NUR 239 Lecture Notes - Lecture 19: Coronary Artery Disease, Tiotropium Bromide, Benign Prostatic Hyperplasia
21 May 2018
School
Department
Course
Professor
ISU/MCN/NUR 239/Unit 4
Respiratory Medication Table
1 | P a g e
Bronchodilators
Use
AEs
Contraindications
Nursing
Implications
Albuterol (Proventil,
Ventolin)
Adrenergics –
Inhaled medications (fewer
systemic AEs) - MDIs
Acts on the beta-2
adrenergic receptors
(smooth muscles of the
bronchi and bronchioles
Rescue Inhaler (quick-relief,
short acting
_____________________
Maintenance inhaler (long-
term control, prevention)
Formoterol (Foradil)
Salmeterol (Serevant)
Treat or prevent
bronchoconstriction in
asthma and other
reversible obstructive
diseases
Used for people
experiencing an acute
asthma attack or used if
you know you’re going to
perform strenuous
activity
____________________
Long-acting beta-2
adrenergic agonists used
for prophylaxis of acute
bronchoconstriction (not
effective in acute asthma
attacks)
Muscle tremors
Cardiac
palpitations,
angina & CNS
(agitation, anxiety,
insomnia, seizures
and tremors)
stimulation
Dizziness,
Headache,
Nervousness,
Arrhythmias,
Nausea,
Cardiac tachy-
dysrhythmias and severe
coronary artery disease
- Do not give for an
acute asthma attack
- Must be given with an
inhaled corticosteroid
Avoid excess caffeine
– adds to the anxious
feeling you’re already
feeling
Interaction with
adrenergic drugs:
Beta-blockers, Thyroid
meds, Theophylline,
Cold meds
- See Box 31.4 for med
administration &
patient teaching
guidelines
Spacers - helpful for
people having
difficulty using an
inhaler
Use cautiously in
patients with CV
disease (angina, HTN,
arrhythmias), DM,
Seizure disorders,
Glaucoma,
Anticholinergics
Prevent mucous from forming
Use
AEs
Contraindications
Nursing
Implications
Ipratropium (Atrovent)
Tiotropium (Spiriva)
**Used more with COPD
people that have extra
mucous
Most useful in long-term
management of asthma
and other conditions such
as chronic bronchitis and
emphysema
The anticholinergic
bronchodilators are most
useful in the long-term
management of asthma and
other conditions producing
bronchoconstriction. These
drugs are not used in the
management of acute
exacerbations of asthma.
Cough,
nervousness,
nausea, GI upset,
headache and
dizziness
Cautiously used in
patients with narrow-
angle glaucoma,
prostatic hypertrophy,
and bladder neck
obstructions
Atrovent may be
given as an inhaler
or nebulizer
Spiriva is a pill
crushed and inhaled
via a HandiHaler
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Document Summary
Acts on the beta-2 adrenergic receptors (smooth muscles of the bronchi and bronchioles. **used more with copd people that have extra mucous. Treat or prevent bronchoconstriction in asthma and other reversible obstructive diseases. Used for people experiencing an acute asthma attack or used if you know you"re going to perform strenuous activity. Long-acting beta-2 adrenergic agonists used for prophylaxis of acute bronchoconstriction (not effective in acute asthma attacks) Cardiac palpitations, angina & cns (agitation, anxiety, insomnia, seizures and tremors) stimulation. Cardiac tachy- dysrhythmias and severe coronary artery disease. Do not give for an acute asthma attack. Must be given with an inhaled corticosteroid. Adds to the anxious feeling you"re already feeling. See box 31. 4 for med administration & patient teaching guidelines. Spacers - helpful for people having difficulty using an inhaler. Use cautiously in patients with cv disease (angina, htn, arrhythmias), dm, Cautiously used in patients with narrow- angle glaucoma, prostatic hypertrophy, and bladder neck obstructions.
