ATI CAPSTONE PHARM EXAM 2023 WITH 100% CORRECT ANSWERS

What medications for airflow disorders can have an adverse effect of chest pain Beta2 adrenergic agonists which are: formoterol, levalbuterol, salmeterol, terbutaline Nursing interventions for the adverse effect of chain pain r/t to beta2 adrenergic agonists? dosage may need to be reduced observe chest, jaw, or arm pain in palpitations and notify provider check pulse and report an increase of greater than 20-30/min AVOID CAFFEINE How do you educate a client how to use a BECLOMETHASONE INHALER? (Glucocorticoid) Use the glucocorticoid inhalers on a regular, fixed schedule for long-term therapy of asthma Glucocorticoids are not to treat an acute episode If the pt. is prescribed both a beta2 adrenergic agonist inhaler and glucocorticoid inhaler: 1) inhale beta agonist inhaler 2) inhale glucocorticoid (beta promotes bronchodilation to enhance absorption of glucocorticoid) Evaluating client understanding of montelukast? PT1 therapeutic use: long-term therapy of asthma in adults and children, and to prevent exercise-induced bronchospasm montelukast is used in children as young as 12 mo. of age Zafirlukast is used in children 5 yo. and up Zileuton is used in adolescents and adults complications: depression, suicidal ideation, liver injury with use of zileuton and zafirlukast contraindication/precautions: Montelukast and zafirlukast are pregnancy B and Zileuton is C USE W/ CAUTIO WHO HAVE LIVER DYSFUNCTION interactions: Zileuton and zafirlukast interact with warfarin and theophylline Montelukast and phenytoin interact Evaluating client understanding of montelukast? PT2 nursing administration: zileuton without food and 1 hr before or after a meal zafirlukast take 1 hr before or 2 hr after meals take montelukast once daily at bedtime. For exercise-induced bronchospasm take 2 hr before exercise nursing evaluation for medication effectiveness: depending on therapeutic intect, effectiveness is evidenced by long term control of asthma