1. Albuterol Inhaler
    Used as a bronchodilator to control and prevent reversible airway obstruction caused by asthma or COPD. Common side effects: nervousness, restlessness, tremor. rAssess lung sounds, pulse, and blood pressure before administration and during peak of medication. Note amount, color, and character of sputum produced. Shake inhaler well, and allow at least 1 min between inhalations of aerosol medication.
  2. Atrovent Inhaler
    Maintenance therapy of reversible airway obstruction due to COPD, including chronic bronchitis and emphysema. Side effects: Resp: bronchospasm, cough. CV: hypotension, palpitations.
  3. Fluticasone inhaler
    Metered-Dose Inhaler: Instruct patient in the proper use of the metered-dose inhaler. Most inhalers require priming before first use. Shake inhaler well. Exhale completely, and then close lips firmly around mouthpiece. While breathing in deeply and slowly, press down on canister. Hold breath for as long as possible to ensure deep instillation of medication. Remove inhaler from mouth and breathe out gently. Allow 1-2 min between inhalations. Rinse mouth with water or mouthwash after each use to minimize fungal infections, dry mouth, and hoarseness. Clean the mouthpiece weekly with clean, dry tissue or cloth. Do not place in water. Advise patients using inhalation corticosteroids and bronchodilator to use bronchodilator first and to allow 5 min to elapse before administering the corticosteroid, unless otherwise directed by health care professional.
  4. Vancomycin
    Antibiotic. Used for resistant bacteria. Given IV every 12 hours over 60-90 minutes. Rapid IV infusion leads to red neck syndrome with hypotension, flushing, erythematous rash on face and upper body. SE: Ototoxicity, nephrotoxicity. Vanco blood levels necessary to prevent toxicity. Assess hearing – affects CN VIII. Monitor I & O.
  5. Isoniazid(INH)
    Antituberculosis agent. Given orally, daily. SE: Peripheral neuropathy, parathesias, hepatotoxicity – ETOH increases risk. Take on an empty stomach. Vitamin B6 can decrease neuropathies. Liver enzymes need to be monitored. Look for signs of liver toxicity: Dark urine, jaundice, clay colored stools.
  6. Rifampin
    Antituberculosis agent, antileprosy agent. Given orally qd. SE: GI distress, elevated liver function tests. Take on an empty stomach. Check liver enzymes periodically. Drug will cause body fluids to be red-orange. This drug decreases effectiveness of oral contraceptives.
  7. Ceftriaxone
    Cepholosporin antibiotic. Used in the treatment of lower respiratory tract infections. Side effects: diarrhea, nausea, vomiting, cholelithiasis. Assess for infection (vital signs; appearance of wound, sputum, urine, and stool; WBC) at beginning of and throughout therapy. Before initiating therapy, obtain a history to determine previous use of and reactions to penicillins or cephalosporins. Persons with a negative history of penicillin sensitivity may still have an allergic response.
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