Respiratory Medications

Medication (Generic Name)IndicationsCommon Side EffectsAdverse EffectsNursing Considerations
Budesonide (Inhaled Corticosteroid)Asthma, COPDSore throat, hoarseness, oral candidiasisAdrenal suppression, osteoporosis, cataractsRinse mouth after inhalation; use spacer with MDI; monitor bone health in long-term use.
Tiotropium (Long-Acting Anticholinergic)COPDDry mouth, constipation, urinary retentionGlaucoma, paradoxical bronchospasm, arrhythmiasAssess for contraindications; educate on proper inhalation technique.
Aclidinium (Long-Acting Anticholinergic)COPDHeadache, dry mouth, sinusitisUrinary retention, glaucoma, paradoxical bronchospasmMonitor for urinary symptoms; assess for contraindications.
Methylprednisolone (Systemic Corticosteroid)Severe Asthma, Acute ExacerbationsIncreased appetite, mood changes, insomniaHyperglycemia, GI bleeding, immunosuppressionMonitor blood glucose levels; assess for signs of infection.
Cromolyn Sodium (Mast Cell Stabilizer)Asthma, Allergic RhinitisCough, throat irritation, headacheAnaphylaxis (rare), bronchospasm, rashEducate on regular use for prophylaxis; does not provide immediate relief.
Omalizumab (Anti-IgE Monoclonal Antibody)Severe Allergic AsthmaInjection site reactions, headache, fatigueAnaphylaxis (rare), malignancies, thrombosisAdminister by a healthcare provider; monitor for hypersensitivity reactions.

Medication (Generic Name)IndicationsCommon Side EffectsAdverse EffectsNursing Considerations
Albuterol (Short-Acting Beta-Agonist)Asthma, COPDTremors, palpitations, headacheTachycardia, arrhythmias, hypokalemiaAssess respiratory status before and after administration; monitor heart rate and potassium levels.
Ipratropium (Anticholinergic)COPDDry mouth, throat irritationUrinary retention, glaucoma, paradoxical bronchospasmAssess for contraindications; educate on proper inhalation technique.
Fluticasone/Salmeterol (Combination)Asthma, COPDThrush, hoarseness, headacheIncreased risk of pneumonia, adrenal suppressionRinse mouth after use; monitor for respiratory infections; educate on proper use.
Montelukast (Leukotriene Modifier)Asthma, Allergic RhinitisHeadache, abdominal pain, insomniaMood changes, neuropsychiatric eventsAssess for changes in mood and behavior; take in the evening for asthma.
Diphenhydramine (Antihistamine)Allergic Rhinitis, CoughDrowsiness, dry mouth, blurred visionSedation, anticholinergic effectsCaution with activities requiring alertness; assess for dry mouth.
Prednisone (Corticosteroid)Asthma, COPD, Allergic ReactionsIncreased appetite, weight gain, mood changesImmunodeficiency, adrenal suppressionTaper doses when discontinuing; monitor for signs of infection; educate on risks and benefits.

Zafirlukast (Leukotriene Receptor Antagonist)Asthma, Exercise-Induced BronchoconstrictionHeadache, abdominal pain, diarrheaNeuropsychiatric events, Churg-Strauss syndromeEducate on long-term use; monitor for mood changes and eosinophilia.
Flunisolide (Inhaled Corticosteroid)Asthma, Allergic RhinitisSore throat, cough, headacheOropharyngeal candidiasis, adrenal suppressionRinse mouth after inhalation; assess for candidiasis; use spacer with MDI.
Zileuton (5-Lipoxygenase Inhibitor)AsthmaAbdominal pain, nausea, diarrheaElevated liver enzymes, Churg-Strauss syndromeMonitor liver function; educate on reporting abdominal pain and signs of liver dysfunction.
Asthma Rescue Inhaler (e.g., Albuterol)Acute Asthma SymptomsTremors, tachycardia, anxietyCardiac arrhythmias, paradoxical bronchospasmAssess respiratory status before and after use; educate on proper use during acute attacks.
Theophylline (Bronchodilator)Asthma, COPDNausea, vomiting, palpitationsCardiac arrhythmias, seizures, toxicityMonitor serum theophylline levels; assess for signs of toxicity.
Mometasone (Inhaled Corticosteroid)Asthma, Allergic RhinitisSore throat, cough, headacheOropharyngeal candidiasis, adrenal suppressionRinse mouth after inhalation; assess for candidiasis; use spacer with MDI.

Otito-Umoren