Nursing Pharmacology · NCLEX-RN

Nursing Pharmacology: Respiratory Medications

Bronchodilators, inhaled corticosteroids, and mucolytics with inhaler technique and key nursing considerations.

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What drug class does albuterol belong to?
Short-acting beta2-agonist (SABA)
What is albuterol primarily used for?
Quick relief of acute bronchospasm
Name a common cardiovascular side effect of albuterol.
Tachycardia
Name a common neuromuscular side effect of albuterol.
Tremor
What drug class does salmeterol belong to?
Long-acting beta2-agonist (LABA)
Why should a LABA never be used to treat an acute asthma attack?
Its onset of action is too slow for rescue relief
What black box warning applies to LABAs used alone for asthma?
Increased risk of asthma-related death; must be combined with an inhaled corticosteroid
What drug class is ipratropium?
Anticholinergic (antimuscarinic) bronchodilator
How does ipratropium cause bronchodilation?
It blocks acetylcholine at muscarinic receptors, preventing bronchoconstriction
How often is tiotropium typically dosed?
Once daily
What drug class is theophylline?
Methylxanthine bronchodilator
Theophylline's therapeutic serum level range is ____.
10-20 mcg/mL
What common dietary substance should patients on theophylline limit?
Caffeine
What drug class is fluticasone?
Inhaled corticosteroid (ICS)
What is the mechanism of action of inhaled corticosteroids?
They reduce airway inflammation

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