Medications:
Beta-2 Agonists
Beta-2 Agonists
Prototype short-acting beta₂ agonist used for acute bronchospasm.
Albuterol
These receptors are blocked by muscarinic antagonists to reduce bronchoconstriction.
What are muscarinic (acetylcholine) receptors?
Inhaled corticosteroid commonly combined with a LABA for COPD maintenance.
Assess this before and after bronchodilator administration to evaluate effectiveness.
Lung sounds
What device may be attached to an inhaler to make sure all the medications go into the lungs
What is a spacer
These receptors are stimulated by beta₂ agonists to produce bronchodilation.
Beta-2 adrenergic receptors
Long-acting muscarinic antagonist (LAMA) that prevents bronchoconstriction; used for daily maintenance .
tiotropium bromide (Spiriva)
Primary therapeutic effect of corticosteroids in COPD.
Reduction of airway inflammation
acetylcysteine
What is the wait time between "puffs" of the same medication?
One (1) minute
Long-acting beta₂ agonist used for maintenance therapy in COPD.
salmeterol
Short-acting muscarinic antagonist (SAMA) used as a "rescue" or rapid-relief of bronchospasm and bronchoconstriction.
ipratropium bromide (Atrovent)
Important patient teaching after using an inhaled corticosteroid
Rinse and spit
Lab to be monitored when taking systemic corticosteroid
Blood glucose
Patients are taught to _____ the inhaler between each puff.
Shake
An expected cardiovascular side effect of beta-2 agonists due to sympathetic stimulation.
Tachycardia
Common side effect of muscarinic antagonists due to anticholinergic action.
Dry mouth
Potential oral complication from improper inhaled steroid use.
Oral candidiasis
Assessment needed before giving a muscarinic antagonist to a male with BPH.
Assess for urinary retention
What is the best way to ensure the patient understands how to use their MDI?
Return demonstration after initial demonstration by the nurse.
Long-acting beta-agonist (LABA) inhaler frequently combined with fluticasone to create the medication Advair.
salmeterol
Combination of ipratroprium bromide (SAMA) with albuterol sulfate (SABA) used to treat airflow blockage in patients with COPD
Combivent
Systemic corticosteroid often prescribed during COPD exacerbations.
Prednisone
Teach patients to use rescue inhalers _____ physical activity if necessary.
Before
Patient teaching includes this correct procedure when self-administering meds using an MDI
Breathe out fully, actuate the inhaler, inhale slowly, and hold breath for about 10 seconds.