Respiratory ATI

Prednisone for acute asthma exacerbation, nursing instructions :

" Avoid taking nonsteroidal anti-inflammatory drugs" Gastric protective measures are essential for clients who are taking oral glucocorticoids. Anti-inflammatory drugs can cause GI bleeding, so clients should not take them concurrently with prednisone.

PT has difficulty mobilizing thick respiratory secretions, what drug should the expect to administer to the client:

Acetylcysteine is a mucolytic that loosens thick respiratory secretions.

what of the following reasons should the nurse instruct the clinet to use the albuterol inhaler before using the fluticasone inhaler?

Albuterol will increase the absorption of fluticasone Albuterol, an inhaled, short-acting beta2 agonist, causes bronchodilation, which will increase the absorption of fluticasone, an inhaled glucocorticoid.

Intranasal Glucocorticoids nursing instructions

Allow at least 2 weeks for the full therapeutic effect It can take 2 or 3 weeks to see the full therapeutic effect of intranasal glucocorticoids.

Using pseudoephedrine to tx allergic rhinitis cant be used on pt with....

Coronary Artery Disease pseudoephedrine, an oral sympathomimetic, can cause systemic vasoconstriction, it requires cautious use with clients who have severe hypertension or coronary artery disease.

Beclomethasone therapeutic effects

Decrease inflammation Beclomethasone, an intranasal glucocorticoid, treats asthma by reducing inflammation.

Diphenhydramine adverse effects:

Drowsiness

legal restrictions of Pseudoephedrine

Drug abuse Because it is possible to alter pseudoephedrine and epinephrine into methamphetamine, a commonly abused drug, the law restricts the drugs' purchase.

Zilutron instructions for nurse to give:

Have labooratory test done at regular intervals Zileuton, a leukotriene modifier, can cause liver injury. The nurse should monitor liver function once a month for 3 months, then every 2 to 3 months during the first year of treatment.

phenylephrine adverse effects:

Headache Oral sympathomimetics stimulate the adrenergic receptors, causing blood vessel constriction, which can cause nervousness, headache, blurred vision, and tremors.

which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination over the counter products?

OTC cold products can also contain guaifenesin

dextromethorphan can have what effect when combined with morphine?

Potentiation of depression od CNS actions Combining dextromethorphan with an opioid, such as morphine, increases the risk for decreased respirations and other depressed CNS responses.

Antihistamine actions

Prevent histamine from binding to receptors Antihistamines treat allergic rhinitis and reduce swelling by blocking histamine from binding to the receptor sites.

Cromolyn sodium to prevent bronchospasm has what therapeutic effects?

Reduces Inflammation Cromolyn sodium, a mast cell stabilizer, reduces inflammation by inhibiting the inflammatory response.

expectorant to tx. cough therapeutic effects:

Reduces surface tension Expectorants act by reducing the surface tension and viscosity of respiratory secretions. This results in thinning thick mucus, making it easier to cough out of the lungs and drain out of the nose and sinuses.

Codeine assessment priority:

Respirations The greatest risk to clients who are taking codeine, an opioid agonist, is severe respiratory depression. Therefore, the respiratory rate is the priority assessment.

adverse effects of pseudoephedrine:

Restlessness, Insomina, anxiety

Pt is taking theophylline.. what is expected to see on Pt drug level indicates toxicity?

Seizures Seizures are likely when plasma drug levels of theophylline, a methylxanthine, are higher than 30 mcg/mL, which indicates toxicity.

Montelukast nursing instructions

Take the drug once a day in the evening Montelukast, a leukotriene modifier, is most effective when taken once per day in the evening.

Mucolytic has what therapeutic effect:

Thins and loosens mucus Mucolytics make mucus less viscous to increase a cough's productivity.

When should a PT attach a spacer to a metered-dose inhaler ?

To increase the amount of drug delivered to the lungs A spacer increases the amount of drug that reaches the lungs.

Ipratropium Side/Adverse Effects

dry mouth, urinary retention

Fluticasone propionate/ salmeterol therapy nursing instructions

increase weight bearing activity Weight-bearing activity can help minimize bone loss, which is an adverse effect of fluticasone propionate/salmeterol, an inhaled glucocorticoid and inhaled long-acting beta2 agonist (LABA) combination medication.

Albuterol adverse effects

palpitations Although not common at therapeutic doses, beta2 agonists can cause cardiac stimulation, resulting in chest pain, palpitations, hypertension, and arrhythmias.

Ipratropium nursing instructions

wait 5 min between using the drug and another inhaled drug Ipratropium, an inhaled anticholinergic, requires a 5-min wait between its administration and that of another inhaled drug to allow for bronchodilation to take effect.