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NU 302 Respiratory

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Created by: mlanpher

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1 A Cardiac Rhythym Strip Analysis

Term	Definition
Albuterol Drug Class	Beta-2 agonist
Albuterol Mechanism of Action	Stimulation of SNS beta-2 receptors Smooth muscle relaxation of bronchioles
Albuterol Adverse Effects	Tachycardia, palpitations, restlessness H/A
Albuterol Contraindications	Cardiac disease, hyperthyroidism
Albuterol Interactions	Beta blockers
Albuterol Nursing Indications	Monitor HR, respiratory status Teach regarding rescue inhaler use Use 30-60 minutes before exercise Avoid caffeine
Ipratropium Drug Class	Anticholinergic
Ipratropium Mechanism of Action	Increased PNS stimulation on CN X Antagonizes muscarinic receptors
Ipratropium Adverse Effects	Dry mouth, blurry vision, tachycardia, urinary retention, constipation
Ipratropium Contraindications	Narrow angle glaucoma Bladder neck obstruction/BPH Allergy to soy or peanuts (propellant sensitivity)
Ipratropium Interactions	Other anticholinergics
Ipratropium Nursing Indications	Monitor VS, respiratory status Monitor UOP Teach to void prior to drug administration Lozenges Fiber/fluids
Budesonide Drug Class	Corticosteroid
Budesonide Mechanism of Action	Inhibition of inflammatory response
Budesonide Adverse Effects	Sore throat Xerostomia Oral candidiasis
Budesonide Contraindications	Active infections Oral lesions increase systemic absorption
Budesonide Nursing Indications	Monitor respiratory status, oral mucosa Taper the dose Rinse mouth after inhalation
Drug of choice for rescue inhaler	SABA - albuterol
Theophylline Drug Class	Methylxanthines
Theophylline Mechanism of Action	Smooth muscle relaxation via mobilization of calcium and activation of prostaglandins Inhibition histamine
Theophylline Adverse Effects	Typically only associated with toxicity 20-25 mcg/mL: N/V/D, insomnia, diaphoresis, H/A and irritability >30-35 mcg/mL: hyperglycemia, hypokalemia, hypotension, dysrhythmias, tachycardia, seizures, brain damage and death
Theophylline Interactions	Multiple interactions – including caffeine Smoking increases metabolism of theophylline With smoking cessation – toxicity!
Theophylline Contraindications	Caution with cardiac disease, hyperthyroidism
Theophylline Nursing Indications	Monitor VS, lung sounds Serum drug level Decrease caffeine intake Toxicity treatment Activated charcoal, lidocaine, benzodiazepines
Montelukast Drug Class	Leukotriene receptor antagonist
Montelukast Mechanism of Action	Decreases: neutrophil, eosinophil migration, aggregation, leukocyte adhesion, capillary permeability, smooth muscle contraction
Montelukast Adverse Effects	H/A, dizziness Elevated LFTs Suicidal ideation
Montelukast Interactions	Increases toxicity of theophylline, warfarin
Montelukast Nursing Indications	Monitor respiratory status Take on empty stomach Taper dose Avoid triggers