What are the nursing implications for albuterol?

What are the nursing implications for albuterol?

Indications: Albuterol is commonly used to treat asthma and chronic obstructive pulmonary disease (COPD). Nursing Considerations: Monitor respiratory rate, oxygen saturation, and lungs sounds before and after administration. If more than one inhalation is ordered, wait at least 2 minutes between inhalations.

How does hydromorphone affect breathing?

Hydromorphone may cause serious or life-threatening breathing problems, especially during the first 24 to 72 hours of your treatment and any time your dose is increased. Your doctor will monitor you carefully during your treatment. Tell your doctor if you have slowed breathing or have or have ever had asthma.

What should you assess before administering albuterol?

Assess heart rate, ECG, and heart sounds, especially during exercise (see Appendixes G, H). Report any rhythm disturbances or symptoms of increased arrhythmias, including palpitations, chest discomfort, shortness of breath, fainting, and fatigue/weakness.

What are the assessment and nursing interventions for bronchodilators?

The nursing interventions for patients using bronchodilators or antiasthmatics include: Relieve GI upset. Administer oral drug with food or milk to relieve GI irritation if GI upset is a problem. Monitor drug response.

How do you administer albuterol to nursing?

Place the open end of the mouthpiece into your mouth. Close your lips tightly around the mouthpiece. Breathe in slowly and deeply through the mouthpiece.At the same time, press down once on the container to spray the medication into your mouth. Try to hold your breath for 10 seconds.

Can nurses administer albuterol?

While the clinician will initiate albuterol therapy, the nurse and pharmacist will play significant roles in contributing to the interprofessional team management of treatment. Nursing can provide education on administration and dosing, and monitor therapy at subsequent visits while also assessing patient adherence.

Can hydromorphone help breathing?

How can pain medications help my breathing? The medications often used to treat shortness of breath are opioids (codeine, morphine, hydromorphone, oxycodone). You may know that these medications are used to treat pain, but they are also very good for treating shortness of breath.

Does hydromorphone decrease respiratory rate?

The first hydromorphone application, however, resulted in a significant decrease in the intensity of dyspnea and respiratory rate.

What are the contraindications for albuterol?

Who should not take?

• overactive thyroid gland.
• diabetes.
• a metabolic condition where the body cannot adequately use sugars called ketoacidosis.
• excess body acid.
• low amount of potassium in the blood.
• high blood pressure.
• diminished blood flow through arteries of the heart.
• a low supply of oxygen rich blood to the heart.

What should you monitor when giving albuterol?

Using other blood pressure drugs such as diuretics (water pills) with albuterol can cause heart rhythm changes and potassium levels that drop lower than normal. If these medications are given together, your doctor should monitor your potassium levels.

What are contraindications of albuterol?

Albuterol sulfate, as with all sympathomimetic amines, should be used with caution in patients with cardiovascular disorders, especially coronary insufficiency, cardiac arrhythmias, and hypertension; in patients with convulsive disorders, hyperthyroidism, or diabetes mellitus; and in patients who are unusually …

Does Dilaudid suppress the respiratory system?

ALCOHOL, OTHER OPIOIDS AND CENTRAL NERVOUS SYSTEM DEPRESSANTS (SEDATIVE-HYPNOTICS) POTENTIATE THE RESPIRATORY DEPRESSANT EFFECTS OF HYDROMORPHONE, INCREASING THE RISK OF RESPIRATORY DEPRESSION THAT MIGHT RESULT IN DEATH.

What are the nursing implications of hydromorphone hydrochloride?

Nursing Implications. Assess effectiveness of cough. Drug depresses cough and sigh reflexes and may induce atelectasis, especially in postoperative patients and those with pulmonary disease. Note: Nausea and orthostatic hypotension most often occur in ambulatory patients or when a supine patient assumes the head-up position.

What should a nurse know about albuterol use?

Nursing assessment should include listening to lung sounds, obtaining blood pressure, and heart rate prior to use and during use of albuterol. If a patient has a productive cough, it’s important to assess amount, color, and consistency of sputum.

How to prepare for an IV infusion of hydromorphone?

PREPARE: Direct: Dilute each dose in at least 5 mL of sterile water or NS. IV Infusion: Using Dilaudid-HP, reconstitute 250 mg dry powder vial immediately prior to use with 25 mL sterile water for injection to yield 10 mg/mL. Final dilution of Dilaudid-HP 250 and HP 500 (supplied 500 mg/50 mL) must be ordered by physician.

Are there any published studies on hydromorphone metabolites?

There are very few published studies on the role of hydromorphone in the setting of chronic nonmalignant pain, and further research is needed in this area. The role of hydromorphone metabolites in the relief of pain and in the development of toxicity remains an area of ongoing study.