Respiratory Drugs and Nursing Care
Respiratory medications include bronchodilators, corticosteroids, and mucolytics. Nurses teach correct inhaler technique and monitor for therapeutic and adverse effects.
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What you must know about Respiratory Drugs
Bronchodilators (e.g., salbutamol) relax airway smooth muscle and relieve bronchospasm.
Salbutamol can cause tachycardia, tremor, and palpitations.
Inhaled corticosteroids (e.g., beclomethasone) reduce airway inflammation and are preventers, not relievers.
Patients should rinse the mouth after inhaled steroids to prevent oral thrush.
When both are prescribed, give the bronchodilator first, then the steroid inhaler.
Teach correct inhaler technique and use of a spacer where appropriate.
NMCN Exam Tips
How this topic appears in the NMCN exam
Bronchodilator (reliever) is used before the steroid (preventer) inhaler.
Rinse mouth after inhaled corticosteroids to prevent oral candidiasis.
Salbutamol side effects: tachycardia and tremor.
Correct inhaler technique is a common patient-teaching question.
Practice Question
Test yourself
A patient is prescribed both a salbutamol inhaler and a beclomethasone (steroid) inhaler. The nurse should teach the patient to:
Explanation
The bronchodilator (salbutamol) should be used first to open the airways, allowing the steroid (beclomethasone) to be deposited more effectively. The patient should also rinse the mouth after the steroid.
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