| Mechanism of Action | Drug Indications | Adverse Effects | Effects of Drugs | Nursing Implications |
|---|---|---|---|---|
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What is they stimulate the adrenergic receptors in the sympathetic nervous system causing bronchodilation.
Mechanism of action for b-Adrenergic Agnoists?
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What is it provides an anti-inflammatory response
What is the rationale for using inhaled budesonide (Pulmicort®)?
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What is Oral candidiasis and dry mouth
A patient has recently been placed on inhaled corticosteroids. Which common adverse effects should the nurse discuss with the patient?
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What is short-acting bronchodiation.
Salbutamol (SABA) effect?
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What is Decreased dyspnea
Decreased wheezing, restlessness, and anxiety Improved respiratory patterns with return to normal rate and quality Improved activity tolerance Decreased symptoms and increased ease of breathing
Therapeutic effects for respiratory medications?
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What is blocking the cholinergic receptors of the parasympathetic nervous system resulting in smooth muscle relaxation and thus bronchodilation (also reduce secretions)
Mechanism of action for anticholinergics
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What is salbutamol (Ventolin®)
Which drug is used in the treatment of acute attacks of bronchial asthma?
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What is nightmares.
What side effect does the Xanthine derivative Montelukast have shown in adults and children that would be particularly disturbing for children?
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What is longer-acting bronchodiation.
Formoterol (LABA) effect?
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What is The bronchodilator should be taken first
A patient has prescriptions for two inhalers. One inhaler is a bronchodilator and the other a corticosteroid. Which instruction should the nurse give the patient regarding these inhalers?
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What is Increases levels of cAMP (cyclic adenosine monophosphate) by competitively inhibiting the enzyme phosphodiesterase that breaks down cAMP which results in higher levels of cAMP which contributes to smooth muscle relaxation and also inhibits IgE -induced release of chemical mediators that drive allergic reactions.
Mechanism of action for Xanthine derivatives?
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What is salbutamol (Ventolin) nebulizer solution
What is a drug that is used for acute asthma attacks?
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What is dry mouth and throat or nasal congestion.
The most commonly reported adverse effect of the anticholinergic ipratropium?
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What is slow acting bronchodilation.
Ipratropium effect?
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What is Rinsing of the mouth after using the inhaler is recommended
A patient has been prescribed a respiratory corticosteriod medication. What should the nurse tell this patient about the proper method for taking this medication?
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What is Leukotriene receptor antagonists prevent leukotrienes from attaching to receptors on cells in the lungs and in circulation.
Inflammation in the lungs is blocked, and asthma symptoms are relieved.
Mechanism of action for Leukotriene receptor antagonists?
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What is severe acute exacerbation ofasthma attack or COPD.
When would it be indicated for systemic glucocorticoid use? example methylprednisolone.
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What is “Feeling a little nervous is an expected adverse effect. Let me take your pulse to check it"
After receiving a nebulizer treatment with a β-agonist, the patient reports feeling slightly nervous and wonders whether the asthma is getting worse. What is the nurse’s best answer to the patient’s concern?
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What is long-acting control of inflammatory responses resulting in airway opening.
Flutcason effect?
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What is The medication is to be taken every day on a continuous schedule, even if symptoms improve.
The physician has prescribed fluticasone (Flovent®) to treat a patient’s asthma. What important information should the nurse emphasize when teaching the patient about this medication?
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What is stabilize membranes of mast cells and Leukocytes that release harmful bronchoconstricting substances they also increase responsiveness of bronchial smooth muscle to ß-adrenergic stimulation
Mechanisms of action for corticosteroids?
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What is Prophylaxis of asthma in children
For which condition would the nurse anticipate treatment with montelukast (Singulair®)?
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What is Palpitations
Which is an adverse effect associated with the use of xanthine derivatives?
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What is Increased ease of breathing
A patient is taking aminophylline intravenously for a severe exacerbation of chronic obstructive pulmonary disease. Which effect does the nurse expect to note when evaluating for a therapeutic response to the medication?
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What is Avoiding exposure to conditions that precipitate bronchospasm (allergens, smoking, stress, air pollutants).
Maintaining an adequate fluid intake Complying with medical treatment Avoiding excessive fatigue, heat, extremes in temperature, and caffeine.
Encourage patients to take measures that promote a generally good state of health to prevent, relieve, or decrease symptoms of COPD. What are specifics you would teach?
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