MEDICATION Classification/ Action Indications Contraindications Side Effects Adverse Effects Nursing Responsibilities
Generic name: Pharmacologic: To relieve acute Hypersensitivity to Frequent (greater Acute BEFORE:
budesonide/ Bronchodilator exacerbation of budesonide than 3%): hypersensitivity Check and verify doctor’s
formoterol COPD (nebulization/Inhalat Flu-like symptoms, reaction (urticaria, order.
Brand name: Drug Action: ion), primary headache, angioedema, Question for hypersensitivity
Symbiocort Inhibits accumulation of treatment of status pharyngitis. severe to any corticosteroids,
inflammatory cells; controls rate of asthmaticus, acute bronchospasm) components.
Usual dosage/ protein synthesis; decreases episodes of asthma. Occasional (3%– occurs rarely Auscultate lung sounds.
frequency migration of polymorphonuclear Not for relief of 1%): Back pain, DURING:
Two inhalations BID leukocytes (reverses capillary acute vomiting, altered Observe 10 rights of
for COPD permeability and lysosomal bronchospasms. taste, voice medication.
stabilization at cellular level). changes, Monitor for relief of
Usual route abdominal pain, symptoms.
inhalation Pharmacokinetics nausea, dyspepsia Auscultate lung sounds.
Observe proper use of
Drug order Absorption: : moderately absorbed medication delivery device
Budesonside/ from inhalation. to ensure correct technique.
Formoterol 2 puffs Protein Binding: Approx. 88% AFTER:
BID Metabolism: primarily metabolized Document appropriately
in liver
Excretion: Mainly eliminated in the
urine.
Half-life: 2-3 hours.
Pharmacodynamics:
Onset: 1-3 mins after
adminbistration
Peak: 12 hours.
Drug Interaction
DRUG: CYP3A4 inhibitors (e.g.,
itraconazole, ketoconazole) may
increase concentration.
HERBAL: Echinacea may
decrease effects.
FOOD: Grapefruit products may
increase systemic exposure.
LAB VALUES: May decrease
serum potassium.