Respiratory Nursing Master Review: Ipratropium, Albuterol,
Salmeterol, Budesonide, Theophylline, Montelukast, Cromolyn,
Guaifenesin, Short-Acting Beta2 Agonists, Long-Acting Beta2 Agonists,
Inhaled Glucocorticoids, Methylxanthines, Leukotriene Receptor
Antagonists, Mast Cell Stabilizers, Expectorants, Bronchiectasis, Cystic
Fibrosis, Asthma, COPD, Chronic Bronchitis, Emphysema, Alpha-1-
Antitrypsin Deficiency, Barrel Chest, Pulmonary Hypertension, Cor
Pulmonale, Status Asthmaticus, Peak Expiratory Flow Rate,
Spirometry, Airway Clearance Techniques, Metered Dose Inhaler, Dry
Powder Inhaler, Nebulizer, Pulmonary Assessment, Oxygen Therapy,
Breathing Exercises Exam Questions Verified and Provided with
Complete A+ Graded Rationales Latest Updated 2026
-Commonly combined with bronchodilator for use in duo-neb formulations
-Inhalation results in minimal systemic absorption, resulting in minimal anticholinergic effects
ipratropium nursing considerations
short acting beta 2 agonists
Albuterol
•Monitor respiratory function
•Monitor for adverse effects
,•Monitor respiratory labs, pulse oximetry
•Give last dose several hours before bedtime
albuterol nursing considerations
long acting beta 2 agonists
Salmeterol
Do not use to treat acute symptoms; do not as a use a rapid-acting bronchodilator
Contact provider if using more than 4 inhalations of a rapid-acting bronchodilator for 2 or more
consecutive days
Teach patient inhaler setup and use
salmeterol nursing considerations
Inhaled Glucocorticoids
budesonide
rinse mouth with water after use
budesonide nursing considerations
Methylxanthines
Theophylline
, -Peak serum concentration should be drawn after dosage is given.
-Draw trough level just before next dose.
-Monitor respirations.
-Avoid excessive caffeine intake.
-Increase fluid intake
theophylline nursing considerations
Leukotriene Receptor Antagonist
montelukast
-Do not use to treat acute symptoms; use a rapid-acting bronchodilator
-Notify provider of wheezing, respiratory distress
-Full therapeutic effect may take several weeks
-May increase risk of neuropsychiatric events including hallucination, aggression, anxiousness,
suicidal behavior and thoughts, and tremor
montelukast nursing considerations
Mast Cell Stabilizers
Cromolyn
Salmeterol, Budesonide, Theophylline, Montelukast, Cromolyn,
Guaifenesin, Short-Acting Beta2 Agonists, Long-Acting Beta2 Agonists,
Inhaled Glucocorticoids, Methylxanthines, Leukotriene Receptor
Antagonists, Mast Cell Stabilizers, Expectorants, Bronchiectasis, Cystic
Fibrosis, Asthma, COPD, Chronic Bronchitis, Emphysema, Alpha-1-
Antitrypsin Deficiency, Barrel Chest, Pulmonary Hypertension, Cor
Pulmonale, Status Asthmaticus, Peak Expiratory Flow Rate,
Spirometry, Airway Clearance Techniques, Metered Dose Inhaler, Dry
Powder Inhaler, Nebulizer, Pulmonary Assessment, Oxygen Therapy,
Breathing Exercises Exam Questions Verified and Provided with
Complete A+ Graded Rationales Latest Updated 2026
-Commonly combined with bronchodilator for use in duo-neb formulations
-Inhalation results in minimal systemic absorption, resulting in minimal anticholinergic effects
ipratropium nursing considerations
short acting beta 2 agonists
Albuterol
•Monitor respiratory function
•Monitor for adverse effects
,•Monitor respiratory labs, pulse oximetry
•Give last dose several hours before bedtime
albuterol nursing considerations
long acting beta 2 agonists
Salmeterol
Do not use to treat acute symptoms; do not as a use a rapid-acting bronchodilator
Contact provider if using more than 4 inhalations of a rapid-acting bronchodilator for 2 or more
consecutive days
Teach patient inhaler setup and use
salmeterol nursing considerations
Inhaled Glucocorticoids
budesonide
rinse mouth with water after use
budesonide nursing considerations
Methylxanthines
Theophylline
, -Peak serum concentration should be drawn after dosage is given.
-Draw trough level just before next dose.
-Monitor respirations.
-Avoid excessive caffeine intake.
-Increase fluid intake
theophylline nursing considerations
Leukotriene Receptor Antagonist
montelukast
-Do not use to treat acute symptoms; use a rapid-acting bronchodilator
-Notify provider of wheezing, respiratory distress
-Full therapeutic effect may take several weeks
-May increase risk of neuropsychiatric events including hallucination, aggression, anxiousness,
suicidal behavior and thoughts, and tremor
montelukast nursing considerations
Mast Cell Stabilizers
Cromolyn
