Classification

Action

-HR
- SNS
Expands
dilates
bronchioles
Wheezing
SOB
Relaxes and
opens air
passages

Relaxes
smooth
muscles in
respiratory
airways,
prevents OR
reverses
Bronchospas
m in COPD

H/A
N/V
Gastro Reflux
Diuresis (Polyaria)

Constipation
Upset stomach
Cough
Dry MM
Rash
Blur vision
Heart
palpitations

Anticolergenic
effects

HR
Tachycardia
Sympathommetic
Agonist
Anxiety
Nervousness

Adverse Effects
-

COPP
Prevent wheezing
SOB
Asthma
Chronic
Bronchitis
Emphysema
Lung diseases

air

Provide

COPD to decrease
prevent
Bronchospasm

Acute Asthmatic
Attack
Propolactic prior
to exercise , for
asthmatic
patients

Therapeutic Uses

TEAM BRONCHO (B.A.M) beta 2 agonists, anticholonergic, methloxannthines

Drug
EX: Beta-2

Pinbuteral

Betaadrenergic
agonist

Albuteral
Trade name:
Proventil
Ventonil
Albuterol

Antichilinergic
Bronchodilator

(Methylxathine
)

- Broncho
dilation

Enhances
Beta-2
receptors in
the lungs

Iprotropium
Inhaler

Atrovent
Apovent
Aeroent

Trade name:
-

Theophillin

Elixophyll
in
Theo-24

Trade name:
-

SOB/Difficulty
breathing

Jitters

Take during acute

asthma attack
Prior to exercise
Blow 100% air our
(exhale)
Compress chamber
Inhale deep & hold
Will (heart rate) &
anxiety

Patient Teaching

Do not get mist in

eyes
Drink H2O
(2liters/day)
HR
Expands lungs &
SOB
Dry mouth and cough
Use as doctor
prescribes
-

2-3 doses per day to

prevent COPD
symptoms

Avoid high caffeine,

may side effects
Upset stomach,
diarrhea, insomnia,
irritability
CALL doctor, vomiting
sz, rash

Drug
Carticosteriods

Classification

Action
Treat
inflammation
conditions

Therapeutic Uses

TEAM ANTI-INFLAM. (S.L.M.) steroids, lukotrienes, mast cell stabilizers

Prednisone

Trade name:

Surpress
inflammation
by preventing
prostaglanding

Deltasone

Prophylaxis &
chronic treatment
of asthma

Breathing
disorders
Ulcerative colitis
Lupus

Blocks
leukotrienes
receptors thus

Inhalers used to treat

asthma & nasal
sprays for Hay Fever

# of Attacks

mucus

constriction

Prevents
allergy &
inflammation
Rx from
releasing
histamines

means
buildup
inflammation

constriction
of airways

Orasone

Leukotriene
Receptor
antagonist

(handheld cardio
steroid)

*Mast cell
stabilizer

Montelakast

Zafirlukast
Trade name:

Cromlyn
Trade name:
Intal
Nasalcream
Rynacrom

H/A
Trouble swallowing
Skin itching
Muscle pain

(Check Hx & lab

LFT, ALT, AST)

H/A
N/V
Sore throat
Liver disease

Blood sugar
Na+ Retention
H2O
Muscle
weakness
K+ loss
Fluid retention

Adverse Effects
-

*CALL PMD if

White sores throat

Swelling tough

2-6 weeks to
become
effective

Meds work
SLOW!

Take an empty
stomach (1-2
hours between
meals)
Takes 1-2
weeks to
reach desired
effect
Will NOT work
for active
asthma attacks

wt gain
fluid retention
12/f
infection
(D.M.P +)
Take food
prevent upset
stomach
DO NOT stop
medication,
need gradual
weening
Blood sugar
Na+
retention >
(puffiness in
FACE)
Muscle
weakness

Patient Teaching

SE = Run nose ,
throat
irritation, HA
Do not use for
immediate
allergy relief
OR asthma
attack