Mucolytics/expectorants

action
1. mucolytics: disrupt molecular bonds and thins mucus
2. expectorants: stimulate a gastric mucosal reflex to increase production of lung mucous
examples
1. mucolytic: acetylcysteine (Mucomyst)
2. expectorant: guaifenesin (Robitussin)
uses
1. asthma
2. acute or chronic bronchopulmonary disease
3. cystic fibrosis
4. mucomyst: acetaminophen toxicity
adverse side effects
1. oropharyngeal irritation
2. bronchospasm
3. gastric effects
contraindications
1. increased intracranial pressure
2. status asthmaticus
nursing interventions
1. monitor respiratory status
2. teach client
* take no fluids directly after oral administration
* do take plenty of fluids
* encourage coughing and deep breathing, especially before treatment