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Chapter 29: Drugs for Pulmonary Disorders

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1 Chapter 29: Drugs for Pulmonary Disorders
DISCUSSION POINTS Chapter 29: Drugs for Pulmonary Disorders Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

2 Asthma - What is asthma? - Causes of asthma - Goal of drug therapy
- Treatment Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

3 Discuss the patient teaching that would be appropriate for the following scenario: The doctor has prescribed beclomethasone (Beclovent) administered by aerosol inhalation every day for a client with asthma. The client wants to know why the medication must be taken every day if he is not having an asthma attack every day. Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

4 - Why should it not be used to terminate asthma attacks in progress?
Beclovent - Action and uses - Why should it not be used to terminate asthma attacks in progress? Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

5 The rationale behind it being preferable to use selective beta2 adrenergic agonists in treating asthma, rather than non-selective beta adrenergic agonists, for a client that has asthma and cardiac problems. Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

6 The reason that both a glucocorticoid and a beta2 adrenergic agonist are used in treating asthma
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

7 The difference between the actions of these two medications
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

8 The importance of “spacers” for clients using inhalers
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

9 Discuss the patient teaching that would be appropriate for the following scenario: A client with emphysema has been prescribed an expectorant. The client is complaining that the “cough medicine” (the expectorant) is not stopping the coughing. Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.


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