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    Drug Card

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    Duangkamol Uasapwasin
    Theophylline is a bronchodilator used to treat respiratory conditions like asthma. It comes in both oral and IV forms, and has a narrow therapeutic index, so doses must be carefully monitored. Common side effects include nausea, vomiting, arrhythmias, and seizures. Nursing responsibilities involve assessing respiratory and cardiovascular status, monitoring for signs of toxicity, administering around the clock to maintain levels, and evaluating improvements in breathing.

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    Drug Card

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    Duangkamol Uasapwasin
    448 views1 page
    Theophylline is a bronchodilator used to treat respiratory conditions like asthma. It comes in both oral and IV forms, and has a narrow therapeutic index, so doses must be carefully monitored. Common side effects include nausea, vomiting, arrhythmias, and seizures. Nursing responsibilities involve assessing respiratory and cardiovascular status, monitoring for signs of toxicity, administering around the clock to maintain levels, and evaluating improvements in breathing.

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    Theophylline is a bronchodilator used to treat respiratory conditions like asthma. It comes in both oral and IV forms, and has a narrow therapeutic index, so doses must be carefully monitored. Common side effects include nausea, vomiting, arrhythmias, and seizures. Nursing responsibilities involve assessing respiratory and cardiovascular status, monitoring for signs of toxicity, administering around the clock to maintain levels, and evaluating improvements in breathing.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    448 views1 page

    Drug Card

    Uploaded by

    Duangkamol Uasapwasin
    Theophylline is a bronchodilator used to treat respiratory conditions like asthma. It comes in both oral and IV forms, and has a narrow therapeutic index, so doses must be carefully monitored. Common side effects include nausea, vomiting, arrhythmias, and seizures. Nursing responsibilities involve assessing respiratory and cardiovascular status, monitoring for signs of toxicity, administering around the clock to maintain levels, and evaluating improvements in breathing.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Drug Card

    Trade Name
    Theophylline
    Generic Name
    Bronchodilators
    Drug Classifications
    Therapeutic: bronchodilators
    Pharmacologic: xanthinens
    Desired Action
    inhibition of phosphodiesterase is negligible at therapeutic concentrations
    Route
    PO, IV
    Side Effects
    CNS: Seizures, anxiety, headache, insomnia, irritability
    CV: Arrhythmias, tachycardia, angina, palpitations
    GI: nausea, vomiting, anorexia Neuro: tremor. Derm: rashes
    Usual Dose
    Adult-healthy: PO; 5mg/kg, followeed by 10mg/kg/day divided q8-12hr (not to exceed 900mg/day)
    IV; 4.7mg/kg given over 20-30 min, followed by 0.56 mg/kg/hr via continuous infusion
    Adults with CHF, Cor pulmonale, or Liver Dysfunction: PO 5mg/kg, followed by 5mg/kg/day divided q8-12hr (not
    to exceed 400mg/day)
    IV; 4.7mg/kg given over 20-30 min, followed by 0.39 mg/kg/hr via continuous infusion
    Nursing responsibilities
    Assessment
    ‧ Assess blood pressure, pulse, respiratory status (rate, lung sounds, use of accessory muscles) before and
    throughout therapy
    ‧ Monitor intake and output rations for an increase in diuresis or fluid overload.
    ‧ Patients with a history of cardiovascular problems should be monitored for chest pain and ECG changes.
    ‧ Observe patient for symptoms of drug toxicity (anorexia, nausea, vomiting, stomach cramps, diarrhea,
    confusion, headache, restlessness, flushing, increased urination, insomnia, tachycardia, seizures)

    Planning Interventions
    ‧ Administer around the clock to maintain therapeutic plasma levels. Once-a-day doses should be administrated
    in the morning.
    ‧ Do not refrigerate elixirs
    ‧ Wait at least 4-6 hr after stopping IV therapy to begin immediate-release oral dosage.
    ‧ PO; Administer oral presentations with food or a full glass of water to minimize GI irritation. Food slows but
    does not reduce the extent of absorption.
    ‧ Swallow tablets whole; do not crush, break, or chew enteric-coated or extended-release tablets
    Evaluation
    ‧ Increased ease in breathing.
    ‧ Clearing of lung fields on auscultation.

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