Corticosteroids are essential in the management of various inflammatory conditions, but their adverse effects can be a problem. Purpose/objectives: Client lies supine for 15 minutes following administration. High rates of inhaler misuse in patients with chronic obstructive pulmonary disease and asthma contribute to hospital readmissions and increased healthcare cost. The National Library of Medicine (NLM), on the NIH campus in Bethesda, Maryland, is the world's largest biomedical library and the developer of electronic information services that delivers data to millions of scientists, health professionals and members of the public around the globe, every day. With respect to inhaler technique, it is essential that nurses(i)Know it—understand how each device works an… 2. Gargle with warm water to remove any leftover medicine from your mouth and throat. Please wait while the activity loads. The nurse is teaching the client how to use a metered dose inhaler (MDI) to administer a Corticosteroid drug. Nurses are a primary point of contact for patients with asthma or COPD, and so are also in a key position to elicit patients’ views on treatments and to encourage treatment adherence. A. 3. In social situations, people with asthma may feel self-conscious about using an inhaler or having to be careful to avoid triggers that can set off … (This medication is contraindicated in patients with acute asthma attach, worsening or deteriorating asthma and acute upper airway obstruction. Nasal inhaler 1 spray in each nostril, one to two doses/hr to a maximum five doses/hr or 40 doses/day. 4. The nurse is teaching the client how to use a metered dose inhaler (MDI) to administer a Corticosteroid drug. Any items you have not completed will be marked incorrect. Assessment activities oftentimes overlap during the intervention phase of the nursing process , however, it does not completely focus on intervening or helping the patient’s condition. Evaluate the effectiveness of the teaching plan (patient can name drug, dosage, adverse effects to watch for, specific measures to avoid them, and measures to take to increase the effectiveness of the drug). Option C: Cromolyn Sodium (Intal) is used to prevent asthma attacks in people with bronchial asthma. The best interventions for COPD are smoking cessation to decrease damage, nebulizers, and inhalers to open the lungs and decrease inflammation, careful oxygen supplementation, and a BIPAP or CPAP to blow off built-up carbon dioxide from the body. 2. B. Corticosteroids act as an expectorant. Treatment of chronic steroid-dependent bronchial asthma. 3. Inadequate inhaler technique in persistent asthma is frequently reported. Overall misuse rates were high for both MDI and Diskus devices. Assess temperature to monitor for possible infections. Info: 2324 words (9 pages) Essay Published: 1st Feb 2018 in Nursing. The PRISMA statement for reporting systematic reviews and meta-analysis of studies that evaluate health care interventions: … A. Removes the cap and shakes the inhaler well before use. Perform a physical examination to establish baseline data for assessing the effectiveness of the drug and the occurrence of any adverse effects associated with drug therapy. 2019 Sep 1;32(3):109-116. doi: 10.1089/ped.2019.1041. Here is a list of some of the most commonly encountered inhaled steroids. Patients are treated for 12 wk, then weaned off the daily dose over next 6–12 wk. Answer: C. Corticosteroids have an anti-inflammatory effect. You have not finished your quiz. Would you like email updates of new search results? A. 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