Common Respiratory Therapy Drugs

How Administered Small Volume Nebulizer (SVN) (2:45-3:45)Small Volume Nebulizer (SVN) Breathe medicated mist over several breath cycles Dosages are larger, some medicine is wasted on exhale Metered Dose Inhaler (MDI) Inhale medicated mist in one large puff Hold deeply in lungs for 5-10 seconds, before exhale Dry Powder Inhaler (DPI) Inhale dry medicated powder in one large puff Powder combines with moisture in lungs

Bronchodilators Source: Relax the smooth muscles that line the airways Short term bronchodilators used as needed to treat asthma attacks Long term bronchodilators used daily w/ corticosteroids for prevention

Albuterol Purpose: Bronchodilator Brands: Proventil, Ventolin, Proventil HFA How supplied: SVN: 0.5 mL, 0.5% strength MDI: 2 puffs, 90 micrograms/puff DPI: 1 capsule, 200 mcg/cap

Salmeterol Xinafoate Purpose: Bronchodilator Brands: Serevent How supplied: MDI: 2 puffs, 21 mcg/puff DPI: 50 mcg/blister (capsule)

Levabuterol Purpose: Bronchodilator Brands: Xopenex How supplied: SVN: 0.63mg / 3 mL or 1.25 mg / 3mL

Ipratropium Bromide Purpose: Bronchodilator Brands: Atrovent How supplied: SVN: 2.5 mL, 0.02% strength MDI: 2 puffs, 18 mcg/puff

Ipratropium and Albuterol Purpose: Bronchodilator Brands: Combivent, Duoneb How supplied: SVN: 0.5 mg and 3 mg, in 3 mL volume MDI: 2 puffs, 18 mcg and 90 mcg

Corticosteroids Source: bronchitis-symptoms-and-treatment-is-it-contagious.html Control the swelling and mucus that clog airways Used daily for long- term prevention Will not stop an asthma attack, once begun

Triamcinolone Acetonide Purpose: Corticosteroid Brands: Azmazcort How supplied: MDI: 2 puffs, 100 mcg per puff

Budesonide Purpose: Corticosteroid Brands: Pulmicort Turbihaler, Pulmicort Respules How supplied: SVN: 0.25 mg in 2 mL – 0.5 mg in 2 mL DPI: 200 mcg/dose, 1-4 doses (up to 800 mcg)

Fluticasone Propionate Purpose: Corticosteroid Brands: Flovent How supplied: MDI: 2 puffs with 44, 110, or 220 mg/puff

References Respiratory Care: SVN checkoff. Video. Available < watch?v=28D_1dz29ks>. Video: Using a metered dose asthma inhaler and spacer. Available. © Mayo Foundation for Medical Education and Research (MFMER). April 4, Video: How to use a single-dose dry powder inhaler. Available. © Mayo Foundation for Medical Education and Research (MFMER). Aug 13, Asthmatic bronchiole and normal bronchiole. Image. Available. May 21, Bronchodilators. Available < Bronchodilators>. Copyright Gale Encyclopedia of Public Health, Bronchodilators and Asthma. Available < guide/asthma_inhalers_bronchodilators>. © WebMD, LLC. Inhaled Corticosteroids. Available < asthma/inhaled.pdf>. NYC Health.