In what order do I give these drugs to asthma patient?

[futurenurse93_]

okay I got a homework question and asked me what order will i give the medications and the options were:

3 oral medications, a liquid cough suppressant and 2 inhalers (l a bronchodilator and 1 a glucocorticoids). So which order would i give these to asthma patient? help guys

* I know im suppose to give the bronchodilator before the gluccocoticoid, but i dont know the order of the other medications , so what order should all of the meds go? Thanks

[futurenurse93_]

and also why would I give them in that order?

[Sun0408, ASN, RN]

First stop and think. What happens in a asthma attack?? What is happening to the airway?? Now think. Which med is going to do the most good first?? What are the actions of those meds??

Now which order to you think?

[quiltynurse56, LPN, LVN]

Think of the action of what they do. One inhaler opens the airways and the other is an anti-inflammatory.

Think of which order the steroid would be most effective - ope or airways or not. In other words, at which point would the steroid affect the most surface area.

[futurenurse93_]

i know the brinchodilator is first, then gluccocorticoid im asking about the other medications the cough syrup and 3 oral meds i dont know where i fit those in with the inhalers or what order they go

[JustBeachyNurse, LPN]

What oral medications? How are they scheduled? Is the patient actively coughing?

[futurenurse93_]

it didnt say, all it said was 3 oral meds, 2 inhalers (broncho and gluco) and a cough syrup

[futurenurse93_]

broncho, gluco, cough syrup, then 3 oral meds? im guessing

[AspiringNurseMW]

i know the brinchodilator is first, then gluccocorticoid im asking about the other medications the cough syrup and 3 oral meds i dont know where i fit those in with the inhalers or what order they go

So, why would you give the cough suppressant first? Or conversely, what could happen if you attempted to give oral meds to someone who was still coughing?

[CoffeeRTC, BSN, RN]

Is the PT having an asthma attack or is this just routine?

Since I have about 25 people to pass meds to and 6 or some might need nebs...for timing I would give the oral meds, cough syrup, then the nebs.

If the PT was having resp difficulty, I would do the rest meds first, pills then cough syrup. Most prefer to take cough syrup last without water to coat their throat and prevent cough.

[203bravo, MSN, APRN]

The dilator to open the airway as the immediate concern. The steroid to help reduce inflammation and thus opening the airway some more and help keeping it open. The cough syrup to stop the cough and this will also help insure they can swallow the their other meds without the risk of coughing them up and possibly aspirating. Then finally their 3 routine PO meds.