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pharmacology

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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Key Points to Know

What you must know about Respiratory Drugs

1

Bronchodilators (e.g., salbutamol) relax airway smooth muscle and relieve bronchospasm.

2

Salbutamol can cause tachycardia, tremor, and palpitations.

3

Inhaled corticosteroids (e.g., beclomethasone) reduce airway inflammation and are preventers, not relievers.

4

Patients should rinse the mouth after inhaled steroids to prevent oral thrush.

5

When both are prescribed, give the bronchodilator first, then the steroid inhaler.

6

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:

A.Use the beclomethasone inhaler first, then salbutamol
B.Use the salbutamol inhaler first, then beclomethasone✓ Correct
C.Use both inhalers at exactly the same time
D.Use only one inhaler each day, alternating them

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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