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Pharmacology Remediation

Terms in this set (20)

Beta 2 Adrenergic Agonists: Albuterol (Proventil, Ventolin), Formoterol (Foradil Aerolizer), Salmeterol (Serevent), Terbutalin (Brethine)
-Pregnancy Risk Category C.
-Contraindicated in clients who have tachydysrhythmia.
- Use cautiously in clients who have diabetes, hyperthyroidism, heart disease, hypertension and angina.
-Use of beta-adrenergic blockers (propranolol) can negate the effects of both medications.
-MAOIs and tricyclic antidepressants can increase the risk of tachycardia and angina.
Methylxanthines: Theophylline (Theolair, Theo-24)
-Pregnancy category C
-Use cautiously in clients who have heart disease, hypertension, liver and kidney dysfunction, and diabetes.
-Use cautiously in children and older adults.
-Caffeine increases CNS and cardiac adverse effects
-Phenobarbital and phenytoin decrease theophylline levels.
-Cimetidine (Tagamet), ciprofloxacin (Cipro) and other fluoroquinolone antibiotics increase theophylline levels.
Inhaled anyticholinergics: ipratropium (Atrovent), tiotrapium (Spiriva)
- Pregnancy risk category B
-Contraindicated in clients who have an allergy to peanuts because the medication preparations may contain soy lecithin.
-Use cautiously in clients who have narrow-angle glaucoma and benign prostatic hyperplasia (due to anticholinergic effects)
(If two inhaled medications are prescribed, instruct clients to wait at least 5 minutes between medications)
Glucocorticoids: Beclomethasone (QVAR), Prednisone
-Pregnancy Risk Category C
-Contraindicated in clients who have received a live virus vaccine and those with systemic fungal infections.
-Use cautiously in children and in clients who have diabetes, hypertension, peptic ulcer disease, and/or kidney dysfunction.
-Use cautiously in clients taking NSAIDs
Leukotriene modifiers: montelukast (Singulair), sileuton (Zyflo), zafirlukast (Accolate)
-Singulair and Accolate are Pregnancy Category B. Zyflow is C.
-Use cautiously in clients who have liver dysfunction.
-Zileuton and zafirlukast inhibit metabolism of warfarin and theophylline.