Page 1619 - Saunders Comprehensive Review For NCLEX-RN

infusion pump.

10. Client education

a. Not to crush enteric-coated or
sustained-release tablets or capsules
b. To avoid caffeine-containing products
such as coffee, tea, cola, and chocolate,
and over-the-counter medications
c. About the side and adverse effects of
bronchodilators
d. How to monitor the pulse and to report
any abnormalities to the primary
health care provider (PHCP)
e. How to use an inhaler, spacer (see Fig.
51-1), or nebulizer and how to monitor
the amount of medication remaining in
an inhaler canister
f. The importance of smoking cessation
and information regarding support
resources
g. To monitor blood glucose levels if
diabetes mellitus is a coexisting
condition
h. To wear a MedicAlert bracelet,
particularly if the client has asthma

Theophylline toxicity is likely to occur when

the serum level is higher than 20 mcg/mL
(111 mcmol/L). Early signs of toxicity include
restlessness, nervousness, tremors, palpitations,
and tachycardia.
III. Anticholinergics (see Box 51-1)
A. Inhaled medications that improve lung function by blocking
muscarinic receptors in the bronchi, which prevents
bronchoconstriction
B. Effective for treating chronic obstructive pulmonary disease,
allergy-induced asthma, and exercise-induced bronchospasm
C. Side effects include dry mouth and irritation of the pharynx;
sucking on sugarless candy will help relieve symptoms.
D. Systemic anticholinergic effects rarely occur but can include
increased intraocular pressure, blurred vision, tachycardia,
cardiovascular events, urinary retention, and constipation.

The client with a peanut allergy should not take certain ipratropium products

because they contain soy lecithin, which is in the same plant family as peanuts.

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