University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2022
Views:

215

Pages:

2
Author:

do3ran7ut

Pharmacology Medsheet Medication Generic Medication Brand name Therapeutic class Indications arformoterol brovana Bronchodilator Relief of symptoms or prevention of bronchial asthma Reversal of bronchospasm associated with COPD Route and Dosage Inhalation: 15 mcg unit dose vial administration 2 a day morning and evening by nebulization Action Brovana is a selective beta2 adrenergic bronchodilator, beta2 receptors are the predominant adrenergic receptors in bronchial smooth muscles. They cause stimulation of intracellular adenyl cyclase which turn causes relaxation of bronchial smooth muscles. Pharmacokinetics PO onset: 1-6 hours Peak 4-6 hours Duration: 6-8 hours Metabolized: liver Excretion: urine Contraindications/precautions Co-morbidities: GI problems, coronary disease, respiratory dysfunction, renal or hepatic disease, alcoholism, or hyperthyroidism Pregnancy or lactation Adverse reactions Side Effects Interactions Assessment CNS: irritability, restlessness, dizziness Cardiovascular: palpitations, life threatening arrhythmias Others: loss of appetite, fever, flushing, GU: proteinuria Respiratory: respiratory arrest Fever, flushing, dizziness, irritability. Palpitations, nervousness, shaking, dry mouth, Nicotine, Assess for hypersensitivity Pregnancy or lactation Establish baseline for assessing of effectiveness of drug therapy Cigarette cessation Assess for renal, hepatic dysfunction, and coronary disease Monitor blood pressure, pulse, cardiac auscultation, assess bowl sounds, liver evaluation, Nursing diagnosis Implementation Patient/family teaching Evaluation/Desired Outcomes Evaluate urinary output Regular oral care Acute pain related to headaches and GI upset Disturbed sensory perception related to CNS effects Deficient knowledge regarding drug therapy Relieve GI upset with oral drugs with food or milk Monitor drug responses. Provide follow up appointments Proper administration and dosage Increase oral fluid intake Encourage voiding Small frequent meals Educate patient on correct dosage and techniques on how to take medication Help avoid adverse effects Make sure patient understand it is very important to do oral care Monitor for patient response to medication Monitor for therapeutic response