NUR 2474 Rasmussen Pharm Exam with a grade A+ and accurate answers available

Patient Education on using inhalers - ANSFor any patient prescribed an inhaler, the RN should ensure the client can self administer the medication. Teach back needed The patient should wait 1-2 minutes between puffs The patient should wait 5 minutes between 2 different inhalers The patient should take a bronchodilator before a corticosteroid medication (B before C) The patient must keep track of doses on their inhaler If opening a new inhaler, the patient should shake it and test before use. If dexterity is limited, a spacer can be used to get more medication in the airway. If the patient uses a steroid, they must wash their mouth out after use. If not, fungal infection may occur The patient should hold breath 10 seconds after receiving a puff. short-term asthma treatment - ANSBronchodilator: albuterol Acts as a rescue inhaler during asthma attacks. Onset is in 5 minutes and will last longer. Xanthine Derivatives: theophylline Dilates airways Can have high drug interactions in the body IV/ inhaled glucocorticoids. long term asthma treatment - ANSBronchodilator: salmeterol. Used to control symptoms of asthma Never is used alone (often with steroid) Anticholinergics: ipratropium bromide For long term asthma prevention Works very slowly. Corticosteroids: fluticasone Non bronchodilation Can take several weeks to show