1
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2
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- Relieve Bronchoconstriction
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3
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- Adrenergics
- Anticholinergic
- Anti-inflammatory
- Leukotriene Inhibitor
- Mast Cell Stabilizer
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4
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- Stimulate Beta 2 Receptors in the bronchi and bronchioles
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5
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- Block the Action of Acetylcholine in bronchial smooth muscle
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6
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- Suppress inflammation in the airways
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7
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- Decrease mucus secretion and mucus production
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8
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- Prevents the release of bronchoconstrictive and inflammatory substances
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9
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- Multi-Action: Not used often
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10
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- Chronic Illness
- Inhaled bronchodilators work fast, others work slow!
- Take bronchodilators FIRST!
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11
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- Respiratory Rate and Character
- Respiratory Improvement or Distress
- Therapeutic Levels of Theophylline
- Adverse Effects
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12
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13
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- Histamine found in tissues exposed to environment(eyes, nose, lungs, GI)
- Histamine mainly found in Mast Cell
- Histamine found in Basophils (RBC)
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14
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- Contraction of smooth muscle= Wheeze
- Stimulation of Vagus = Cough
- Permeability veins = Edema
- Vasodilation = Flushing
- secretions = Mucous
- Stimulation of nerve endings = Pruritus
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15
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- Gastric Acid and Pepsin =
Abdominal Pain
- Rate & Force of
Myocardial Contraction =
Tachycardia
- Vasodilation = Hypotension,
Flushing, HA
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16
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- Allergic Rhinitis
- Allergic Bronchitis
- Allergic Conjunctivitis
- Allergic Dermatitis
- Anaphylaxis
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17
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- Diphenhydramine (Benedryl)
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18
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- Why is the client getting this drug?
- Is there any reason the client should not get an Antihistamine?
- Pregnancy, glaucoma, ulcer, medication interaction, allergy???
- Drowsiness ?
- Dry secretions ? ( Think of Asthma)
- Alcohol ?
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19
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- Prevention of Allergic Reaction is the Best Care
- Paradoxical Excitement May Occur
- Use in Elder May Cause Confusion
- Consider Side Effects: Dryness,
Drowsiness
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20
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|
21
|
|
22
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- Sympathomimetic Drugs
- Relieve Nasal Obstruction by constricting arterioles and blood flow
- Treatment of rhinitis
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23
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- Pseudoephridine (Sudafed)
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24
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- Suppress the cough center in the Medulla
- Suppress the cough receptors in the throat, lungs
- Narcotic, nonnarcotic
- Local anesthetics
- Lozengers
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25
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- Codeine
- Dextromethorphan (Benylin DM)
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26
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- Prototype Drug: Guaifenesin
(Robitussin)
- Liquefy Respiratory Secretions
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27
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- Prototype Drug: Acetylcysteine (Mucomyst)
- Inhalant
- Liquefy mucous
- Effective within 1 minute peaks in 5-10
minutes
- Used for Tylenol overdose... given orally
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28
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- Relieve Symptoms…NOT a cure
- Nose drops for no more then 7 days
- Read the labels carefully
- Note if syrups……remember sugar!
- Report palpitations, dizziness, drowsiness
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29
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- Side effects: tachycardia, arrhythmias, hypertension (adrenergic
effects)
- Rebound nasal congestion
- Many drugs alter the effects of OTC cold remedies……BE CAREFUL…..HTN,
Arrhythmias!
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30
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