Unit 4 Drugs Part 1 Flashcards
(36 cards)
what drug class is albuterol?
bronchodilator (beta 2 adrenergic, SABA)
what drug class is ipratropium?
bronchodilator (anticholinergic)
what is the mechanism of action for albuterol and ipratropium?
dilates the bronchi
what is albuterol and ipratropium used for?
- wheezing (asthma) !
- dyspnea
- COPD !
- coughing and tight chest
- anaphylaxis !
what is the adverse reaction of albuterol?
- tachycardia, htn, cardiac arrhythmias !
- nervousness, anxiety, insomnia !
- throat irritation
- bronchospasms
- heart burn !
what are some adverse reactions of ipratropium?
- dry mouth !
- blurred vision
- urinary retention
what are some nursing interventions/ teachings of taking albuterol?
- assess respiratory system and bp/hr before and after treatment !
- proper use of inhalers or nebulizers !
- avoid caffeine
- use spacer if needed !
what are some nursing interventions/ teachings of taking ipratropium?
- assess respiratory system and bp/hr before and after treatment !
- proper use of inhalers or nebulizers !
- avoid caffeine
- use spacer if needed !
- not for acute attacks !
contraindications of albuterol and ipratropium?
- cardiac dysfunction
- glaucoma
- diabetes
- hx of seizures
what drug class is beclomethasone?
inhaled corticosteroids
what drug class is Fluticasone/ Salmetrol?
inhaled corticosteroids
what is the mechanism of action for fluticasone/salmeterol and beclomethasone?
decrease airway inflammation
what do you use fluticasone/salmeterol and beclomethasone?
long term management of COPD and asthma!
what are the adverse reactions of fluticasone/salmeterol and beclomethasone?
- nervousness, HTN, tachycardia ! (combo)
- dry sore throat
- hoarseness !
- bad taste
- thrush throat irritation ( due to suppression of immune system) !
what are some nursing interventions/ teachings of taking fluticasone/salmeterol and beclomethasone?
- assess respiratory system
- not to be used for acute symptom managment !
- takes 1-2 weeks to become effective
- rinse mouth after inhalation !
- do not swallow meds
- inhaler/spacer/ nebulizer use !
contraindications of fluticasone/salmeterol and beclomethasone
acute asthma attack !
what drug class is isoniazid (INH) and Rifampin ?
antitubercular (antibiotics)
what is the mechanism of action for rifampin and isoniazid (INF) ?
fight against mycobacterium tuberculosis
what is the use of rifampin and isoniazid (INF) ?
treatment of tuberculosis
what are the adverse reactions of rifampin ?
- vertigo
- reddish-orange discoloration of body fluids !
- hepatic failure !
- gi upsetness
what are some adverse reactions of isoniazid (INF) ?
- hepatic failure !
- jaundice
- gi upsetness
- peripheral neuropathy (B6 def.) !
what are some nursing interventions/ teaching for rifampin and isoniazid (INF) ?
- monitor for compliance !
- monitor liver function !
- no alcohol !
- urine/ body fluid discoloration
- supplement vitamin B6 !
contraindications/ interactions of rifampin
contraindicated in severe liver disease
- oral contraceptives !
- oral diabetic meds
- anticoagulants !
contraindications/ interactions of isoniazid (INF) ?
contraindicated in severe liver disease
- foods high in tyramine ! (aged cheese, cured meats, aged wine) results in : HTN, tachycardia, and palpitations !
- anticoagulants !
