CHAP 48s Respiratory Medications
Glucocorticoids
Anti inflammatory.
Side effect is inhaled nonsteroidal anti allergy agent
Coughing, sneezing, nasal sting, or bronchospasm. Dot discontinue medication abruptly. Can cause counter-effect.
Expectorants loosen bronchiole secretions. Mucolytic agents thin secretions.
Expectorant: Guaifinesin Mucolytic: acetylcysteine
Leukotriene modifiers
Inhibit brochoconstriction.
TB meds first line
Isoniazid Rifampin Ethambutol Pyrazinamide
Anticholinergics
Open up the airways
Bronchodilators are contraindicated in patients with
Peptic, ulcer, disease, severe, cardiac disease, and cardiac dysrhythmias, hypothyroidism, or uncontrolled seizure disorders
Antihistamines.
Pretty much allergy meds. Anything that ends with ine. Like certrizine
Theophylline toxicity is likely to occur when the serum level is higher than 20 Mcg/mL. Early signs of toxicity include.
Restlessness, nervousness, tremors, palpitations, tachycardia
TB meds second line
Rifabutin Rifepentine Capreomycin sulfate Antibiotics Ethionamide Aminosalicylic acid Cycloserine Streptomycin
When a client is taking Rifabutin the nurse would watch for what side effects
Signs of hepatitis Flu like syndrome Low neutrophil count Ocular pain or blurred vision
Cycloserine is added to the medication regimen for a client with TB. Which instruction should the nurse reinforce in the client-teaching plan regarding this medication?
To return to the clinic weekly for serum drug-level testing
Prior to giving isoniazid for TB, you would test
Liver enzyme levels
When giving a nebulizer the nurse should have what nearby
Suction. In case the client cannot clear the secretions
A client given naloxone hydrochloride for respiratory depression. The nurse would monitor for which side effect?
Sudden increase in pain
First or second line medications for TB
First line: most effective Second line: used in combo with first line, but are more toxic. If client is still resisting they will get multi drug resistant strain of TB