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Budesonide (Pulmicort) commonly used for CF patients
Intranasal Glucocorticoids
side effects
weight gain, increased glucose, water retention
Caution with diabetes
Steroids
,increase salt and water retention, so weight gain is usually the side effect, gets RID of
POTASSIUM!!
Taper off steroids.
increase salt and water retention, so weight gain is usually the side effect, gets RID of
POTASSIUM!!
decrease inflammation
Antitussives
*Act on the cough control center in the medulla to suppress cough reflex
*Used only when cough is non-productive and irritating
Antitussives: examples
Codeine—narcotic
Dextromorphan—non-narcotic
Benzonatate (Tessalon perles)—non-narcotic
Antitussives
side effects
nausea, vertigo, sedation, drowsiness
caution: COPD
children <2 years
Narcotics
Alcohol
Expectorants
*Loosen bronchial secretions—then eliminate secretions by coughing
(Won't give expectorants and antitussives together)
*Hydration is best and first*
Expectorants: examples
Guaifenesin
Side effect: nausea and vomiting
Sympathomimetics Alpha/Beta-2 Stimulants
, *Increase bronchodilation
Sympathomimetics Alpha/Beta-2 Stimulants
example
Epinephrine~ anaphylaxis
Albuterol
Salmeterol
Tiotropium (Spiriva)
Terbutaline sulfate
Side effects: epinephrine
tremors, vertigo, increased blood pressure and heart rate, angina
side effect: albuterol
tremors, headache, increased heart rate, increased glucose- caution with diabetics
Anticholinergics
*Bronchodilation
Anticholinergics
example
Ipratropiem bromide (Atrovent)
patient education: administer 5 minutes before an inhaled steroid.
Leukotriene Receptor Antagonist (blockers)
Decrease inflammation symptoms of asthma triggered by allergens
Treats: maintenance therapy for chronic asthma
Administer by mouth
Leukotriene Receptor Antagonist (blockers)
example
Montelukast sodium (singulair)
side effect: Headache, Vertigo, Nasal congestion, Cough
Patient education: don't use during an attack
Xanthine Derivatives
Stimulate CNS, respirations, dilates coronary and pulmonary vessels, diuresis*
Bronchodilators