Asthma II
Pharmacology
NCLEX TIP
BRONCHOdilators ANTI-INFLAMMATORY Agents
B Albuterol
S Steroids
Beclomethasone
Anticholinergics
L Montelukast
M Methylxanthines
Theophylline
M
Mast Cell Stabilizers
Cromolyn
Bronchodilator - BAM team
Kaplan Question
• B - Beta 2 agonist - albuterol - think buterols for brutal asthma attacks!
It's considered the 1 & only rescue drug for asthma attacks Aminophylline is a bronchodilator
• A - Anticholinergics - Ipratropium - dries out the body, decreasing secretions
& dilating the airways - you cant pee - with a tro-pium
• M - Methylxanthines - Theophylline - very toxic & very fast HR! HESI Question
10 - 20 therapeutic range
Memory Tric k: Phyllines have you feeling toxic & tachycardic
Anti-inflammatory Agents - SLM Team
• S - Steroids “-sone” like Beclomethasone -
Top side effects - 3 Ss for Sone Steroids MEMORY TRICK
• S - Sores in mouth (oral thrush “candida”) so instruct the client to wash AIM for Acute Asthma Attack
out their mouth after every use & inhalers go into the sink, twicer per week.
• S - Sepsis & sickness (increased risk for infection) & increases WBC count A - Albuterol 1st
in the body I - Ipratropium 2nd
• S - Sugars increased (elevated glucose levels) M- Methyl-predniso-lone
(brand: Solu Medrol)
Last 2 - are NOT highly tested here
• L - Leukotriene inhibitors ending in Lukast like Montelukast (Singular) - think Luke likes to sing
• M - Mast cell stabilizers - Cromolyn
Metered Dose Inhaler Teaching
ATI Question
00:10 Patient with severe asthma: Which medication would you give?
seconds after inhaling so that the Select all that apply
• Tachycardia (>120 BPM) 1. Inhaled salmeterol
• Tachypnea (> 30 BPM) 2. Albuterol inhaler
Kaplan Question • O2 sat < 90% on RA 3. Nebulizer Ipratropium
Need for further teaching when
• Peak exp. Flow < 40% 4. IV methamphetamines
client states: predicted or best 5. IV Methylprednisolone
I will be careful not to shake the < 150L/min)
canister before I use it
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