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