respiratory meds pt. 1
what are the contraindications for ipratropium nasal spray?
-hypersensitivity
-atropine
-bromide
-soy bean
-peanut products
side effects of fluticasone nasal spray?
-headache
-sinusitis
-rhinitis
-eosinophilic conditions
-angioedema
-churg-strauss syndrome
-brinchospasm
what are the indications for albuterol?
-prevention of exercised induced asthma
-acute bronchospasm
-bronchitis
-emphysema
-bronchiectasis
-reversible airway obstruction
what are the side effects of theophylline?
-N/V
-abdominal pain
-trouble sleeping
-headache
-shaking
-irregular heartbeat
-muscle cramps (potassium changes)
-fainting
what is the mechanism of action for fluticasone (inhaled)?
-decreases inflammation by initiating mast cells, macrophages, and leukotrienes
-anti-inflammatory and vasoconstrictor properties
side effects of ipratropium nasal spray?
-N/V
-anxiety
-dizziness
-headaches
-cramps
-cough
-worsening of symptoms
-bronchsopasms
what is the patient teaching for oxymetazoline nasal spray?
-stinging may occur
-report irregular pulse, insomnia, dizziness, or tremors
-teach proper admin to avoid systemic absorption
-rinse dropper with very hot water to prevent contamination
what is the mechanism of action for albuterol
causes bronchodilation by action on pulmonary receptors by increasing levels of cyclic AMP - relaxes smooth muscle; produces bronchodilation
what is the timing of administration for theophylline?
take the medication with a full glass of water 1 or before or 2 hours after a meal
what are the side effects of fluticasone (inhaled)?
-pharyngitis
-oral candidiasis
-URI
-bronchospasm
-cough
what are the indications for fluticasone nasal spray?
nasal symptoms of seasonal/perennial and allergic/nonallergic rhinitis
what are the side effects for oxymetazoline nasal spray?
-N/V
-anxiety
-burning
-sneezing
-stinging
what are the side effects of albuterol?
-tremors
-anxiety
-restlessness
-tachycardia
-HTN
-N/V
-paradoxical bronchospasm
what is the nursing assessment for theophylline?
-check for EKG changes
-electrolyte labs (potassium)
-hypersensitivity to xanthines
-peptic ulcer
-liver enzyme labs
what are the side effects of singulair?
-seizures
-SI
-pancreatitis
-thrombocytopenia
-toxic epidermal necrolysis
-churg-strauss syndrome
what is the patient teaching for fluticasone nasal spray?
-immediately report cushingoid symptoms (no appetite, weakness, fatigue, nausea, decreased BP)
-do not use for acute asthmatic attack
-avoid smoking
what is the mechanism of action for guaifenesin?
increases the volume and reduces the viscosity of secretions in the trachea and branch to facilitate secretion removal
what is the nursing assessment for albuterol?
-assess respiratory function and vitals
-determine that patient has not received theophylline therapy before giving dose
-assess fro paradoxical bronchospasm, trouble breathing with wheezing, report to provider
what is the mechanism of action for ipratropium (inhaled)?
inhibits interaction of acetylcholine at receptor sites on the bronchial smooth muscle, resulting in decreased cycling guanosine monophosphate and bronchodilation
what are the indications for the medal dose pack?
-antiinflammatory
-shock
-adrenal insufficiency
-collagen disorders
-management of acute spinal cord injury
-MS
what are the contraindications for fluticasone nasal spray?
-hypersensitivity to this product or milk protein
-primary treatment in status asthmaticus
-acute bronchospasm
what is the mechanism of action for dextromethorphan and what are the contraindications?
MoA:
depresses cough center in medulla by direct effect related to levorphanol
contraindications:
-hypersensitivity
-MAOIs
-SSRIs
what is the mechanism of action for theophylline?
-smooth muscle relaxation (bronchodilation)
-suppression for the response of the airways to stimuli (non-bronchodilator prophylactic effects)
what are the side effects for ipratropium (inhaled)?
-N/V
-anxiety
-dizziness
-headaches
-cramps
-cough
-worsening of symptoms
-bronchospasm
what is the mechanism of action of the medial dose pack?
-decreases inflammation by suppression of migration of polymorphonuclear leukocytes, fibroblasts
-reverses increased capillary permeability and lysosome stabilization