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 CNS stimulation agitation, anxiety, insomnia, Sz, tremors, serious dysrhythmia and cardiac arrest p 657 wheezing caused by turbulent air flow thru obstructed airway p. 653 work synergistically with adrenergic bronchodiltors anticholinergics - ineffective at relieving bronchospasm alone p 661 1st chemical mediator released in immune & inflammatory response Histamine p. 635 Albuterol (proventil) Adrenergic Bronchodilator prototype) Children these patients may get paradoxical excitement from H1 Gen receptor antagonists p. 641 Long Acting Maintenance meds more likely to be combined with a steroid p 657) rapid IV injection of anithistamine severe hypotension may result p 642 MAO inhibitors and beta- adrenergic blockers used together within 14 days could precipitate hypertensive crisis p 659 asthma action plan specifying action to take if sx worsen p 653 Collaborate w/provider 1st Generation H1 Receptor Antagonists need to ask pts about glaucoma, peptic ulcer dis. pregnancy & urinary retention b/4 use p 640 beta- adrenergic blockers inhibit bronchodilation and may induce bronchospasm in pts taking albuterol p. 659 PEFR Peak expiratory flow rate p. 653 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 3rd Generation H1 Receptor Antagonists 'Azole' anitfungals (fluconazole, ketoconazole, miconazole) & Macrolides increase its concentration p. 646 status asthmaticus bronchodilator first, followed by steroid Inhaler shake well before use hold breath x 10 sec, exhale slowly and rinse mouth p 660 excessive CNS/cardiac stimulation main risk w/adrenergic bronchodilators p. 657 salmeterol Initiating this during worsening sx may be life- threatening p 660 Viral infections, Environmental factors NSAIDS's, sulfites Triggers for asthma p. 652 FDA Black Box Warning issued for Promethazine due to chemical irritation & tissue damage regardless of route of admin p. 642 Ipratropium Atrovent) Anticholinergic Prototype 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 CNS stimulation agitation, anxiety, insomnia, Sz, tremors, serious dysrhythmia and cardiac arrest p 657 wheezing caused by turbulent air flow thru obstructed airway p. 653 work synergistically with adrenergic bronchodiltors anticholinergics - ineffective at relieving bronchospasm alone p 661 1st chemical mediator released in immune & inflammatory response Histamine p. 635 Albuterol (proventil) Adrenergic Bronchodilator prototype) Children these patients may get paradoxical excitement from H1 Gen receptor antagonists p. 641 Long Acting Maintenance meds more likely to be combined with a steroid p 657) rapid IV injection of anithistamine severe hypotension may result p 642 MAO inhibitors and beta- adrenergic blockers used together within 14 days could precipitate hypertensive crisis p 659 asthma action plan specifying action to take if sx worsen p 653 Collaborate w/provider 1st Generation H1 Receptor Antagonists need to ask pts about glaucoma, peptic ulcer dis. pregnancy & urinary retention b/4 use p 640 beta- adrenergic blockers inhibit bronchodilation and may induce bronchospasm in pts taking albuterol p. 659 PEFR Peak expiratory flow rate p. 653 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 3rd Generation H1 Receptor Antagonists 'Azole' anitfungals (fluconazole, ketoconazole, miconazole) & Macrolides increase its concentration p. 646 status asthmaticus bronchodilator first, followed by steroid Inhaler shake well before use hold breath x 10 sec, exhale slowly and rinse mouth p 660 excessive CNS/cardiac stimulation main risk w/adrenergic bronchodilators p. 657 salmeterol Initiating this during worsening sx may be life- threatening p 660 Viral infections, Environmental factors NSAIDS's, sulfites Triggers for asthma p. 652 FDA Black Box Warning issued for Promethazine due to chemical irritation & tissue damage regardless of route of admin p. 642 Ipratropium Atrovent) Anticholinergic Prototype
(Print)
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
agitation, anxiety, insomnia, Sz, tremors, serious dysrhythmia and cardiac arrest
p 657
caused by turbulent air flow thru obstructed airway p. 653
anticholinergics - ineffective at relieving bronchospasm alone p 661
Histamine p. 635
Adrenergic Bronchodilator prototype)
these patients may get paradoxical excitement from H1 Gen receptor antagonists
p. 641
more likely to be combined with a steroid p 657)
severe hypotension may result p 642
used together within 14 days could precipitate hypertensive crisis p 659
Collaborate w/provider
need to ask pts about glaucoma, peptic ulcer dis. pregnancy & urinary retention b/4 use p 640
inhibit bronchodilation and may induce bronchospasm in pts taking albuterol p. 659
Peak expiratory flow rate p. 653
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
'Azole' anitfungals (fluconazole, ketoconazole, miconazole) & Macrolides increase its concentration p. 646
bronchodilator first, followed by steroid
shake well before use hold breath x 10 sec, exhale slowly and rinse mouth p 660
main risk w/adrenergic bronchodilators p. 657
Initiating this during worsening sx may be life-threatening p 660
Triggers for asthma p. 652
issued for Promethazine due to chemical irritation & tissue damage regardless of route of admin p. 642
Anticholinergic Prototype
