cAMP so bronchodilation -decr. Methylxanthines; Nursing Management. Liver disease. Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. Contrast the therapeutic effects of leukotriene antagonists, glucocorticoids, cromolyn, antihistamines, and mucolytics for COPD and asthma. Describe the therapeutic serum or plasma theophylline level and the toxic level. The patient and family are often frightened and anxious because of the patient’s dyspnea. Caffeine: (Major) Methylxanthines, through antagonism of adenosine and thus pharmacologic-induced coronary vasodilation, have been associated with false-negative results during dipyridamole-thallium 201 stress testing. It is recommended that caffeine be discontinued for at least 24 hours prior to stress testing. Although nursing considerations and implications are slightly different, most nursing resources and textbooks use them interchangeably. Find patient medical information for Duoneb Inhalation on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Reginald P. Sequeira, in Side Effects of Drugs Annual, 2009. METHYLXANTHINES EXPECTED OUTCOMES? Theophylline is related chemically to the natural metabolite xanthine, which is a precursor of uric acid. Describe the side effects of beta 2-adrenergic agonists and methylxanthines. Learn vocabulary, terms, and more with flashcards, games, and other study tools. METHYLXANTHINES PATIENT TEACHING? • Phenobarbital and phenytoin decrease theophylline levels. Citation. Nursing Implications. The immediate nursing care of patients with asthma depends on the severity of symptoms. Monitor therapeutic effectiveness which is indicated by relief from pain and cramping in calf muscles, buttocks, thighs, and feet during exercise and improves walking performance (time and duration). Methylxanthines (nursing considerations: • Advise clients to avoid consuming caffeinated beverages (coffee, caffeinated colas). Start studying MCC nursing 1355. Specific xanthine agents. Therefore, a calm approach is an important aspect of care. histamine release -stimulates ciliary transport of ... Drug Mechanism Use Side/Adverse Effects Nursing Implications Cromolyn Sodium (non-steroidal) INTAL -prevents influx of Ca into mast cells, therefore inhibiting degranulation and release of Figure 8-1 shows the general xanthine structure and the structures of theophylline (1,3-dimethylxanthine) and caffeine (1,3,7-trimethylxanthine). Assessment & Drug Effects. Please consult the latest official manual style if you have any questions regarding the format accuracy. Methylxanthines -inhibits phosphodiesterase leads to incr. Less frequent nocturnal asthma. Monitor BP if patient is also on antihypertensive treatment. 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