NURS 251 Portage Study Guide 3

NURS 251 Portage Study Guide 3
s s s s s s

s

NAEEP s- s- sNational sAsthma sEducation sand sPrevention
sProgram
s
- scommonly srefer sto sfor srecommendations son streating
sasthma
s

Chronic sObstructive sPulmonary sDisease s(COPD) sis smade sup sof swhat s2 sdisease
s- s-
s
Chronic
sbronchitis
s
-
semphysema
s

albuterol s(Proventil) s- sBronchodilator s
- stimulates sbeta-2 s(bronchodilaton) s
- albuterol sis sinhaled s(rescue sinhaler), sfirst schoice sof streatment s
- use: sasthma s
- adverse: sincreases sHR sand sforce sof scontraction s
- contraindications: scardiac stachyarrythmias, ssevere sCAD, sHTN, sDM s
s

epinephrine s(Adrenalin) s- sBronchodilator s
- stimulates sbeta-2 s(bronchodilaton) s
- given sSubQ; scommonly sgiven sin sER sduring ssignificant sevents sof srespiratory
sdistress s s

- use: sasthma s
- adverse: sincreases sHR sand sforce sof scontraction s
- contraindications: scardiac stachyarrythmias, ssevere sCAD, sHTN, sDM s
s

salmeterol s(Serevent) s- sBronchodilator s
- stimulates sbeta-2 s(bronchodilaton) s
- long sacting, smaintenance sdrug; spt swill stake sBID s
- use: sasthma s
- adverse: sincreases sHR sand sforce sof scontraction s
- contraindications: scardiac stachyarrythmias, ssevere sCAD, sHTN, sDM s
s

Nursing simplications sfor sbronchodilators s- s- steach sprevention s(avoid sthings sthat
strigger s
s
attacks)
s
- show sto suse sinhaler: swait s3-5 sminutes sbetween spuffs, srinse smouth safter sto
sprevent
s
fungal s


sinfections


- smay suse

sspace
s
- suse sbronchodilator sfirst, sthen sother
sinhaler

, s
- smark srescue sinhaler sfor seasy
sID
s

ipratropium s(Atrovent) s- sAnticholinergics s
- blocks saction sof sacetylcholine sin ssmooth smuscle s- spreventing sbroncoconstriction s
- use: smaintenance s
- adverse: snervousness, sHA, shypotension, sGI sdistress, sdry smouth s
s

tiotropium s(Spiriva) s- sAnticholinergics s
- blocks saction sof sacetylcholine sin ssmooth smuscle s- spreventing sbroncoconstriction s
- use: smaintenance s
- adverse: snervousness, sHA, shypotension, sGI sdistress, sdry smouth s
s

theophylline s(Theo-dur, sAminophylline) s- sXanthines s
- causes sbronchodilation s
- Theo-dur sis sgiven spo, sAminophylline, sgiven sIV s
- use: sasthma, schronic sbronchitis, semphysema s
- adverse: sCNS sstimulation, sincreased sCO, srestlessness, sconvulsions, stachycardia
s

- not sfirst sline sagent sfor streatment s- smany sdrug sinteractions s
- Therapeutic slevel: s5-15 smcg/mL s
- toxicity: sseizures, sarrhythmias s
s

zafirlukast s(Accollate), smontelukast s(Singulair) s- sLeukotriene sModifiers
s- sreduce sleukotrienes swhich scause sbronchoconstriction sand

sinflammation s

- use: sasthma, salong swith sbronchodilators sand ssteroids s
- adverse: sn/v, sHA, sinfection s
- contraindications: sliver sdisease s
- used sfor sprevention sonly s s
- take s1 shour sbefore smeals sor s2 shours safter smeals s
s

fluticasone s(Flonase), sbeclomethasone s(Beclovent), sbudesonide s(Pulmicort),
striamcinolone s(Azmacort) s- sCorticosteroids s

- suppress sinflammation, sdecrease smucous sproduction, sdecrease sedema s- sall
sinhaled s

- adverse: sinhaled ssteroids savoids ssystemic sproblems, simpaired sgrowth sin
schildren, sdry smouth, scough s
s

dexamethasone s(Decadron) s- sCorticosteroids s
- suppress sinflammation, sdecrease smucous sproduction, sdecrease sedema s
- po sand sIV spush s
- adverse: sinhaled ssteroids savoids ssystemic sproblems, simpaired sgrowth sin
schildren, sdry smouth, scough s
s

methylpredisone, sprednisone s- sCorticosteroids s
- suppress sinflammation, sdecrease smucous sproduction, sdecrease sedema s
- methylpredisone s(IV), sprednisone s(po) s
- adverse: sinhaled ssteroids savoids ssystemic sproblems, simpaired sgrowth sin
schildren, sdry smouth, scough s
s

Nursing simplications sfor scorticosteroids s- s- susually snot sgiven sin san sacute sattack s