Oxygenation drugs

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Author:
cblake
ID:
9144
Filename:
Oxygenation drugs
Updated:
2010-03-04 17:22:40
Tags:
beta adrenergic agonists anti inflammatories anti cholinergics methylxamthine derivatives leukotriene modifiers antitussives expectorants combination meds
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Description:
beta adrenergic agonists, anti-inflammatories, anti-cholinergics, methylxamthine derivatives, leukotriene modifiers, antitussives, expectorants, combination meds.
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  1. Beta 2 Adrenergic Agonists
    *actions
    • *Bronchodilation
    • *stimulate B-sdrenergic receptors
    • *acts like adrenaline
    • B=bronchodilation A=adrenaline
  2. Beta 2 Adrenergic Agonists
    *Side Effects
    • *↑ HR/BP
    • *N/V
    • *nervous
    • *HA
    • *Palpitations
    • *Tremors
    • *insomnia
    • *vertigo
    • *dry mouth
    • *hypokalemia
  3. Beta 2 Adrenergic Agonists
    *Medications
    • *Albuterol (Proventil) - fast acting rescue med
    • *Metaproterenol (Alupent)
    • *Terbutaline (Brethine) - stops premature labor
    • *Epinepherine (adrenaline) - never give IV
  4. Beta 2 Adrenergic Agonists
    *Used in
    • *Acute Asthma Attacks
    • *Any time we want to open the patient's airway
  5. Beta 2 Adrenergic Agonists
    *Nursing Considerations
    • *Provide adequate hydration
    • *Monitor VS and drug therapy
    • *Teach patient about med
  6. Anti-Inflammatory Agents - Steroids
    *Action
    • *Anti-inflammation (opens airway to facilitate breathing)
    • *Immunosupression
    • *↓ edema
    • *↓mucous
  7. Anti-Inflammatory Agents - Steroids´╗┐
    *Side Effects - Long term
    • *Cushingoid appearance (moon face, hump on back, big trunk w/normal arms)
    • *skin changes
    • *osteo
    • *obesity
    • *GI ulcers
    • *Na retention
    • *hypokalemia
  8. Anti-Inflammatory Agents - Steroids
    *Side Effects - short term
    • *hyperglycemia
    • *Na and H2O retention
  9. Anti-Inflammatory Agents - Steroids
    *Side Effects - inhaled agents
    • *Thrush
    • *Dry mouth
    • *Cough
    • *Hoarseness
    • *Fungal infections
  10. Anti-Inflammatory Agents - Steroids
    *Medications
    • *Prednisone - PO
    • *Hydrocortisone (Solu-Cortef)
    • *Methylprednisone (Solu-Medrol) - IV
    • *Fluticasone (Flovent) - MDI
    • *Dexamethasone (Decadron) - IV
    • *Budesonide (Pulmacort) - MDI
    • *Cromolyn (Intal) - MDI, DPI (dry powder inhaler)
    • *Nedocromil (Tilade) - MDI
  11. Anti-Inflammatory Agents - Steroids
    *Used In
    *Acute and Chronic Asthma
  12. Anti-Inflammatory Agents - Steroids
    *Nursing Considerations
    • *Gradually Taper Dose
    • *PO dose - take with food
    • *Need anti-ulcer med
    • *Rinse mouth after each dose
  13. Anti-Cholinergic Agents
    *Actions
    • * Blocks action of acetylcholine, results in bronchodilation
    • * drying action
  14. Anti-Cholinergic Agents
    *Side Effects
    • * drying
    • *cough
    • *bad taste
    • *flushing skin
  15. Anti-Cholinergic Agents
    *Meds
    * Ipratropium(Atrovent) MDI nebulizer

    *Combination Meds: Atrovent& Albuterol(Combivent)
  16. Anti-Cholinergic Agents
    *Used In
    • *Pneumonia
    • *COPD
  17. Anti-Cholinergic Agents
    *Nursing Considerations
    • *Hydrate
    • *Mouth care
    • *Hold for acute asthma
  18. MethylxanthineDerivatives
    *Actions
    • * relaxes bronchial smooth muscles
    • *improve diaphragm contractility
    • * mild diuresis
    • *stimulates mucus clearance
    • * CNC stimulant
    • * better exercise tolerance
  19. MethylxanthineDerivatives
    *Side Effects
    • *increased HR & BP
    • * nervous
    • * HA
    • * palpitations
    • * tremors
    • * N/V
    • * vertigo
    • * insomnia
    • * dry mouth
    • * hypokalemia
  20. MethylxanthineDerivatives
    *Meds
    • *aminophyllin - IV
    • *Theophylline(Theo-Dur) - PO
  21. MethylxanthineDerivatives
    *Used In
    • *Pneumonia
    • *COPD
    • *Asthma
  22. MethylxanthineDerivatives
    *Nursing Considerations
    • *Monitor HR & BP
    • *Monitor K+
    • *Hold for pt. with seizures
    • *Assess sleep pattern
    • *I&O
  23. LeukotrieneModifiers: Antagonists
    *Actions
    • *blocks action of leukotienesonce formed
    • *bronchodilator
    • *anti-inflammatory effects
  24. LeukotrieneModifiers: Antagonists
    *Side Effects
    • *HA
    • * dizziness
    • * N/V
    • * diarrhea
    • *fatigue
    • * abdominal pain
  25. LeukotrieneModifiers: Antagonists
    *Meds
    • *zafirlukast(Accolate)
    • *montelukast(Singular)
  26. LeukotrieneModifiers: Antagonists
    *Nursing Considerations
    • * take on empty stomach
    • * NOT used for acute asthma
    • *Monitor LOC
  27. LeukotrieneModifiers: Antagonists
    *Used In
    • *Pneumonia
    • *COPD
    • *Asthma
  28. LeukotrieneModifiers: Inhibitors
    *Actions
    • *inhibits synthesis of leukotrienes
    • * bronchodilator
    • *anti-inflammatory effects
  29. LeukotrieneModifiers: Inhibitors
    *Side Effects
    • *elevated liver enzymes
    • * dizzyness
    • * insomia
    • * dyspepsia
    • * abdominal pain
  30. LeukotrieneModifiers: Inhibitors
    *Nursing Considerations
    • * NOT used for acute asthma attacks
    • *Monitor liver enzymes
    • *Treat pain
  31. LeukotrieneModifiers: Inhibitors
    *Used In
    • *Pneumonia
    • *COPD
    • *Asthma
  32. LeukotrieneModifiers: Inhibitors
    *Meds
    *zileuton(Zyflo) - PO
  33. Antitussives
    *Actions
    • * act on cough control centers to suppress cough reflex
    • * reduce viscosity of secretions
  34. Antitussives
    *Side Effects
    • * nausea
    • * dizziness
    • * drowsiness
    • * sedation
  35. Antitussives
    *Nursing Considerations
    • * Evaluate sputum for color and viscocity
    • * Breath Sounds
    • * oral-liquid
    • * hard candy
    • * gel capsule
    • * OTC
    • * often used with other agents
  36. Antitussives
    *Meds
    • * dextromethorphan hydrobromide(Robitussin DM, BenylinDM)
    • * benzonatate(Tessalon)
  37. Antitussives
    *Used In
    *respiratory infections
  38. Expectorants
    *Actions
    *loosen bronchial secretions so they can be eliminated by coughing
  39. Expectorants
    *Side Effects
    *N & V
  40. Expectorants
    *Nursing Considerations
    • *OTC
    • *Take with water to liquefy secretions
    • *usually combined with other agents
  41. Expectorants
    *Meds
    • *guaifenesin (Robitussin)
    • *mucinex
  42. Expectorants
    *Used In
    • *Respiratory Infections
    • *Chest Congestion

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