The nurse has taught a group of clients with asthma the importance of knowing when to use quick-relief medications and when to use long-acting medications
The nurse knows the clients have understood the teaching when they identify which medications as long acting?
Standard Text: Select all that apply.
1. budesonide (Pulmicort)
2. nedocromil (Tilade)
3. zafirlukast (Accolate)
4. albuterol (Ventolin)
5. ipratropium (Atrovent)
Correct Answer: 1,2,3
Rationale 1: Budesonide is an inhaled corticosteroid. It is an anti-inflammatory medication used to decrease inflammation of the airways, resulting in long-term control of asthma symptoms.
Rationale 2: Nedocromil is a mast cell stabilizer. It is an anti-inflammatory medication used to decrease inflammation of the airways, resulting in long-term control of asthma symptoms.
Rationale 3: Zafirlukast is a leukotriene modifier. It is an anti-inflammatory medication used to decrease inflammation of the airways, resulting in long-term control of asthma symptoms.
Rationale 4: Albuterol is used for acute bronchospasm.
Rationale 5: Ipratropium is an anticholinergic drug. It is a rapid-acting bronchodilator that can be used for acute bronchospasm.
Global Rationale: Long-acting medications such as budesonide, nedocromil, and zafirlukast take longer to act and should not be used to terminate acute bronchospasms. They are useful for the prophylaxis of persistent, chronic asthma. Albuterol and ipratropium are used for acute bronchospasm.
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