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- Original Text modified by:
- Anita A. Kovalsky, R.N., M.N.Ed.,
- Professor of Nursing
- Original PPT by:
- Professor Pat Woodbery, ARNP, CS
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- Bronchodilators
- Xanthine derivatives
- Beta-agonists (Adrenergics)
- Anticholinergics
- Antileukotriene agents
- Corticosteroids
- Mast cell stabilizers
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- Prototype Drug: Anticholinergic
(Brand name in parentheses)
(Refer to Prototype List
in syllabus
Also listed in Lilley,
pg. 550)
- Ipratropium bromide
(Atrovent)
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- Prototype Drug: Antileukotreines
(Brand name in parentheses)
(Refer to Prototype List
in syllabus
Also listed in Lilley,
pg. 552)
Zafirlukast (Accolate)
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- Metabolic
- Inflammatory
- Immune processes
- Fluid and Electrolyte Balance
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- Allergic
- Respiratory
- Dermatological
- Endocrine
- Neoplastic
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- Suppress leukoctyes (WBCs)à
thereby reducing inflammation and causing bronchodilation
- Increase responsiveness of
bronchiole smooth muscle to beta-adrenergic receptor stimulation (this
produces an enhanced effect to
beta-agonists)
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- Prototype Drug: Corticosteroids
(Brand name in parentheses)
(Refer to Prototype List
in syllabus
Also listed in Lilley,
pg. 555)
Beclomethasone (Vanceril)
- Methylprednisolone (Medrol)
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- History of Steroid Use >2 weeks
- Time Frame
- Dosage
- Rationale for taking
- Infection Present
- GI Problems
- Skin or Bone Problems
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- More than 2 weeks of steroid use results in higher risk of long term
effects of steroid usage
- Persons taking systemic steroids are at higher risk for infection, GI
problems (GI bleed), and osteoporosis.
- A complete list of side effects is on page 488, Table 31-4
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- Don’t Stop Abruptly
- Avoid Infected People and Places
- Avoid Falls
- Watch for Weight Gain
- Take with Food
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- Prototype Drug: Mast Cell Stabilizers
(Brand name in parentheses)
(Refer to Prototype List
in syllabus
Also listed in Lilley,
pg. 557)
Cromolyn (Intal)
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- Preparation
- Administration (optional use of spacers
- Documentation
- Precautions!!!!!
- Client teaching!!!!!
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- Assess for other chronic illnesses
- Inhaled bronchodilators work fast, others work more slowly
- Take bronchodilators FIRST!
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