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lower respirotry

pharm

QuestionAnswer
bronchodilators prmotes broncho dialation relaxes smoth muscles to dialate bronchi
uses bronchospasm in asthma (acute/chronic) bonchitis emphysisma
exmaples short action : albuterol, levalbuterol,terbutaline long acting: aformoterol,salmeterol
contridictions uncontrolled hypertension caridiac arrythemisas
avderse reactions tachycardia palpitations nervousness caridac arrythmias
nursing montitor vitals and breathing sounds watch for paradoxical bronchospasm (worsening breathing and wheezing)
Xanthine Derivatives stimulates CNS to promote bronchodialation
uses preventions/releif of asthma reversable bronchospasm with emphysema or bronchitis
examples theophylline
contridictions drug allergy uncontrolled dysrethmia
adverse reactions tachycardia palitatins EKG CHANGES
nurses theraputic levals -teophylline 10/20 monitor for toxixicty txt with activated charcol no dilantin do not swith meds with out consult monitor vitals and I&O and EKG
ANTI-ASTHMA (INHALED CORTICOSTEROIDS) antiinflamitory reduce airway hyper rsponsivness
usues LONGterms maintance of asthma
exampes prataropium bromide (atrovent) fluticasone FLovent budesonide pulmicort
contridiction alergy to drug/glucoccorticoids positive candida in sputem - yeast- systemic fungal infection
adverse reactions adrenal supprseeions
nursing rinse mouth supress immune system- m/o infection monitor blood sugar and adrenal function do not stop abruptly
sit in a uprigth postion
do not take if u have BPH
LEUKOTRIENE MODIFIERS CAN CX tighness in airways decreases leukotrine production decreaes ininflamation
uses prophylactics and chronic asthma 12 yo +
examples montelukast -singular-
coontidictions drug allergey phenobarbital,rifampin and lower effectivness
adverse reactions dyspepsia
nrsing monors LFTS not for acute asthma attacks may take 1 week to notice imporvemtns
Created by: mmishue
 

 



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