Cromolyn sodium is also used to prevent the symptoms of asthma, by reducing the inflammation in the lungs when used regularly. Cromolyn inhalation works by acting on certain inflammatory cells in the lungs to prevent them from releasing substances that cause asthma symptoms. However, Cromolyn will not help an asthma or bronchospasm attack if it has already started. Therefore, Cromolyn sodium cannot be used as a substitute for prednisone during an asthma attack. Cromolyn can be used alone or with other asthma medicine such as bronchodilators or corticosteroids.
Albuterol is a bronchodilator. Patients with asthma often experience bronchoconstriction, where the airways become narrowed, making it difficulty to breathe enough air. This causes wheezing and shortness of breath. Albuterol acts on the beta2 receptors in the smooth muscles of the bronchi, thereby relaxing the smooth muscle of the bronchi. The airways become clear and allow more air to flow into the lung.
Using the inhaler: When using the inhaler for the first time, shake the inhaler for five seconds. Press down the canister with the index finger to release the medication. Hold the inhaler away from your face to prevent the mediation getting into your eyes. Wait a few seconds, shake the inhaler, and press the canister down again.
General instructions: Remember to take the cap off the mouthpiece; be sure there is medication in the canister; shake the inhaler vigorously for five seconds before each puff; inhale through the mouth when breathing in the medication, not the nose; keep the tongue under the mouthpiece so that it does not block the opening of the mouthpiece; take a slow, deep breath at the same time as the patient press down on the medication canister; hold breath for as long as comfortable (5-10 sec) and then exhale.
Cleaning the inhaler: remove the medication canister and cap from the mouthpiece, do not wash the canister or immerse in water; run warm tap water through the top and bottom of the plastic mouthpiece for 30 to 60 seconds. Use a soft cloth to remove any crusting of medication around the mouthpiece; shake off excess water, and allow the mouthpiece to dry completely.
The nurse should include the following while taking the history of the patient:
Usual prodromal signs or symptoms
Rapidity of the onset
Associated illness
Number of asthma attacks in the last year
Need for emergency department visits/hospitalization/ICU admission
Missed days from work or school or activity limitation
Elixophyllin is a bronchodilator that is used to treat symptoms of asthma, bronchitis, emphysema or breathing problems. The patient should not start or stop smoking without consulting the doctor while taking Elixophyllin. Smoking changes the way our body uses Elixophyllin, and dosage alteration would be needed. The drug clearance is increased by 58-100% and its half-life is decreased by 63% in smokers compared to non-smoker.
A PN 200 Fundamentals of Nursing IT Case Study Bronchial Asthma Michael y dinosed with bronchial...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is prescribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 35-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is prescribed for 4 weeks, and the order is written as follows: Day 1 I tablet by mouth four times a day Day 2 Day 3...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is prescribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is preseribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is prescribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet...
PN 200 Fundamentals of Nursing II Anticoagulants - Coumadin A patient is taking phenytoin, warfarin (Coumadin), promethazine (Phenergan), meperidine (Demerol), and diazepam (Valium) 1. Prepare a patient medication teaching plan for this patient being sure to include specifics about probable drug interactions 2. During the teaching session, the patient shares that he plans to start taking OTC products to boost his energy. What is the nurse's best response to the patient's comment being sure to explain the rationale for your...
To minimize the frequency of Michael's asthma attacks, the health care provider prescribes theophylline (Elixophyllin) 200 mg. twice a day. The albuterol inhaler is to be taken as needed. Nursing interventions include patient history of asthma attacks and physical assessment. 5. When taking the patient's history, what should the nurse include concerning asthmatic attacks? 6. What type of drug is Elixophyllin? Why should the nurse ask if Michael smokes?
OP, a 55-year-old patient, was recently diagnosed with bronchial asthma. In the past year, OP has had three asthma attacks that have been treated with prednisone and an albuterol inhaler. Explain the purpose for the use of prednisone during an asthma attack. Explain why the dosage is tapered over days. Can cromolyn sodium be substituted for prednisone during an asthmatic attack? What effect does albuterol have on controlling asthma? What instruction should the patient be given concerning use of the...
To minimize the frequency of Michael's asthma attacks, the health care provider prescribes theophylline (Elixophyllin) 200 mg. twice a day. The albuterol inhaler is to be taken as needed Nursing interventions include patient history of asthma attacks and physical assessment. 5. When taking the patient's history, what should the nurse include concering asthmatic attacks? 6. What type of drug is Elixophyllin? Why should the nurse ask if Michael smokes? 7. What are the side effects, adverse reactions, and drug interactions...
MA, a 55-year-old patient, was recently diagnosed with bronchial asthma. Her mother and three brothers also have asthma. In the past year, MA has had three asthmatic attacks that were treated with prednisone and an albuterol inhaler. At an office visit today, prednisone is prescribed for 4 weeks, and the order is written as follows: day 1, 1 tablet 4 times a day; day 2, 1 tablet 3 times a day; day 3, 1 tablet 2 times a day; day...