect
Make sure pt know how to use nebulizer
