action:
stabilizes mast cells so chemical mediators are not released as easily; decreases bronchial hyperreactivity; decreases airway inflammation
example:
1. cromolyn sodium (Intal)
2. leukotriene receptor antagonists-zafirlukast (Accolate), montelukast (Singular)
3. glucocorticoids- beclamethasone (Vanceril), triamcinolone (Azmacort)
use:
to prevent asthma attacks, exercise-induced bronchospasms
adverse effects
1. cough
2. CNS disturbances
3. burning, stinging eyes
4. throat irritation
5. headache
contraindications
1. status asthmaticus
2. hypersensitivity
nursing interventions
1. monitor eosinophil count
2. monitor respiratory status
3. store in tightly closed light-resistant container; keep cool
4. teach client
* how to use the inhaler
* rinse mouth after using steroid inhaler
* when to call health care provider if medications are not effective
* that therapeutic effect may take up to four weeks
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