Pharmacology Reproductive & Maternity Meds #3

Question

The nurse is instructing the patient on use of the beclomethasone inhaler. Which statement by the patient indicates that teaching is successful?

Answers

  1. "I will hold my diabetic medication for two hours before and after the inhaler."
    • Rationale:

      This answer is not correct because diabetic medications will not interfere with beclomethasone oral inhaler. In fact, due to the fact the medication is a glucocorticoid, beclomethasone has the potential to elevate glucose levels so diabetic medications should be taken as prescribed since holding diabetic medications may cause a higher blood sugar level.

  2. "I will rinse my mouth following each scheduled dose."
    • Rationale:

      This answer is correct because beclomethasone glucocorticoid oral inhaler has the side effect of causing yeast growth (Candida) in the mouth. Patients should be taught to rinse the mouth after each dose of beclomethasone.

  3. "I will use the inhaler prior to sleep."
    • Rationale:

      This answer is not correct because beclomethasone is used during daytime hours for management of asthma symptoms. Not all asthma sufferers experience nocturnal asthma, but if this occurs, the health care provider should be notified.

  4. "I will inhale then blow out forcefully."
    • Rationale:

      This answer is not correct because the patient must not blow out the medication after inhaling. This would force the medication out of the airway, rendering it ineffective. The medication should instead, be held in before breathing out.

Overview

Beclomethasone oral inhaler has the side effect of Candida yeast growth in the mouth. Patients should be taught to rinse the mouth following each scheduled dose to help prevent this side effect.

Explanation

After administration of acetylcysteine, the nurse should anticipate increased sputum that has been broken down and removable through suction. The medication helps break up thick mucous. The nurse will reposition the patient frequently; however, the patient is on a ventilator, so teaching to cough and deeply breathe is not a priority. The medication does not cause bradycardia. Although acetylcysteine is an antidote for acetaminophen over-dosage, the question is not referring to over-dosage of acetaminophen.

Learning Outcomes

Beclomethasone is a glucocorticoid used as an oral inhaler to manage dyspnea, chest tightness, coughing, and wheezing associated with asthma. This glucocorticoid oral inhaler has the side effect of causing yeast growth (Candida) in the mouth. Patients should be taught to rinse the mouth after each dose of beclomethasone. During treatment of an acute asthma attack, beclomethasone is not used as a rescue inhaler. It is used as maintenance management of asthma.

Test Taking Tip

Slow, deep breathing helps to relax and maximize oxygen to the brain. This works for those with respiratory problems and those stressed over a nursing test!

Video Rationale