MAO inhibitors and beta- adrenergic blockers used together within 14 days could precipitate hypertensive crisis p 659 FDA Black Box Warning issued for Promethazine due to chemical irritation & tissue damage regardless of route of admin p. 642 Long Acting Maintenance meds more likely to be combined with a steroid p 657) 1st Generation H1 Receptor Antagonists need to ask pts about glaucoma, peptic ulcer dis. pregnancy & urinary retention b/4 use p 640 Epinephrine inhaled selective beta 2-agonist would be drug of choice in lieu of the one showing due to beta- stimulation and increased heart rate & force of contraction Ipratropium Atrovent) Anticholinergic Prototype beta- adrenergic blockers inhibit bronchodilation and may induce bronchospasm in pts taking albuterol p. 659 3rd Generation H1 Receptor Antagonists 'Azole' anitfungals (fluconazole, ketoconazole, miconazole) & Macrolides increase its concentration p. 646 Albuterol (proventil) Adrenergic Bronchodilator prototype) Inhaler shake well before use hold breath x 10 sec, exhale slowly and rinse mouth p 660 1st chemical mediator released in immune & inflammatory response Histamine p. 635 asthma action plan specifying action to take if sx worsen p 653 Collaborate w/provider work synergistically with adrenergic bronchodiltors anticholinergics - ineffective at relieving bronchospasm alone p 661 status asthmaticus bronchodilator first, followed by steroid wheezing caused by turbulent air flow thru obstructed airway p. 653 PEFR Peak expiratory flow rate p. 653 Children these patients may get paradoxical excitement from H1 Gen receptor antagonists p. 641 excessive CNS/cardiac stimulation main risk w/adrenergic bronchodilators p. 657 Promethazine may cause fatal respiratory depression in children < 2yo p. 642 Diphenhydramine (Benadryl) shouldn't be taken within 14 days of MAO inhibitor - risk of overstimulating sympathetic nvs system p. 640 salmeterol Initiating this during worsening sx may be life- threatening p 660 Viral infections, Environmental factors NSAIDS's, sulfites Triggers for asthma p. 652 rapid IV injection of anithistamine severe hypotension may result p 642 CNS stimulation agitation, anxiety, insomnia, Sz, tremors, serious dysrhythmia and cardiac arrest p 657 MAO inhibitors and beta- adrenergic blockers used together within 14 days could precipitate hypertensive crisis p 659 FDA Black Box Warning issued for Promethazine due to chemical irritation & tissue damage regardless of route of admin p. 642 Long Acting Maintenance meds more likely to be combined with a steroid p 657) 1st Generation H1 Receptor Antagonists need to ask pts about glaucoma, peptic ulcer dis. pregnancy & urinary retention b/4 use p 640 Epinephrine inhaled selective beta 2-agonist would be drug of choice in lieu of the one showing due to beta- stimulation and increased heart rate & force of contraction Ipratropium Atrovent) Anticholinergic Prototype beta- adrenergic blockers inhibit bronchodilation and may induce bronchospasm in pts taking albuterol p. 659 3rd Generation H1 Receptor Antagonists 'Azole' anitfungals (fluconazole, ketoconazole, miconazole) & Macrolides increase its concentration p. 646 Albuterol (proventil) Adrenergic Bronchodilator prototype) Inhaler shake well before use hold breath x 10 sec, exhale slowly and rinse mouth p 660 1st chemical mediator released in immune & inflammatory response Histamine p. 635 asthma action plan specifying action to take if sx worsen p 653 Collaborate w/provider work synergistically with adrenergic bronchodiltors anticholinergics - ineffective at relieving bronchospasm alone p 661 status asthmaticus bronchodilator first, followed by steroid wheezing caused by turbulent air flow thru obstructed airway p. 653 PEFR Peak expiratory flow rate p. 653 Children these patients may get paradoxical excitement from H1 Gen receptor antagonists p. 641 excessive CNS/cardiac stimulation main risk w/adrenergic bronchodilators p. 657 Promethazine may cause fatal respiratory depression in children < 2yo p. 642 Diphenhydramine (Benadryl) shouldn't be taken within 14 days of MAO inhibitor - risk of overstimulating sympathetic nvs system p. 640 salmeterol Initiating this during worsening sx may be life- threatening p 660 Viral infections, Environmental factors NSAIDS's, sulfites Triggers for asthma p. 652 rapid IV injection of anithistamine severe hypotension may result p 642 CNS stimulation agitation, anxiety, insomnia, Sz, tremors, serious dysrhythmia and cardiac arrest p 657
(Print)
used together within 14 days could precipitate hypertensive crisis p 659
issued for Promethazine due to chemical irritation & tissue damage regardless of route of admin p. 642
more likely to be combined with a steroid p 657)
need to ask pts about glaucoma, peptic ulcer dis. pregnancy & urinary retention b/4 use p 640
inhaled selective beta 2-agonist would be drug of choice in lieu of the one showing due to beta- stimulation and increased heart rate & force of contraction
Anticholinergic Prototype
inhibit bronchodilation and may induce bronchospasm in pts taking albuterol p. 659
'Azole' anitfungals (fluconazole, ketoconazole, miconazole) & Macrolides increase its concentration p. 646
Adrenergic Bronchodilator prototype)
shake well before use hold breath x 10 sec, exhale slowly and rinse mouth p 660
Histamine p. 635
Collaborate w/provider
anticholinergics - ineffective at relieving bronchospasm alone p 661
bronchodilator first, followed by steroid
caused by turbulent air flow thru obstructed airway p. 653
Peak expiratory flow rate p. 653
these patients may get paradoxical excitement from H1 Gen receptor antagonists
p. 641
main risk w/adrenergic bronchodilators p. 657
may cause fatal respiratory depression in children < 2yo p. 642
shouldn't be taken within 14 days of MAO inhibitor - risk of overstimulating sympathetic nvs system p. 640
Initiating this during worsening sx may be life-threatening p 660
Triggers for asthma p. 652
severe hypotension may result p 642
agitation, anxiety, insomnia, Sz, tremors, serious dysrhythmia and cardiac arrest
p 657
