N-acetylcysteine works by splitting mucoproteins in the lungs, reducing viscosity of pulmonary secretions and facilitating removal by coughing or drainage. It is indicated for bronchodilatation before acetylcysteine treatment and protects against acetaminophen overdose hepatotoxicity. Potential side effects include nausea, vomiting, increased secretions or bronchospasm. Nurses should observe the rights of medication administration and monitor the patient's respiratory status and sputum.
N-acetylcysteine works by splitting mucoproteins in the lungs, reducing viscosity of pulmonary secretions and facilitating removal by coughing or drainage. It is indicated for bronchodilatation before acetylcysteine treatment and protects against acetaminophen overdose hepatotoxicity. Potential side effects include nausea, vomiting, increased secretions or bronchospasm. Nurses should observe the rights of medication administration and monitor the patient's respiratory status and sputum.
N-acetylcysteine works by splitting mucoproteins in the lungs, reducing viscosity of pulmonary secretions and facilitating removal by coughing or drainage. It is indicated for bronchodilatation before acetylcysteine treatment and protects against acetaminophen overdose hepatotoxicity. Potential side effects include nausea, vomiting, increased secretions or bronchospasm. Nurses should observe the rights of medication administration and monitor the patient's respiratory status and sputum.
N-acetylcysteine works by splitting mucoproteins in the lungs, reducing viscosity of pulmonary secretions and facilitating removal by coughing or drainage. It is indicated for bronchodilatation before acetylcysteine treatment and protects against acetaminophen overdose hepatotoxicity. Potential side effects include nausea, vomiting, increased secretions or bronchospasm. Nurses should observe the rights of medication administration and monitor the patient's respiratory status and sputum.
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MECHANISM
DRUG DATA INDICATIONS / CONTRAINDICATION NURSING RESPONSIBILITIES
OF ACTION / SIDE EFFECTS Generic name: Mechanism of action: Indication: Observe the 10 rights of medication: N-acetylcysteine Before: Splits linkage of mucoproteins, reducing Bronchodilators should be Brand name: viscosity of pulmonary secretions. Assess pretreatment respirations for rate, depth, given 10–15 min before acetylcysteine. Mucomyst rhythm. Therapeutic Effect: Facilitates removal of pulmonary secretions by coughing, postural During: Classification: drainage, mechanical means. Protects against Contraindication: Mucolytic Agent, acetaminophen overdose induced hepatotoxicity If bronchospasm occurs, discontinue treatment, Mucolytics Large doses may produce severe notify physician; bronchodilator may be added to nausea/vomiting. (Less than 2%): Serious therapy. Monitor rate, depth, rhythm, type of Patient’s Dose: Side effects: anaphylactoid reactions including cough, respiration (abdominal, thoracic). 10% (100 mg/ml) wheezing, stridor, respiratory distress, Route: Stickiness on face, transient unpleasant bronchospasm, hypotension, and death After: Inhalation, odor. have been known to occur with IV document and record. nebulization (NAS) Occasional: Inhalation: Increased administration. Check sputum for color, consistency, amount. bronchial secretions, throat irritation, Frequency: nausea, vomiting, rhinorrhea. q6h Rare: Inhalation: Rash.
Adverse effects:
Large doses may produce severe nausea/
vomiting. (Less than 2%): Serious anaphylactoid reactions including cough, wheezing, stridor, respiratory distress, bronchospasm, hypotension, and death MECHANISM DRUG DATA INDICATIONS / CONTRAINDICATION NURSING RESPONSIBILITIES OF ACTION / SIDE EFFECTS Generic name: Mechanism of action: Indication: Observe 10 rights of medication dornase alfa Before: Brand name: Recombinant human DNase 1, Dornase alfa is indicated for daily Pulmozyme digests neutrophil DNA administration in conjunction with Mucolytic: Assess pretreatment respirations for rate, depth, deposited in the pulmonary standard therapies for the management of rhythm. Classification: mucosa thereby reducing cystic fibrosis (CF) patients to improve pulmonary function. During: Enzymes, Mucolytic mucosal viscoelasticity Agent Do not use any other inhaled medicines in the nebulizer at the Side effects: Contraindication: same time. Keep all other inhaled medication systems completely Patient’s Dose: separate from Pulmozyme. 1mg/mL (2.5mL) Urticaria, mild to Hypersensitivity to dornase alfa or Chinese Route: moderate, and mild skin hamster ovary cell products Do not use a mask. Use the mouthpiece provided with each Inhalation, rash nebulizer kit. nebulization After: