Bronchodilators

Front 1

(classification)
-Contraindicated with hypersensitivity or tachydysrhythmias.
- may cause nervousness, tremors, increased HR, increased BP, insomnia, restlessness, anorexia, tremors, cardiac stimulation, anginal pain, vascular HA, hypokalemia, hyperglycemia, n, v, chest pain, dysrhythmias, paradoxic bronchospasm (coughing, wheezing, and tightness in the chest,SOB) and urinary retention.
- can't use with MAOIs antidepressant may lead to hypertensive crisis.
- can't takeOTC med esp. cold med. > cause harmful effect.

Back 1

Beta Agonists

Front 2

(classification)
-maintain therapy
- dry mouth & nose, changes in vision, difficulty urinating, constipation, anorexia, n/v, diarrhea, tac

Back 2

Anticholinergic

Front 3

• Monitor therapeutic effectiveness after 60–90 min
• Monitor for: S&S of fine tremor in fingers,
- CNS stimulation, (hyperactivity, excitement, nervousness, insomnia), tachycardia, GI symptoms. Report promptly to physician.
• Note: cause dizziness or vertigo; take necessary precautions.
- Consult physician about giving last dose several hours before bedtime, if drug-induced insomnia is a problem.
- Prevention of exercise-induced asthma: inhaled 15 min before exercise.

Back 3

Albuterol (Proventil)

Front 4

• not an emergency agent because of its delayed onset
• Allow 5min between puffs for optimum results. Do not .
• Rinse mouth after medication to reduce bitter taste.
• Discuss changes in normal urinary pattern with the physician (more common in older adults).
• Call physician if you changes in sputum color or amount, ankle edema, or significant weight gain.

Back 4

Ipratropium (Atrovent)

Front 5

- don't use if having an asthma attack (eg, sudden, severe onset or worsening of asthma symptoms, such as wheezing, cough, chest tightness, shortness of breath)
- don't use if you using another type of long-acting inhaled bronchodilator (eg, formoterol, salmeterol)
- Don't use if you are taking certain azole antifungals (eg, itraconazole, ketoconazole), a macrolide antibiotic (eg, clarithromycin), protease inhibitors (eg, atazanavir, boceprevir, indinavir, ritonavir), nefazodone, or telithromycin
you have asthma that is already well controlled with the use of a long-term asthma-control medicine (eg, inhaled corticosteroid)

Back 5

Fluticasone Salmeterol (Advair)

Front 6

• Monitor for S&S of CNS or cardiovascular stimulation (e.g., BP, HR, respiratory status).
• Lab tests: Periodic serum potassium levels especially with coadministered loop or thiazide diuretics.
• Monitor diabetics for loss of glycemic control.
• Exercise caution with hazardous activities; dizziness and vertigo are possible side effects.

Back 6

Levalbuterol (Xopenex)

Front 7

• Assess vital signs: Baseline pulse and BP and before each dose. If significantly altered from baseline level, consult physician.
- Cardiovascular adverse effects are more if is given by SC route or it is used by a patient with cardiac arrhythmia.
• Most adverse effects are transient, however, rapid heart rate may persist for a relatively long time.
• Be aware that muscle tremor is a fairly common adverse effect that appears to subside with continued use.
.• Monitor patient being treated for premature labor for CV S&S for 12 h after drug is discontinued. Report tachycardia promptly.
• Monitor I&O ratio. Fluid restriction may be necessary. Consult physician.

Back 7

Terbutaline Sulfate