A Patient Is Receiving Aminophylline Which Change In Assessment Finding?
Asked by: Mr. Dr. Sarah Wagner M.Sc. | Last update: June 28, 2023star rating: 4.7/5 (86 ratings)
Perform a Focused Respiratory Assessment. Before administering inhaled respiratory medications such as albuterol for asthma or chronic pulmonary disease, the O2 saturation, heart rate, respiratory rate, and lungs sounds are typically assessed.
Which therapeutic use is associated with the drug aminophylline theophylline?
Aminophylline is a bronchodilator consisting of theophylline that is used for the treatment of bronchospasm due to asthma, emphysema and chronic bronchitis.
Which mode of action is associated with the drug tiotropium?
Tiotropium is in a class of medications called bronchodilators. It works by relaxing and opening the air passages to the lungs to make breathing easier.
How does theophylline work in asthma?
Theophylline is used to prevent and treat wheezing, shortness of breath, and chest tightness caused by asthma, chronic bronchitis, emphysema, and other lung diseases. It relaxes and opens air passages in the lungs, making it easier to breathe.
What should be included in the assessment of the patient when administering medications?
Additional Information The right patient. The right medication (drug) The right dose. The right route. The right time. The right reason. The right documentation. .
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What assessments should be made prior to administration of these medications?
Assessment comes before medication administration. All medications require an assessment (review of lab values, pain, respiratory assessment, cardiac assessment, etc.) prior to medication administration to ensure the patient is receiving the correct medication for the correct reason.
What is the side effect of aminophylline?
Aminophylline side effects an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); seizures; increased or irregular heartbeats; or. severe nausea or vomiting.
What does aminophylline do in the body?
Aminophylline belongs to a group of medicines known as bronchodilators. Bronchodilators are medicines that relax the muscles in the bronchial tubes (air passages) of the lungs. They relieve cough, wheezing, shortness of breath, and troubled breathing by increasing the flow of air through the bronchial tubes.
What is the indication of aminophylline?
Aminophylline Injection is indicated for relief of bronchospasm associated with asthma and in chronic obstructive pulmonary disease.
What are the most common side effects of tiotropium?
The most common side effects reported with SPIRIVA HANDIHALER in patients with COPD include upper respiratory tract infection, dry mouth, sinus infection, sore throat, non-specific chest pain, urinary tract infection, indigestion, runny nose, constipation, increased heart rate, and blurred vision.
When teaching a patient about administration of tiotropium the nurse should include which instruction?
Instruct patients always to store SPIRIVA capsules in sealed blisters and to remove only one SPIRIVA capsule immediately before use or its effectiveness may be reduced. Instruct patients to discard unused additional SPIRIVA capsules that are exposed to air (i.e., not intended for immediate use).
How does tiotropium cause bronchodilation?
Anticholinergic agents such as ipratropium bromide and tiotropium bromide block the postganglionic efferent vagal pathways leading to bronchodilation associated with decreased vagal tone.
Does theophylline cause bronchodilation?
Theophylline has two distinct actions in the airways of patients with reversible (asthmatic) obstruction; smooth muscle relaxation (i.e., bronchodilation) and suppression of the response of the airways to stimuli (i.e., non-bronchodilator prophylactic effects).
What are the concerns for patients on theophylline therapy?
These include nausea, vomiting, fatigue, tachycardia and central nervous system (CNS) effects such as dizziness and seizures [3]. When given in the acute setting, more precautions are taken to monitor serum concentrations.
What are indications for theophylline?
Theophylline is indicated for the treatment of the symptoms and reversible airflow obstruction associated with chronic asthma and other chronic lung diseases, e.g., emphysema and chronic bronchitis.
Are there patient assessment factors that might affect medication administration?
Systems factors that can influence medication administration include staffing levels and RN skill mix (proportion of care given by RNs), shift length, patient acuity, and organizational climate.
What is a medication assessment?
The Medication Knowledge Assessment is used to assess a person's knowledge and ability to read and comprehend information necessary for appropriate medication use. Information from the Medication Knowledge Assessment can serve as the basis for a focused knowledge improvement plan.
When performing an assessment about medication drug history should include which of the following?
A good medication history should encompass all currently and recently prescribed drugs, previous adverse drug reactions including hypersensitivity reactions, any over-the counter medications, including herbal or alternative medicines, and adherence to therapy.
What are the 3 checks in medication administration?
Frequency – how often a medication must be given. MAR – medication administration record. Route – how a medication is given. Time – when the medication is scheduled on the MAR.
Which assessment would the nurse perform before administering a cardiac medication to a patient?
A nurse should assess the apical pulse for a full minute before administering digoxin due to its positive inotropic action (it increases contractility, stroke volume, and, thus, cardiac output), negative chronotropic action (it decreases heart rate), and negative dromotropic action (it decreases electrical conduction.
What does your assessment mean?
1 : the action or an instance of making a judgment about something : the act of assessing something : appraisal assessment of damages an assessment of the president's achievements. 2 : the amount assessed : an amount that a person is officially required to pay especially as a tax the tax assessment on property.
Does aminophylline increase blood pressure?
No, Aminophylline or any of its combinations do not affect blood pressure. Aminophylline contains theophylline, which increases the heart rate and systolic blood pressure.
Does aminophylline cause bradycardia?
Aminophylline frequently caused bradycardia in intact dogs and positive chrono- and inotropic effects in isolated atria. However, pentoxifylline usually produced only tachycardia in the donor dog and positive chrono- and inotropic effects on the isolated atrium.
What are common side effects associated with aminophylline neonate?
Due to its narrow therapeutic window,6 several adverse effects have been associated with aminophylline use at doses recommended for the treatment of AOP, such as tachycardia, irritability, vomiting, high blood sugar, and gastrointestinal bleeding.
Does aminophylline cause dizziness?
Some of the more serious side effects along with their symptoms from the above mentioned are: Symptoms related to Irregular heartbeat can include (dizziness, chest pain, shortness of breath).
When should aminophylline levels be checked?
Therapeutic serum concentrations of aminophylline are considered to range from 5- 15mcg/mL and levels greater than this are often associated with toxic effects. Serum theophylline levels should be checked every 12 hours while the infusion is running. Serum potassium level should be checked at the same time.
How do you administer aminophylline?
Aminophylline Injection is administered by slow intravenous injection or diluted and administered by intravenous infusion. The solution contains no bacteriostat or antimicrobial agent and is intended for use only as a single-dose injection. When smaller doses are required the unused portion should be discarded.
Why aminophylline is not recommended?
In the adult literature, a Cochrane review from 2012 recommends that aminophylline should not be considered for use in acute asthma due to serious side-effects and limited efficacy [17].
Is aminophylline a beta 2 agonist?
IV beta(2)-agonist agents and IV aminophylline may also be considered as additional interventions in this setting and this review compares IV beta-agonist agents and IV aminophylline in the treatment of people with acute asthma.