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1st year, 2nd semester nursing student, pharmacology test

albuterol (oral and inhalation) Bronchodilator Proventil Ventolin
levalbuterol Bronchodilator Xopenex
salmeterol Bronchodilator Serevent
salmeterol/fluticasone Bronchodilator Advair Diskus
Therapeutic Classification Bronchodilator Pharmacologic Classification Beta2 Adrenergic Agonist
Bronchodilator/Beta2 adrenergic Agonist Indications Inhaler: quick relief of acute bronchospasm PO: long-term control of bronchospasm EXCEPT Salmeterol: used for prophylaxis and prevention of exercise-induced asthma
Bronchodilator/Beta2 Adrenergic Agonist Actions bronchodilation that is selective for beta2 (pulmonary receptors)
contraindications for bronchodilators/beta2 adrenergic agonists cautious use for patient with high BP, thyroid disease, and diabetes mellitus
What happens to ped's on bronchodilator/beta1 adrenergic agonists? CNS side effects more frequently in young children than adults. Hyperactivity in children.
Drug interactions Bronchodilators/Beta2 Adrenergic Agonists Concurrent use of caffeine containing herbs increases stimulating effect. Concurrent use with other adrenergic agents will increase side effects. Concurrent use with beta blockers will negate therapeutic effects.
Side Effects Bronchodilators/Beta2 Adrenergic Agonists CNS: restlessness nervousness tremor. CV: chest pain palpitations, tachycardia. Fewer systemic effects with inhaler
What to do when taking or administering bronchodilators/beta2 adrenergic agonists Breath sounds, pulse, and BP before and at peak. PO: with meals
How to use bronchodilator/beta2 adrenergic agonist inhaler Wait 1-2 miutes between puffs. Use this inhaler first, then anticholingeric and steroid last. Rinse mouth after use. Hard candy or gum may decrease dry mouth. Avoid excessive intake of caffeine beverages.
Created by: Carebear71



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