Bronchodilators Beta 2- Adrenergic Agonists
Beta2-Adrenergic Agonists: Types
Beta2-adrenergic agonists: client education
Bronchodilators: Anticholinergic
Methylxanthines
100

What is the purpose for bronchodilators?

To relax smooth muscles in airway

100

Short acting medications

Albuterol (inhalation)

Levalbuterol

Terbutaline


100

How should you take long-acting and short-acting medications?

Long-acting taken on schedule (prevention)

Short-acting used for an attack (rescue)

100

Medications for Anticholinergic and what does it do?

Ipratropium- blocks the parasympathetic nervous system

100

Types of Methylxanthines medications and what they do?

Theophylline

Decrease airway reactivity and relax smooth muscle

200

Indications for Bronchodilators

Asthma, COPD

200

Long acting Medications

Albuterol (oral)

Formoterol

Saleterol

200

Steps of using a Metered-dose inhaler (MDI)

clear nose and throat

Breathe out, then place inhaler in mouth

Inhale deeply as pressing the inhaler

hold breath for several seconds

remove inhaler and exhale slowly

200

Ipratropium Indications and route

COPD and adjuvant for asthma 

route: Inhalation

200

Indications for Theophylline and routes

Used for COPD and Asthma

Route PO

300

Preferred route for bronchodilators

Inhalation- Minimizes systemic reaction

300

Comboination medications

Albuterol and ipratropium (B2 and anticholinergic)

300

When using a spacer what should you do after each use?

Wash and dry device

300

Side effects for Ipratropium

Anticholinergic effects 

tachycardia/palpataions

Nervousness 

headache

300

Side effects for Theophylline

Tachycardia and arrhythmias

N/V, Diarrhea, Abdominal pain, Dizziness, Headache

400

Side effects in the Respiratory and Cardiac

Respiratory- Paradoxical broncochospasm 

Cardiac- Tachycardia, Palpitations, Chest Pain

400

Short-acting Medications Indications

Rescue medication

Used for asthma attack or COPD

400

What should you do if using B2 inhaler with corticosteroid inhaler

Use bronchodilator first

Wait 5 mins

use corticosteroid inhaler

400

Nursing considerations for Ipratropium

Give on time

notify HCP if fails to relieve symptoms

Prevent medication from getting into eyes

400

Patient Education for Theophylline

Take full glass of water

Monitor blood levels- Therapeutic levels 10-19mcg/mL

Toxicity-20mcg/mL or greater

Risk for toxicity with high-fat meals

500

Other Side effects

Tremor, headache, dry mouth (short acting)

HTN (long-acting)

500

Long-acting medication Indications

preventative medication

used to control asthma or COPD

Administered on Schedule

WILL NOT STOP ASTHMA ATTACK

500

If you missed a dose what should you do?

Take dose as soon as you remember

DO NOT DOUBLE DOSE

500

Main thing that is BEST to do while taking this medication (ipratropium)

Rest and digest

500

Things to avoid with Theophylline

Hazardous activity and Change positions slowly