Side effects: nose bleeds, increased ocular pressure
Diphenhydramine - H1 antagonist
Ipratropium (inhaled) - Big points to know - Use: COPD, class: inhaled anticholinergic inhibits M3
receptors at smooth muscle
contraindicated with peanut allergy. Precautions: Glaucoma, BPH
Remember: "pium" "can't pee." This drug is an anticholinergic and dries you up!
Side Effect: foul taste, xerostoma, increased ocular pressure, urinary retention.
Interventions: monitor urinary patterns, schedule eye exams, provide hard candy
Educate: suck on hard candy, regular eye exams, report urinary issues
Albuterol - Short acting beta agonist
Acute asthma exacerbation.
Acts on Beta 2 but also triggers Beta 1 (heart). So can cause tachycardia, palpitations, tremors, insomnia.
, Also, watch out for hypokalemia!
Remember to clean mouth piece of inhaler 1x - 2 x a week. Also, use this before a steroid!
Formoterol - long acting beta 2 agonist / asthma
Always give with a SABA. Do NOT GIVE BY ITSELF!
Hypokalemia risk is significant (shift of Vitamin K into cells); Hyperglycemia is also a risk, Seizure risk.
Interacts with many diuretics (worry about hypokalemia, again), and many other drugs
Cromolyn - mast cell stabilizer; used for asthma before exercise prophylactically is allergen is
causative agent, MDI; maximal effects may take several weeks before clinical response; NSAID that
inhibits the IgE mediated release of antiflammatory mediators from mast cells; not used to tx acute
bronchospasm
Long term onset (1-2 weeks), PO, concerns: LIVER ISSUES and suicidal ideation
Fluticasone (inhaled) - inhaled corticosteroid
Inhibits immune and inflammatory systems
COPD (inhaled), allergies (intranasal)
Concern: Thrust, HTN
Rinse mouth, brush teeth, ENT assessment.
Inhibits histamine by binding to H1 receptor sites on mast cells
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