NAC and Salmeterolhahaha

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NAME OF THE ROUTE, MECHANISM OF INDICATIONS CONTRAINDICATIONS/ SIDE EFFECTS/ADVERSE NURSING

DRUG DOSAGE, ACTION PRECAUTIONS EFFECTS RESPONSIBILITIES


& FREQUENCY

Drug Name: Route: Decreases  Bronchopulmonary Contraindications: Side effects: ● Separate


N-acetylcysteine Oral viscosity of disease  Hypersensitivity to  dry mouth administration times of
secretions,  Bronchiectasis drug (except with  nausea this drug and
Brand: Dosage: promoting  Chronic asthmatic antidotal use)  vomiting antibiotics.
Musican 600 mg secretion removal tuberculosis, ● Status asthmaticus  diarrhea
through  Atelectasis ● Use plastic, glass, or
Classification: coughing, Precautions:  Adverse effects: stainless-steel
Mucolytic Frequency: postural Use cautiously in:  Flatus container when giving,
600 mg tab BID drainage, and ● renal or hepatic because solution
 Gastroesophageal
mechanical disease, Addison’s discolors on contact
reflux.
Pregnancy means. In disease, alcoholism, brain with rubber and some
 Difficulty with breathing
Category: B acetaminophen tumor, bronchial asthma, metals.
or swallowing.
overdose, seizure disorder,
Image: maintains and hypothyroidism, ● Once solution is
restores hepatic respiratory insufficiency, exposed to air, use
glutathione, psychosis within 96 hours.
needed to ● elderly patients
inactivate toxic ●pregnant or ● Monitor respirations,
metabolites. breastfeeding patients. cough, and character
of secretions. Patient
teaching

● Instruct patient to
report worsening
cough and other
respiratory symptoms.
NAME OF THE ROUTE, MECHANISM OF INDICATIONS CONTRAINDICATIONS/ SIDE EFFECTS/ADVERSE NURSING
DRUG DOSAGE, ACTION PRECAUTIONS EFFECTS RESPONSIBILITIES
& FREQUENCY

Drug Name: Route: Stimulates  Maintenance Contraindications: Side effects: ● Ask patient to gargle
Salmeterol+ Oral inhalation intracellular treatment of  Hypersensitivity to  dryness of the throat. after 30 mins of using
Fluticasone adenylate asthma drug or its components  high-pitched noise it.
Dosage: cyclase, an  Prevention of ● Acute asthma attack when breathing.  Make sure patient
Brand: 25mcg/250 mcg enzyme that bronchospasm in  hoarseness. doesn’t exhale into
Kovent-SF catalyzes patients with Precautions:  runny nose. device.
Frequency: conversion of reversible Use cautiously in:  sneezing. ● Preferably, give
Classification: 2 puffs BID adenosine obstructive airway ● cardiovascular disease, Adverse effects: doses 12 hours apart
Bronchodilator triphosphate to disease diabetes mellitus,  Urticaria in morning and
cyclic-3’, 5’-  Maintenance hyperthyroidism  Rash angioedema evening.
adenosine treatment of ● concurrent use of MAO  Bronchospasm, ● Remind patient that
Pregnancy monophosphate bronchospasm inhibitors or tricyclic drug isn’t a rescue
 Headache
Category: C (cAMP). antidepressants (extreme bronchodilator and
 Tremor
Increased cAMP caution required) won’t give immediate
levels relax  Anaphylaxis
● pregnant or relief in emergency.
Image: bronchial smooth breastfeeding patients ● Teach patient proper
muscle and ● children younger than technique for using
inhibit release of age 4. inhaler or instruct him
mediators of not to exhale into
immediate device
hypersensitivity ● Advise patient to
(especially from keep inhaler dry. Tell
mast cells). him not to rinse, wash,
or take it apart.
● Instruct patient to
take regular doses 12
hours apart. Tell him
to take doses for
exercise-induced
bronchospasm 30 to
60 minutes before
exercising.
● Advise patient to
take drug exactly as
prescribed and not to
exceed one inhalation
twice daily.
● Tell patient to
consult prescriber if he
needs more
inhalations than usual.

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