DRUG PRESENTATION ON BRONCHODILATOR: AMINOPHYLLINE

PRESENTED BY: Miss libi rajan

INTRODUCTION 

Its a substance that dilates the bronchi and bronchioles, decreasing airway resistance «..

CLASSIFICATION
‡

‡ ‡

BETA 2 AGONISTS (SHORT AND LONG ACTING) THEOPHYLLINE ANTICHOLINERGICS 

FACTORS AFFECTING ACTION OF DRUG.

a. Weight. Heavy, burly clients require larger doses than weak, emaciated ones. The doses of many drugs are calculated on a weight basis; a specified number of grams or milligrams are administered per pound or kilogram of body weight. b. Age. As a rule, the very young and the very old require less than the normal adult dose. As you recall from lesson 1, several formulas are available for estimating a child's dose when the average adult dose is known. c. Sex. Females usually require smaller doses than males. Iron preparations and other hematinics are exceptions to this rule because of the blood lost by women

INDICATIONS 
   

ASTHMA CHRONIC BRONCHITIS C.O.P.D. EMPHYSEMA WHEEZING , MUCUS IN THE LUNGS, EXERCISE INDUCED ASTHMA.

CONTRAINDICATIONS 
      

HEART OR BLOOD VESSEL DISEASE HYPERTENSION ARRYTHMIAS HYPERTHYROIDISM PHEOCHROMACYTOMA URINARY PROBLEMS GLAUCOMA VIRAL ILLNESS AND PREGNANCY.

Name of the drug:drug:Trade name : TRUPHYLLINE Pharmaceutical name: AMINOPHYLLINE

Preparation , strength and dose.
Availability:Availability:- tabs 6mg, then 3mg/kg q 6 hr. for 2 doses,  Then 3mg/kg q 8 hr. maintenance dose.  (up to 13 mg/kg or 900 mg/day) 

DOSAGE AND ROUTE. 

Oral route Intra venous 

ADVERSE EFFECTS. 

CNS: seizures, anxiety, headache, insomnia C.V.: arrhythmias, tachycardia, angina, palpitations. G.I.: nausea. vomiting, anorexia, cramps, M.S.: tremors.   

NURSING RESPONSIBILITY. RESPONSIBILITY.

Nursing responsibility. 
   

 

Monitor vital signs.- temp ,BP (before signs.giving the drug). Check expiry date before administering. Electrolyte levels . Examine ±mucous membrane ,hydration status. Evaluate mental status, muscle strength. Check weight. Important intake / output monitoring and recording.   

Monitor pulmonary function test before and periodically during therapy. C.V. patients should be monitored for chest pain. Ensure oxygen therapy is properly instituted during the attacks.

Reference
A C Nielsen ORG ±Margates µCIMS¶ ,EDITION 07  µMosey¶s 2006 Drug consult for nurses  µGolwalla medicine for students ¶ 20TH EDITION 

www.drugs.com html www.en.wikipedia.or/wiki/

Thank you