DRUG

INDICATION

ACTION

ADVERSE EFFECTS

CONTRAINDICATION

NURSING RESPONSIBILITY

]Duavent Plasma volume expanders Management of reversible bronchospasm associated obstructive airway disease Patient with chronic obstructive pulmonary disease on a regular enhaled bronchospasm and who required a 2nd bronchodilator Treatment of obstructive airway diseases. Bronchodilator Headache, pain, influenza, chest pain, nausea.Bronchitis, dyspnea, coughing, pneumonia, bronchospasm pharyngitis, sinusitis, rhinitis, edema, fatigue, hypertension,dizziness, nervousness, paresthesia, tremor, dyspepsia, vomiting, arrhythmia, palpitation, tachycardia, arthralgia, angina, increased sputum, taste perversion and UTI/dysuria, allergictype reactions. Hypertrophic obstructive cardiomyopathy or tachyarrhythmia. Hypersensitiviity to atropine and its derivatives. Drugs should be given only if the potential benefit justifies the potential risk to the foetus. Position patient on high back rest position. Do back tapping after you nebulize the patient. do not give a food immediately it can cause vomiting

Drug name and Classification

Action

Indication

Contra-indication

Adverse Reaction

Nursing Consideration

GN: Salmetrol+ Fluticasone BN: Seretide

Anti-asthamatic

Selectively activates beta 2 adrenergic receptors, which results in bronchodilation and blcks the release of allergic mediators from the mast cells in the respiratory tract.

Regular treatment of reversible obstructive airway disease, including asthma where use of combination therapy is appropriate.

Contraindicated to patients with hypersensitivity to drug or any of its components.

Maintenance treatment for COPD including chronic bronchitis and emphysema.

Caution to patients who are unusually responsive to sympathomimetics and patients with coronary artery insufficiency.

Tremor, subjective palpitations and headache, cardiac arrhythmias, arthralgia, hypersensitivity reactions, oropharyngeal irritation, hoarseness,oral candidiasis, paradoxical bronchospasm.

-Assess patient s respiratory condition before starting therapy. -Assess peak flow readings before starting therapy and periodically thereafter. -Be alert for adverse reactions and drug reactions -Don t give drug for acute bronchospasm. -Tell patient to take the drug at about 12hour intervals even if he is feeling better.

Drug name and Classification GN: Doxofylline BN: Ansimar

Nursing Consideration Action Adrenergic bronchodilators and phosphodiesterase inhibitors both work by increasing intracellular level of cyclic-3 ,5 adenosine monophosphate(cA MP); adrenergics by increasing production and phosphodiesterase inhibitors by decreasing breakdown. Increased levels of cAMP produce bronchodilation. Corticosteroids act by decreasing airway inflammation. Indication Bronchial asthma & pulmonary disease w/ spastic bronchial component. Contra-indication Contraindicated for patients with Acute MI, hypotension, and lactating patients Adverse Reaction Nausea, vomiting, epigastric pain, cephalalgia, irritability, insomnia, tachycardia, extrasystole, tachypnea, hyperglycemia, albuminuria. -Assess lung sounds, pulse and blood pressure before administration and -during peak of medication. Not amount, color, and character of -sputum produced. -Monitor pulmonary function tests before initiating therapy and periodically -during therapy to determine effectiveness of medication. -Observe for paradoxical bronchospasm (wheezing). If conditions occur, -withhold medication and notify physician of other health care professional immediately

Anti-asthmatic

Drug Name

Action

Indication

Contraindication

Adverse Effect

Nursing Responsibilities Asses for heartburn and indigestion as well as location, duration,character, andprecipitating factors of gastric pain. Monitor serum phosphate, potassium, and calcium levels periodically during chronic use. Watch out for increased serum gastrin and systemic and urinar pH. Shake suspensions well before administration. For antacid effect, administer 1-3 after meal and at bedtime. Caution patient to

Generic Name Aluminum Magnesium Hydroxide Dosage: Adult 1-2 tab 1 hr after each meal and at bedtime.

Brand Name: Kremil S

Drug Classification: Antacids, Antireflux Agents & Antiulcerants

Symptomatic relief of hyperacidity associated w/ peptic ulcer, gastritis, esophagitis & dyspepsia. Supplement to H2blockers or proton pump inhibitors for rapid relief of ulcer symptoms. Antiflatulent to alleviate the symptoms of gassiness, including post-op gas pain, associated w/ hyperacidity.

Patients with renal failure. Partial intestinal obstruction, appendicitis, fecal impaction, gastric outlet obstruction & constipation. Phosphate depletion, low serum phosphate & osteomalacia.

Diarrhea or constipation may occur to patients taking antacids containing Mg & Al. The following occur rarely: Due to Al(OH)3: Proximal myopathy; encephalopathy & dementia may occur in patient w/ renal failure; intestinal obstruction; fecal impaction; osteomalacia.

consult health care provider before taking antacids for more than 2 weeks if problem is recurring.

Advise client not to take this medication within 2 hr of taking other medications. Caution patient in sodium restricted diet to check sodium content when on long term high dose therapy.