ILOILO DOCTOR’S COLLEGE

BACHELOR OF SCIENCE IN NURSING

West Avenue Timawa, Molo, Iloilo City

Name of Drug Classification and Indication and Side effects or Adverse Special Precautions Nursing Responsibilities
Mechanism of Contraindication Reactions
Action

Classification: Indications Adverse Reaction:  Dialyzable drug:  Watch for evidence, of

Bronchodialtors Unknown hypersensitivity and
Generic Name:  To reduce COPD  CNS: depression,
 Overdose S&S: Change in paradoxical bronchospasm.
Tiotropium bromide exacerbations; paresthesia,
mental status, tremors, Discontinue drug
maintenance headache, fever
Mechanism of abdominal pain, severe immediately
treatment of insomnia
Action: constipation  Monitor patients for signs
Brand Name: bronchospasm
and symptoms of narrow-
Competitive, in COPD,  CV: angina pectoris,
Spiriva HandiHaler,  Use cautiously in angle glaucoma and urine
reversible inhibition including HTN, chest pain,
Dpiriva Respinat patients with CrCl of less retention
of muscarinic chronic edema, palpitations
than 60 mL/minute, and  In patients with renal
receptors in smooth bronchitis and
in patients with angle- impairment, watch for
muscle leads to emphysema  EENT: cataracts,
Dosage: 2 inhalations closure glaucoma, anticholinergic adverse
bronchodilation  Long-term glaucoma, epistaxis,
prostatic hyperplasia, or reactions.
maintenance sinusitis, rhinitis
bladder neck obstruction  Use drug for maintenance
treatment of
Route: P.O.  Use capsule cautiously in treatment of COPD or
asthma  Skin: rash, pruritus
patients with severe asthma, not acute
Contraindications: hypersensitivity to milk bronchospasm.
 GI: dry mouth, protein.  Don’t confuse Spiriva with
Frequency: QD  Contraindicated GERD, diarrhea,  Immediate Inspra.
with patients dyspepsia, hypersensitivity
(once a day)
hypersensitive abdominal pain reactions can occur,
to atropine, its including urticarial,
derivatives,  Musculoskeletal: angioedema, rash,
ipratropium, or arthritis, leg pain, itching, and anaphylaxis
components of
 ILOILO DOCTOR’S COLLEGE
BACHELOR OF SCIENCE IN NURSING
West Avenue Timawa, Molo, Iloilo City

the product. myalgia

 Respiratory: URI,
cough, bronchitis

 Metabolic:
hyperglycemia,
hypercholesterolemi
a

- Coleen Mae C. Camarista BSN III-G