Salmeterol (Serevent) Nursing Drug Card (Simplified)

NCLEX Review: Salmeterol – Mechanism of Action, Onset, Side effects, Precautions, and Nursing considerations

Hi everyone this is ryan from rpnt.ca and today we’re going to be talking about the drug salmeterol also known as serivent salmeterol belongs to the selective beta2 adrenergic agonist drug classification adrenergic agonist means that salmeterol is stimulating the sympathetic nervous system adrenergic represents the sympathetic nervous system and agonist

Represents a stimulating response when binding to a receptor salmadorel stimulates the sympathetic nervous system by binding to the same receptor sites as epinephrine and norepinephrine which are the main neurotransmitters in this nervous system the sympathetic nervous system is also known as the fight or flight nervous system and is responsible for actions like

Bronchodilation increased heart rate increased blood pressure and decreased rest and digest functions specifically salmeterol is a selective beta-2 agonist meaning it stimulates beta-2 receptors which mainly cause bronchodilation salmeterol is a long-acting bronchodilator used for the management and treatment of asthma and chronic obstructive pulmonary disease

Or copd salmeterol should not be used for the relief of acute asthma attacks as its onset of action is relatively slow at approximately 30 to 50 minutes due to the slow onset and longer duration salmeterol can be classified as a maintenance or controller inhaler a rescue inhaler such as salbutamol also known as albuterol or ventilant should be administered for

Acute asthma attacks however salmeterol can be administered 30 minutes prior to exercise to prevent exercise induced bronchospasms some common side effects of cell meterol are fine tremors headache anxiety or nervousness and dry mouth less common side effects include tachycardia arrhythmias hyper or hypotension and bronchospasms most of these side effects

Are more common with overuse of salmeterol more so than with regular use avoid cell material use in clients with severe cardiac disease tacky dysrhythmias or hypersensitivity to sympathetic nervous system agonists use some material cautiously in clients with hypertension diabetes glaucoma and seizure disorders always remember to assess and monitor for side

Effects of salmeterol watch for changes in heart rate like tachycardia and arrhythmias to decrease dry mouth and changes in taste it’s important to teach clients about rinsing their mouth after use cell mineral is administered as a dry powdered discus inhaler i’ve placed a link in the video description with more info about how to prepare and properly use diskus

Inhalers if your client is going home with salmeterol always ensure that they understand how to properly administer their inhaler by getting them to perform a return demonstration and ensure your client understands the importance of following ordered dosages reporting to their healthcare provider if symptoms do not improve after use and not over medicating on

Salmeterol if overdose does occur a beta-2 adrenergic antagonist can be used as an antidote salmeterol is most often administered in a combination inhaler known as advair advair is the combination of two medications the first being a bronchodilator which is salmeterol and the second being a corticosteroid which is fluticasone also known as flovent and that’s

About it for the basics of cell meterol if you would like to try a free nervous system drug quiz i’ve placed a link in the video description for that if you have any questions please let me know in the comments or visit rpnt.ca for more help

Transcribed from video
Salmeterol (Serevent) Nursing Drug Card (Simplified) – Pharmacology By Nurse Ryan