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|DRUG NAME||fluticasone (Flovent), beclomethasone (Qvar), budesonide (Pulmocort), mometasone (Asmanex)|
|MECHANISM OF ACTION||Decrease airway inflammation by suppressing target genes involved in the inflammatory process, leading to:|
|ROUTE(S) OF ADMINISTRATION||INH|
|CONTRAINDICATIONS AND CAUTIONS|
|NURSING CONSIDERATIONS: INHALED CORTICOSTEROIDS|
|ASSESSMENT AND MONITORING|
Inhaled corticosteroids are medications that improve breathing by decreasing lung inflammation. They are primarily used in clients with persistent asthma, meaning those who have asthmatic symptoms more than 2 days per week. Asthma is characterized by chronic inflammation in the lungs, as well as asthma exacerbations or attacks, where certain triggers, such as viruses, allergens, stress, aspirin or other NSAIDs and exercise, lead to reversible bronchial smooth muscle spasms and mucus production, both of which make it hard to breathe. As a result, clients experience symptoms like dyspnea, wheezing, chest tightness, and coughing. Inhaled corticosteroids help decrease the frequency of symptoms and prevent exacerbations. Inhaled corticosteroids can also be used in clients with chronic obstructive lung disease, or COPD, to prevent exacerbation and slow the progression of the disease.
Now, commonly used inhaled corticosteroids include fluticasone, beclomethasone, budesonide, and mometasone. These medications are typically used as maintenance therapy to help control the underlying lung inflammation, and are often combined with inhaled bronchodilators, such as long acting beta-2 agonists like salmeterol, which provide immediate relief of symptoms by inducing airway smooth muscle relaxation.
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