Nursing Implications : Decongestants ✅Instruct to avoid caffeine and products,
educate about side effects and to not take for more than 1 week
bronchodilators ✅Albuterol (short acting)
Salmeterol ( long acting)
Bronchodilators MOA ✅Relax bronchial smooth muscle causing dilation of bronchi and
bronchioles
Activation of B-2 receptors
Anticholinergics MOA ✅Slow prolonged action
Acetylcholine (ACh) causes bronchial constriction and narrowing of the airways
Anticholinergics bind to the ACh receptors, preventing ACh from binding
Result: bronchoconstriction is prevented, airways dilate bronchi
Nursing Implications : Bronchodilators & Anticholinergics ✅Take only as prescribed,
teach to use MDI's & inhalers, teach side effects of medications, use of peak flow meter
LTRAs MOA ✅prevent leukotrienes from attaching to receptors in cells in the lungs
and in circulation
inflammation of lungs is blocked and asthma symptoms are relieved
LTRA's Indications ✅Only given to 12 y/o & up
Prevent asthma
Not for acute attacks
LTRAs side effects ✅Headache
Nausea
Dizziness
Nursing Implications : LTRAs ✅- assess liver function before beginning therapy and
throughout
- teach patients to take medications every night on a continuous schedule even if
symptoms improve
Corticosteroids ✅fluticasone
Budesonide
Corticosteroids MOA ✅*Stabilize membranes of leukocytes that release harmful
bronchoconstricting substances
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