Card Set Information
Short Acting Beta Agonist
albuterol (Proventil, Ventolin)
Bronchodilation; relaxes bronchial smooth muscle
during asthma attack or before activity that triggers attack.
When used with other inhaled drugs, use 5 mins. before other drugs.
Teach pt. to carry at all times.
Shake inhaler well & allow 1 min between inhalations.
Prime inhaler first before use.
nervousness, restlessness, tremor, insomnia, chest pain, palpitations
Long Acting Beta Agonist
Bronchodilation; relaxing bronchial smooth muscle by binding to the pulmonary beta 2 receptors
Slow onset with long duration.
Monitor for hypersensitivity reaction (rash, face, swelling).
Teach pt. how to use powder inhaler (never exhale into diskus, keep mouthpiece dry).
Once opened, use within 6 weeks or discard.
H/A, nervousness, palpitations, tachycardia
NOT USED FOR ACUTE ATTACK!
ipratopium (Atrovent), tiotropium (Spiriva)
Bronchodilation; inhibiting parasympathetic nervous system, allowing SNS to dominate.
Resuce & asthma attack prevention.
Assess degree of dyspnea before administering & at peak (1-2hr).
Assess for allergy to atropine.
Pt. to drink at least 4L of fluid/day.
Shake MDI well & monitor use of MDI.
dizziness, H/A, nervousness, blurred vision (systemic symptoms), mouth dryness
theophylline (Theo-Dur, Theolair)
NOT REALLY USED ANYMORE
CNS stimulant causing bronchodilation.
Used for long-term asthma prevention.
Monitor chest pain & ECG changes if hx of CVD.
Monitor drug levels routinely.
Watch for S/S of toxicity (anorexia, N/V/D, confusion).
Administer around the clock to maintain blood levels.
Administer oral dose with food or full glass of water.
Higher doses are required at start of therapy.
seizures, anxiety, tachycardia, arrhythmias, N/W, narrow margin of safety with many drug-drug interactions.
fluticasone (Flovent, Pulmioncort)
prednisone (Deltasone, Solu-Medrol, Decadron)
-> Systemic IV; only used short-term for acute asthma exacerbation.
Inhaled steriods disrupt inflammatory mediators preventing asthma attacks caused by inflammation or allergies.
Decrease inflammatory & immune responses.
Preventing manifestations of asthma.
S/S of local infections especially yeast infections.
Slow onset of action, use drug daily even when no symptoms.
Good mouth care & check for lesions.
Use bronchodilator 1st wait 5 mins before corticosteriod.
Oropharyngeal fungal infections can be prevented by using a space with inhaler.
local throat irritation, hoarseness, dry mouth, coughing, oropharyngeal fungal infections (Candida albicans), nasal stuffiness/sinusitis.
*SE of systemic steriods
hyperglycemia, GI ulcer, wt. gain, increased R/F infection.
Mast Cell Stabilizer
cromolyn (Intal), nedocromil (Tilade)
Stabilizes membranes of mast cells and prevents release of inflammatory mediators (histamine).
Preventing asthma attack triggered by inflammation or allergies.
Assess lung sounds, respiratory status
Taken daily by inhalation.
NOT USED DURING ASTHAM ATTTACK
Should be taken on scheduled basis.
H/A, sore throat,
, cough, anaphylaxis.
montelukast (Singulair), omalizumab (Xolair)
Blocks the luekotriene receptor, preventing inflammatory mediators from stimulating inflammation.
Prevents asthma attack triggered by inflammation or allergens.
Assess allergy symptoms (rash, urticarial).
May cause increased liver enzymes.
Xolair associated with anaphylaxis (assess for allergic reactions - tongue, throat edema, urticaria within 2 hrs of administration).
Use daily even when no symptoms.
Slow onset of action for long-term asthma control.
Provide adequate hydration.
Xolair administered SQ q2-4weeks.
fatigue, fever, H/A, cough
Injection site; bruising, redness, warmth, burning.
Advair Diskus, Symbicort, Combivent, DuoNeb
Advair; used daily with inhalation in am & pm
DuoNeb; delivered via nebulzier
Combivent; MDI, 2 puffs tid/qid