Roach's Introductory Clinical Pharmacology by Ford Susan M. & Roach Sally S

Author:Ford, Susan M. & Roach, Sally S.
Language: eng
Format: epub
ISBN: 978-1-4698-3212-8
Publisher: LWW
Published: 2013-10-16T16:00:00+00:00

During an acute bronchospasm, check the blood pressure, pulse, respiratory rate, and response to the drug every 5 to 15 minutes until the patient’s condition stabilizes and respiratory distress is relieved.

IMPAIRED ORAL MUCOUS MEMBRANES. Inhalers, particularly the corticosteroid or mast cell aerosols, may cause throat irritation and promote infection with Candida albicans. Instruct the patient to use strict oral hygiene, cleanse the inhaler as directed in the package directions, and use the proper technique when taking an inhalation. These interventions will decrease the incidence of candidiasis and help to soothe the throat. Occasionally an antifungal drug may be prescribed by the primary health care provider to manage the candidiasis.

IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS. Some antiasthma drugs cause nausea. The patient with nausea should be offered frequent smaller meals rather than three large meals. Meals should be followed by good mouth care. Limiting fluids with meals can help lessen nausea. Teach the family ways to provide a pleasant, relaxed atmosphere for meals.

The patient taking theophylline may report heartburn, because the drug relaxes the lower esophageal sphincter, allowing gastroesophageal reflux. Heartburn is minimized if the patient remains in an upright position and sleeps with the head of the bed elevated. Some antiasthma drugs may cause an unpleasant taste in the mouth. Asking the patient to take frequent sips of water, suck on sugarless candy, or chew gum helps to alleviate the problem.

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