Medications to Treat Inflammation: Corticosteroid/LABA (Nursing)

by Prof. Lawes

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    00:01 Hi, welcome to another one of our videos on respiratory medications.

    00:05 In this video, we’re gonna look at the medications to treat the other problem with asthma patients - inflammation.

    00:11 Now these are not rescue meds but these are, we give these medications to prevent asthma attacks.

    00:18 So we can start with some combination inhalers.

    00:20 Sometimes you take corticosteroids and put it with a long acting beta-2 adrenergic agonist or a LABA.

    00:27 When we put these medications together, remember the goal is to prevent inflammation, not for rescue inhalers, it's just for prevention.

    00:37 Now stop a minute and take a look at the drawing that they have for you here, this graphic is beautiful.

    00:42 On the bottom, you see the blue space represents how the air flows through.

    00:47 That’s what you would want - that’s a nice open airway (inhales, exhales).

    00:54 You could easily take a nice relaxing breath.

    00:57 But someone who has inflammation in their airways- that’s the top drawing, see that? how the airway is much much smaller.

    01:06 So even on a good day, somebody who suffers from an inflamed airway from like asthma or any respiratory disorder that causes this inflammatory response, is already gonna start with a narrowed airway.

    01:19 So they did a really good job giving you a graphic representation there of what the difference is in an airway in somebody who has an inflamed airway and somebody who does not.

    01:29 So take your time and just write your note there, I want you to add in the words on that picture - “inflamed airway, narrowed”.

    01:37 So that will remind you that’s what we’re dealing with.

    01:39 which is why attacks are such a problem for your patients.

    01:43 They already have a narrowed airway, and then when they have an asthma attack, it's even worse.

    01:49 I'm gonna list some medication for you there on your screen.

    01:52 You can see the names that these, these are medications that we use that will give us both a corticosteroid which directly supresses inflammation, and a LABA (a long acting beta-2 adrenergic agonist) Put the two together and that really helps us minimize the risk for ongoing attacks as we go forward.

    02:13 NOT a rescue inhaler LIke wow! how many times is she gonna say that? A thousand times more.

    02:21 Because I need to be sure that these nurses out in the public with your family and teaching your patients that this is stuff that will save a life.

    02:30 You have to know the difference between LABAs and SABAs or the short acting and the long acting.

    02:35 And also, one of my dear friends was on one of these medications and she would just take it on the days when she felt like she was having a problem.

    02:44 I couldn't believe it, she's gone the same specialist and extra people and it wasn't till we got to talking and asking the right questions.

    02:53 Now this is somebody who's precious to me, somebody I hang out with all the time and she was having severe asthma.

    02:58 They never explained to her that she needed to take these everyday no matter how she felt and that's why she was having all these serious asthma attacks.

    03:09 She was just taking them on the day she didn't feel great, was having some problems.

    03:12 Once we went to a regular schedule with her - worked like a charm.

    03:17 So there's somebody in my own circle that I could have impacted but I didn't realize the wrong advice they had gotten so your job is to make sure your patients are more effectively educated and their lives are gonna be much better.

    About the Lecture

    The lecture Medications to Treat Inflammation: Corticosteroid/LABA (Nursing) by Prof. Lawes is from the course Respiratory Medications (Nursing).

    Included Quiz Questions

    1. Every day
    2. Every other day
    3. Only on days when they know they will be exposed to triggers
    4. Only in an emergency
    1. To help prevent future attacks
    2. To provide immediate relief during an attack
    3. To help eliminate future asthma triggers
    4. To treat the inflammation in the airway

    Author of lecture Medications to Treat Inflammation: Corticosteroid/LABA (Nursing)

     Prof. Lawes

    Prof. Lawes

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