Bronchodilators/Anti-asthmatics Cheat Sheet by Cdorris

Prototype: Aminop­hylline

Inhibits release of inflam­matory chemicals

S/S relief and prevention of asthma

Acute/­Cri­tical asthma attack­/br­onc­hospasm

Pregnancy category: C

GI issues such as PUD & Gastritis

Respir­atory dysfun­ction: chronic persistent hypoxia

Hypert­hyroid

10-20 mcg/mL: uncommon AE

Levels >30-35 mcg/mL: hyperg­lyc­emia, cardiac effects, seizur­es/­brain damage, & death

Nicotine: Increases speed of metabolism of drug; dose adjustment required if wanting to quit

Smoking education: contact provider if wanting to quit

Prototype: Epinep­hrine

Dilates bronchi & increases RR rate and depth

Anytime bronch­oco­nst­riction is occurring

Cardiac disease

Arrhyt­hmias

Hypert­hyr­oidism

CNS stimul­ation: anxiet­y/n­erv­ousness

Rapid/­Racing heartbeat

Bronch­ospasm

LABA (another category of sympat­hom­ime­tics) increase risk of Asthma related death

Give 30-60 min. before exercising

Prototype: Ipratr­opium

Inhibits vagus nerve stimul­ation resulting in bronch­odi­lation

Indivi­duals who cannot tolerate side effects of Sympat­hom­imetics

Peanut/Soy allergy

Narrow Angle Glaucoma

Conditions worsened by antich­oli­nergic effects

CNS effects

Palpit­ations

Sore throat

Avoid other antich­oli­nergic medica­tions because they will potentiate the adverse effects

Avoid other antich­oli­nergic medica­tions because they will potentiate the adverse effects