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In what order should inhaled medications be taken?
What would be the best way to deliver a bronchodilator to a patient who cannot cooperate?
- SVN with a mask
What type of nebulizer reduces the amount of medication wasted during exhalation?
- Breath activated nebulizer
Why would a HEART (high-output extended aerosol respiratory therapy) nebulizer be used?
- To deliver continuous nebulization in instances of severe bronchospasm
- Patient must be monitored closely (heart monitor, vitals, etc.) and not left alone
- Found primarily in blood vessels
- Stimulation = Vasoconstriction of blood vessels
What bronchodilators are best for maintenance in asthmatic patients?
What are the two anticholinergic bronchodilators?
- Ipratropium Bromide (Atrovent)
- Tiotropium Bromide (Spiriva)
Side effects of Beta-agonists include:
- Tachycardia - Nervousness
- Arrythmias - Insomnia
- Increased HR and BP - Hyperglycemia
- Hypokalemia - Dizziness, HA, N
If a patient is not responsive to 2 albuterol treatments what would you do?
- Administer continuous nebulization via LVN
Nicotine replacement medications:
- Nicotrol patch
- Nicorette gum
- Commit lozenge
- Nicotrol nasal spray
- Nicotrol inhaler
Fagerstrom test for nicotine dependance:
- Standard instrument for assessing the intensity of physical addiction to nicotine
- The higher the Fagerström score, the more intense is the patient's physical dependence on nicotine
- Higher scores indicate that treatment of withdrawal symptoms, usually with nicotine replacement therapy, will be an important factor in the patient's plan of care.
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