Name of Drug

Classification

Adverse effect

Indication

Contraindication

Nursing Consideration


Ambroxol
0.5m tid


Mucolytic

Occasional
gastrointestinal
side effects may
occur but these
are almost
invariably mild.


Adjuvant therapy in
patients with
abnormal, viscid, or
inspissated mucous
secretions in acute
and chronic
bronchopulmonary
diseases, and in
pulmonary
complications of
cystic fibrosis and
surgery,
tracheostomy, and
atelectasis. Also
used in diagnostic
bronchial studies
and as an antidote
for acute
acetaminophen
poisoning.


%here are no absolute
contraindication but in
patients with gastric
ulceration relative
caution should be
observed.

Assessment & Drug Effects
O onitor for S&S of
aspiration of excess
secretions, and for
bronchospasm
(unpredictable);
withhold drug and
notify physician
immediately if either
occur.
O ab tests: onitor
ABGs, pulmonary
functions and pulse
oximetry as
indicated.
O ave suction
apparatus
immediately
available. Increased
volume of respiratory
tract fluid may be
liberated; suction or
endotracheal
aspiration may be
necessary to establish
and maintain an open
airway.
!atient & Family Education
O #eport difficulty with
clearing the airway or
any other respiratory
distress.