NUR 3145 Lecture Notes - Lecture 7: Mast Cell, Nasal Congestion, Respiratory Tract
Document Summary
Spirometry: forced expiratory volume in 1 second (fev1, forced vital capacity (fvc, fev1/fvc (~ 70-85%) Peak flowmeter: peak expiratory flow (pef) Beta2 agonists short acting (saba) & long acting (laba) Dosed on a daily fixed schedule (not prn) 1st line for asthma inflammation most pts should use. For moderate to severe persistent asthma or management of acute exacerbations of asthma or copd. Adrenal suppression, osteoporosis, hyperglycemia, peptic ulcer disease, growth suppression in children. Monitor for htn, gi bleeding, diabetes, visual changes. If given with laba give laba first then the steroid. Gi upset, rhinitis, headache, caution with liver impairment. Neuropsychiatric effects: depression, suicidal thinking & behavior. Used for prophylaxis of chronic asthma, exercise induced bronchospasm (eib), allergic rhinitis. Safest of all asthma meds: cough and bronchospasm. Used for 12 years old with moderate to severe asthma. (2) cannot be controlled with inhaled corticosteroid. Inhaled & oral long-acting beta2 agonists (labas) Long-term control in patients with frequent attacks.
