NURS 4390 Lecture Notes - Lecture 5: Dry-Powder Inhaler, Nasal Cannula, Fluticasone
3 May 2020
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Oxygen: nasal cannula, simple mask, venturi mask, non-rebreather mask. Bronchodilator drug therapy relaxes smooth muscles in the airway and improves ventilation of lungs: reduces dyspnea and increases fev1. Beta agonist: short acting = albuterol, long acting = salmeterol. Cholinergic antagonist (anti-cholinergic: short acting = ipratropium. Methylxanthines: theophylline narrow therapeutic range. Advair (fluticasone and salmeterol: steroid and bronchodilator, rinse your mouth with to prevent oral fungal infections, dry powder inhaler. Proper inhaler use: breathe out all the way. Less oral candidiasis because of smaller particle size, deposited deeper in airways. Use with caution in patients with cardiac disorders. Saba because b agonists may cause increase bp and heart rate. Mono therapy for copd: breath in slowly and press down on inhaler, hold breath counting to 10 slowly. How to use dry powder inhaler: do not shake medicine, breathe in deeply and quickly, hold breath for 10 seconds.
