Okay, so Short-acting
Remember these short-acting ones,
they'll feel it almost immediately.
In about 30 to 60 minutes they'll hit
the largest part of that effect,
the peak of that effect and it
should last about 3 to 5 hours.
So short-acting, they'll feel it
almost immediately but remember,
it's never quick enough
when you can't breathe.
It'll hit its maximum peak in about 30 minutes
to an hour and then it should last 3 to 5 hours.
So short-acting kick in quicker but
they don't last as long period of time.
Remember you wanna take for greater than 1 puff,
you wanna wait at least 1 minute in between puffs.
If it is a medication, if you're giving a
bronchodilator and then a corticosteroid,
remember to wait at least 5 minutes.
Now if the patient isn't
responding well with the inhaler,
consider you might need to take a
breathing treatment or a nebulizer.
And we cover those in our other video on looking
at unique ways we deliver repiratory meds.
So you might wanna check that
out for more information.
Now treatment goal of a short-acting
beta-2 adrenergic agonist or a SABA
is to make sure that we can
open that airway quickly.
These are for attacks, exacerbations
the patient's experiencing.
But keep in mind, we're stimulating
that sympathetic nervous system.
So some of the side effects your
patient might feel is a tachycardia,
sometimes people describe it like,
" I feel like my heart is gonna beat out of my chest."
So, I've seen a lot of patients but
unfortunately really weigh out
if they wanna deal with that tachycardia
and that (sound) feeling versus breathing.
So know that it's not an
easy answer sometimes
but be aware that when
someone uses a SABA,
they're gonna have that kind of shaky, tachycardia -
that's a really fast heart rate kind of feeling.
Now we'll take a look at the long acting
beta-2 adrenergic agonist or the LABAs.
Now the onset varies with the drugs,
so depending on which drug you take,
there will be a different period
of time at when it actually kicks in.
We're using this for long term
control, not for an emergency rescue.
And you shouldn't use these
medications as monotherapy.
And when we say monotherapy, it means
these shouldn't be used by themselves.
If you're taking a LABA, you should have
some type of SABA available to that patient.
So these are not good
So make sure you make a note of
that that these aren't used alone.
They're always used in combination
with another treatment option.
Now glucocorticoids are
probably part of this plan
and they would be considered
a long acting medication
but they're not a beta-2
So we put that note in there just to
remind you that in addition to a LABA,
we may consider a glucocorticoid.
That's also a long acting medication
just not a beta-2 adrenergic agonist.
So combo inhalers are really easy.
They're more expensive but they're great for the
patient because we can do combination medications,
the patient only has to
administer it one time
instead of having to carry, keep up,
maintain 2 different types of medications.