Resp.
What are the side effects of decongestants
nervousness, insomnia, palpitations, tremors, local mucosal dryness and irritation
What are the nursing implications for expectorants?
HINT: theres 4
Use caution in older adults and patients with asthma or respiratory insufficiency
Patients taking expectorants should receive more fluids, if permitted, to help loosen and liquefy secretions
report a fever, cough, or other symptoms lasting longer than 1 week
Monitor for intended therapeutic effects
Bronchodilators are used to relief _____ and used in treatment and prevention of ________ _______
Bronchospasm, asthma attacks
_______ is a short-acting bronchodilator, while _________ is a long-acting bronchodilator.
Albuterol, Salmeterol
what is something you will need to monitor for in patients taking warfarin?
skin necrosis and purple toes
what are the nursing implications for decongestants?
avoid caffeine and caffeine containing products
report a fever, cough, or other symptoms lasting longer than 1 week
take as directed, overuse can lead to rebound congestion
What are the common adverse affects of expectorants
Select the following conditions that the use of bronchodilators would be contraindicated?
A. Heart Murmur
B. uncontrolled hypertension
C. parkinsons disease
D. Cardiac dysrhythmias
E. They are at a high risk for stroke's
B, D,E
What is Montelukast used for? and what is the medication class it is in?
When will a patient see improvement of symptoms when starting to take this medication?
Prophylaxis and long-term treatment and prevention of asthma in adults and children 12 years of age and older
1 week
What 2 medications are used in bridge therapy
Warfarin, and low-molecular weight heparins
What drugs are in the decongestants class
oxymetazoline, budesonide, fluticasone, ipratropium
What are expectorants used for?
What is the drug in the class?
Relief of productive coughs
Guaifenesin
What are the adverse effects of bronchodilators?
insomnia, restlessness, hyperglycemia, tremor, cardiac stimulation, Vascular headache
What black box warning does montelukast have?
What other 2 side effects does this medication have?
Serious mood related changes
Headache, nausea
What medication do we need to know in the corticosteroids drug class
Methylprednisolone
What drug medication class is used to stop or reduce coughing?
Antitussives
What drugs are in the antitussives class?
Benzonatate, dextromethorphan, codeine
What should you monitor in diabetic patient's taking bronchodilators?
Increased blood glucose levels can occur
Must be taken as ordered even if symptoms improve
educate patient chronic asthma, not acute asthma attacks
Encourage fluid intake to decrease viscosity of secretions
What are the nursing implications for corticosteroids
Always administer bronchodilators before corticosteroids
wait 2-5 minutes if second type of inhalation drug ordered
Use of a spacer can improve drug delivery
Rinse mouth after inhalation
Monitor for white patches in mouth
What are the major side effects for antitussives?
Dizziness, drowsiness, dry mouth, constipation
What are the Nursing implications for Antitussives?
HINT: they are 4
Avoid driving or operating heavy machinery because of possible sedation, drowsiness, or dizziness
Report any of the following symptoms to the PCP
Antitussives drugs are for nonproductive coughs
Monitor for intended therapeutic effects
What are the nursing implications for bronchodilators?
Monitor respiratory rate, oxygen saturation, and lungs sounds before and after administration
If 2 inhalations of same drug ordered wait 1-2 minutes between inhalations
Always administer bronchodilators before corticosteroids
Wait 2-5 minutes if second type of inhalation drug ordered
use a spacer device to improve drug delivery
What is used as the primary treatment of bronchospastic disorders to control the inflammatory responses?
Corticosteroids
What are the adverse effects of corticosteroids?
Pharyngeal irritation, Coughing, Dry mouth, oral fungal infections, Systemic effects are rare because low doses are used for inhalation therapy