Respiratory Medication Chart – Flashcards
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What is isoniazid (INH) used for?
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TB and prophylaxis TB treatment
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Nursing implications of isoniazid?
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take B6 for deficiency, take on an empty stomach, avoid alcohol, avoid food containing tyramine and histamine, medication compliance 6-12 months
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Adverse reactions of isoniazid
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hepatotoxicity and peripheral neuropathy
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What is rifampin used for?
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TB
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Nursing implications of rifampin?
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turns body fluids orange, may need to wear eye glasses, take on empty stomach, give 1 hour before other TB medication, decreases the effects of oral contraceptives, beta blockers, anticoagulants, steroids and hypoglycemia meds
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adverse reaction of rifampin?
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hepatotoxicity
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What s pyrazinamide used for?
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TB
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nursing implications of pyrazinamide?
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monitor liver enzymes, monitor hepatitis, don't give with preexisting liver disease
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adverse reactions of pyrazinamide?
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hepatotoxicity and nongouty arthralgia
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what is ethambutol used for?
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TB
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what are nursing implications of ethambutol?
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monitor visual acuity
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what are adverse reactions of ethambutol
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optic neuritis
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what drugs are short acting bronchodilators?
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Albuterol and levalbuterol
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what are nursing implications of short acting bronchodilators?
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take at the beginning of an attack as a rescue inhaler
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which drugs are long acting bronchodilators?
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formoterol and salmeterol
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what are nursing implications of long acting bronchodilators?
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-Should be taken to prevent attacks and usually in conjunction with an anti-inflammatory agent -salmeterol cant be taken with a spacer -bronchodilators should be taken before steroid inhaler -wait atleast five minutes between other inhaled drugs
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Adverse reactions of bronchodilators?
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palpitations, extra heart beats, tachycardia chest pain, BP changes
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Why are intratropium and tiotropium taken?
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to relieve bronchospasm bronchodilators not used for acute attacks
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nursing implications of ipratropium and tiotropium?
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-tiotropium comes in a capsule, SHOULD NOT BE SWALLOWED! dry powder inhaler
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Adverse reaction of anticholinergic (ipratropium and tiotropium)
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dry mouth and pharynx irritation
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what is theophylline used for?
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bronchodilator chronic stable asthma
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what are nursing implications of theophylline?
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Narrow therapeutic range (10-20 mcg/ml) drug level should be monitored frequently increases heart rate (avoid coffee and other stimulant)
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How do you know theophylline is working?
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drug level is between 5-15mcg/ml pt is breathing better
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what are adverse reactions of theophylline?
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toxicity s/s (tachycardia, N/V, insomnia, restlessness, tacharrhythmias) when V given too rapidly: hypotension, fainting, lightheadedness, palpitations, tachycardia, angina
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Why are corticosteroids taken? (metylprednisolone, prednisolone, prednisone)
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for anti-inflammatory moderate to severe exacerbations
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Implications of methylprednisolone, prednisolone and prednisone?
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take medication as perscribed
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Adverse reactions of methylprednisolone, prednisolone and prednisone
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Hyperglycemia
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Why would a patient be taking guaifenesin or acetylcysteine?
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For productive cough and to liquify thick viscid mucous secretions. (THIS DRUG IS MUCINEX SILLY)
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adverse reaction of guaifenesin and acetylcysteine?
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anaphylaxis and bronchospasm
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what is MONTELUKAST and zafirlukast used for? (leukotriene modifiers)
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bronchodilation and anti-inflammatory
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what are nursing implications of montelukast and zafrlukast?
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long term prevention of asthma, montelukast should be taken 1 hour before or 2 hours after meals, monitor INR, monitor liver function
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How do you know montelukast and zafirlukast are working?
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Prevention of attacks triggered by inflammation or allergens
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what are adverse reactions of montlukast and zarfirlukast?
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hepatitis
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What is omalizumab (xolair/ immunodulator) used for?
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long term control and prevention of asthma allergy or severe asthma immunodulators suppress immune system
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nursing implications of xolair/ omalizaumab
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given SQ inhection every 2-4 weeks pain, bruising and skin reactions at injection site stay with patient 30-60 minutes after injection
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how do you know omaliazaumab is working?
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prevention of attacks triggered by inflammation or allergens
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what adverse raction does omalizaumab have?
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anaphylaxis
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Why would a patient be taking fluticasone and budesonide (inhaled corticosteroids)?
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- anti-inflammatory - improve breathing
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what are nursing implications fo fluticasone and budesonide?
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prevention or maintenance not for acute attacks use spacer good oral hygiene dont stop taking abruptly take bronchodilator first
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what are nursing implcations of fluticasone and budesonide?
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hyperglycemia
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Why would a patient be taking cromolyn and nedocromil?
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prevention of exercise induced asthma long-term orevention contraindicated in acute asthma
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what are nursing implications of cromolyn and nedocromil?
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mist use on regular basis take before exercise not a rescue inhaler
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what are adverse reactions of comolu and nedocromil
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cough and irritation
