Respiratory Pharm Drugs

NSG 349 Exam 3

Fluticasone (flonase)

Anti-inflammatory, intranasal steroid
Indication: nasal congestion/rhinitis
MOA: decrease inflammatory response caused by foreign invader
Contraindication: allergy, diabetes
Adverse Effects: mucosal irritabilty + dryness, oral thrush
Nursing Implications: Report to physician if symptoms last more than 1 week with decongestant

Budesonide

Inhaled Corticosteroid
Indication: mainstay of asthma treatment, bronchitis + copd treatment
MOA: reduce inflammation + enhance effects of beta agonists
Contraindications: allergy
Adverse Effects: oral funal infections, hyperglycemia
Nursing Implication: bronchodilator first —> then inahled steroids, several weeks for therapeutic effects to be realized

Albuterol

Bronchodilator
Indication: when experiencing intermittent dyspnea/dyspnea on exertion
Contraindications: allergy
Adverse Effects: insomnia, restlessness, hypertension, tachycardia, tremor
Nursing Implications: Always have on hand —> never know when the patients might need it, monitor for therapeutic effects + adverse effects

Salmeterol (serevent)

Bronchodilator, Long-acting beta agonist
Indication: asthma/copd —> maintenance of airway and prevention of symptoms, daily dosing
Contraindication: allergy, hypertension
Adverse Effects: insomnia, restlessness, HTN, tachycardia, tremor
Nursing Implication: monitor for therapeutic effects —> less attacks, less episodes of dyspnea, adverse effects (BP + HR)

Tiotropium (spirivia)

Anticholeringic agents, muscarinic antagonists, long acting
Indications: COPD, asthma —> prevents bronchospasms, dries up secretions
MOA: block acetycholine receptors + prevent bronchoconstriction
Contraindications: allergy
Adverse Effects: dry mouth, sore throat, nasal congestion, urinary retention