Download Inhaled Drugs - RT Connection

UABD –
Nebulized
Liquid
Inhaled Drugs
MDI –
Pressurized
Meter Dose
Inhaler
Canister
DPI – Dry
Powder
Inhaler
Classifications by Mechanism
I. Bronchodilators – Reduces bronchial
smooth muscle constriction
II. Corticosteroids – Reduce bronchial wall
inflammation (swelling)
III. Mucoactive Agents – has an effect on
mucus
IV. Antimicrobial – kills microorganisms
V. Other
I. Bronchodilators
A.
Short Acting 1) Beta Agonists:
Albuterol 2.5 mg
Xopenex 1.25 mg
2) Anti Cholinergic:
Atrovent (Ipratropium Bromide)
B.
Long Acting Serevent (in Advair)
Spiriva
Short Acting Beta Agonists
(beta-2)
II. Steroids
A.
B.
C.
D.
Flovent (in Advair)
Pulmicort (MDI or UABD)
Aerobid
Qvar
Must use as directed may
take several doses/days to
have therapeutic effect!
Most come in
MDI / DPI
III. Mucoactive Agents
• Normal saline – is the carrier in UABD
treatments (MDI version doesn’t have)
• Acetylcystine – Mucomyst 10%-20%
solutions – irritating and smells! (give with
a bronchodilator
• NaHCO3- (Bicarbonate solution)
• Pulmozyme – expensive $$$
IV. Antimicrobials
•
•
•
•
Pentamidine – Pneumocystis
Tobi (Tobramycin) G- bacteria
Colystin – bacteria
Ribrivirin
V. Others
• Chromolyn Sodium – allergy drug
• Lidocaine – numbing medicine
Da rules:
• Don’t give drugs in the exact same class
together:
– examples:
• Pulmicort & Flovent (both steroids)
• Xopenex and Albuterol (both short acting beta
agonists)