Respiratory
Asthma II
Pharmacology
NCLEX TIP
ANTI-INFLAMMATORY Agents
BRONCHOdilators
Beta 2 Agonist
B
Albuterol
Anticholinergics Ipratropium
Methylxanthines Theophylline
A
Steroids
M
S
Beclomethasone
Leukotriene Inhibitor
Mast Cell Stabilizers
L
Montelukast
M
Cromolyn
Kaplan Question
Bronchodilator - BAM team
• B - Beta 2 agonist - albuterol - think buterols for
brutal asthma attacks! It's considered the 1 & only rescue Last 2 - are NOT highly tested here
drug for asthma attacks • A - Anticholinergics Aminophylline is a bronchodilator
Ipratropium - dries out the body, decreasing secretions
& dilating the airways - you cant pee - with a tro-pium • M Methylxanthines - Theophylline - very toxic & very
fast HR! 10 - 20 therapeutic range
Memory Trick: Phyllines have you feeling toxic &
Therapeutic Range of
tachycardic
theophylline (10-20 mg/dL)
HESI Question
Anti-inflammatory Agents - SLM Team
• S - Steroids “-sone” like Beclomethasone MEMORY TRICK
Top side effects - 3 Ss for Sone Steroids
• S - Sores in mouth (oral thrush “candida”) so instruct the AIM for Acute Asthma Attack
client to wash out their mouth after every use & inhalers
go into the sink, twicer per week. • S - Sepsis & sickness A - Albuterol 1st
(increased risk for infection) & increases WBC count in the I - Ipratropium 2nd
M- Methyl-predniso-lone
body
(brand: Solu Medrol)
• S - Sugars increased (elevated glucose levels)
• L - Leukotriene inhibitors ending in Lukast like Montelukast (Singular) - think Luke likes to sing
• M - Mast cell stabilizers - Cromolyn
Metered Dose Inhaler Teaching
ATI Question
Most Commonly Missed Question
Patient with severe asthma:
Kaplan Question
Client should hold their breath for 10
seconds after inhaling so that the
medication gets deep into the
Need for further teaching when
airways
client states:
I will be careful not to shake the
canister before I use it
00:10
• Tachycardia (>120 BPM) •
Tachypnea (> 30 BPM) • O2
sat < 90% on RA • Peak exp.
Flow < 40% predicted or best
< 150L/min)
Which medication would you
give? Select all that apply
1. Inhaled salmeterol
2. Albuterol inhaler
3. Nebulizer Ipratropium 4. IV
methamphetamines 5. IV
Methylprednisolone