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bronchodilators-methylxanthines
“phyllite” relax smooth muscle resulting in bronchodilatation and reduced bronchospasm
use
COPD, asthma, emphysema, cystic fibrosis
drugs
theophylline (aminophylline), caffeine
side effects
similar to drinking to much caffeine, stomach upset, headache, nervousness/irribility, increased hr and b/p
interventions
administered PO or IV use with caution in cardiac patients, loading dose 5-6mg/kg/dose, maintenance dose 2-6mg/kg/day
miscellaneous
requires serum theophylline level monitoring. normal range 10-20mcg/ml