actually do this one kat

Prednisone MOA

Corticosteroid mimics endogenous cortisol to decrease inflammatory cell’s activity

Prednisone T.U.

short term management for acute exacerbations

Prednisone S.E.

irritability, insomnia, anxiety, agitation

Prednisone ADR

adrenal insufficiency, infection, hyperglycemia, phycological disturbances

Prednisone NA

alternative day dosing, taper off, d/c w/active infection, monitor BG, s/s

Prednisone Education

med alert bracelet, don’t d/c abruptly, avoid crowds, avoid people with communicable diseases, notify s/s

Prednisone Drug Interactions

NSAIDs, hypoglycemia agents (PO and Insulin)

Prednisone Controindications

hypersensitivity, active infection

Prednisone Precautions

DM, PUD

Prednisone Admin

PO, take in AM to reduce insomnia, typically only 3-10 days, low dose, taper off

Prednisone Evaluation

control of acute exacerbation

Budesonide MOA

corticosteroid mimics endogenous cortisol to decrease inflammatory cell’s activity

Budesonide TU

long term control of asthma

Budesonide SE

generally well tolerated

Budesonide ADR

oropharyngeal candidiasis (thrush), dysphagia

Budesonide NA

assess s/s

Budesonide Education

rinse mouth with water, s/s, use spacer on inhaler

Budesonide Drug Interactions

CYPSA4 inhibitors

Budesonide Contraindications

hypersensitivity, severe liver impairment

Budesonide Precautions

mild to moderate liver impairment

Budesonide Admin

MDI, DPI, or nebulizer, fixed schedule, post beta 2 agonist

Budesonide Evalution

long term control of asthma

Albuterol MOA

short acting beta 2 agonist (SABA) that leads to bronchodilation

Albuterol TU

“rescue med” for bronchospasm

Albuterol SE

tachycardia and tremors

Albuterol ADR

hypokalemia, hyperglycemia

Albuterol Drug Interactions

beta androgenic blockers, diuretics

Albuterol NA

monitor pts with cardiovascular conditions, monitor K, monitor BG

Albuterol Education

tolerance, s/s, monitor BG

Albuterol Contraindications

hypersensitivity

Albuterol Precautions

DM, CVD

Albuterol Admin

PRN, rarely as monotherapy, take pre exercise (if EIB), pre budesonide, notify provider if >2x per week

Albuterol Evaluation

prevention of EIB, resolution of asthma exacerbations