Learn More. When patients are involved in their care, they are more likely to engage in interventions that may increase their chances for positive outcomes. Theophylline belongs to a group of medicines known as bronchodilators. 2-pain-management-plan.jpg. Patient education is a significant part of a nurse's job. During the initiation of Theophylline therapy, caffeine-like adverse effects may transiently alter patient behavior, … Theophylline is an oral medication used to treat asthma and other lung diseases. Help patients be active participants in their own recovery. Find patient medical information for theophylline oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. 0.4-0.6 mg/kg/hour intravenously (IV) or 4.8-7.2 mg/kg orally (extended release) every 12 hours to maintain levels 10-15 mg/L; Smokers: 0.79 mg/kg/hour IV for next 12 … Theophylline helps relieve symptoms such as cough, wheeze and shortness of breath. 0.4-0.6 mg/kg/hr IV or 4.8-7.2 mg/kg PO (extended release) q12hr to maintain levels 10-15 mg/L ; Smokers: 0.79 mg/kg/hr IV for next 12 hours after loading dose, then 0.63 mg/kg/hr or 5 mg/kg PO (extended release) q8hr; … What special precautions should I follow? Data sources include IBM Watson Micromedex (updated 6 Jan 2021), Cerner Multum™ (updated 4 … Looking for patient engagement that extends beyond their medications? The nurse's initial assessment reveals that the patient has a history of pneumonia, drinks large quantities of … Theophylline monitoring ; The established therapeutic range should be used as a guide only, due to theophylline's narrow therapeutic index and daily variations in plasma theophylline clearance. Schedule your appointment now for safe in-person care. COPD Treatment. In an effort to ensure good patient education, nurses are taught the teach-back method. They relieve cough, wheezing, shortness of breath, and troubled breathing by increasing the flow of air through the bronchial tubes. What side effects can this medication cause? If your sleep or activity is still impaired by shortness of breath. This test measures the level of theophylline in your blood. Theophylline competitively blocks phosphodiesterase which increases cAMP tissue concentrations causing bronchodilatation, diuresis, CNS and cardiac stimulation, and gastric acid secretion. Use of low-dose oral theophylline as an adjunct to inhaled corticosteroids in preventing exacerbations of chronic obstructive pulmonary disease: study protocol for a … Adenosine blockade … … Indications. The transient caffeine-like adverse reactions occur in about 50% of patients when Theophylline therapy is initiated at doses higher than recommended initial doses (e.g.,>300 mg/day in adults and >12 mg/kg/day in children beyond 1 year of age). It's sometimes used as a medicine to treat lung conditions such as asthma, chronic obstructive pulmonary disease, … Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Resources for Patients and Caregivers. Patients … Theophylline. A benzodiazepine such as diazepam … Symptomatic relief or prevention of bronchial asthma and reversible bronchospasm associated with chronic bronchitis and emphysema; Unlabeled use of 2 … Theophylline is believed to benefit asthma patients by exerting the following actions except: A. Bronchodilatation . Do not take … Current patient vaccination updates by campus: ... Theophylline injection is used together with other medicines to treat the acute symptoms of asthma, bronchitis, emphysema, and other lung diseases in a hospital setting. If the level is greater than 15, there is an increased risk of side effects. Theophylline belongs to a group of medicines known as bronchodilators. Theophylline levels: Serum theophylline levels should be monitored after initiation of therapy, prior to making dose increases; in the presence of signs or symptoms of toxicity; or when a new illness, worsening of a present illness, or change in patient's treatment regimen occur that may alter theophylline clearance (eg, fever >102°F or sustained for 24 hours or more, … Therefore, in a patient who has received no theophylline in the previous 24 hours, a loading dose of intravenous theophylline of 4.6 mg/kg (5.7 mg/kg as aminophylline), calculated on the basis of ideal body weight and administered over 30 minutes, on average, will produce a maximum post-distribution serum concentration of 10 mcg/mL with a range of 6-16 mcg/mL. Patient Education . Patients who smoke may require an increase in theophylline dosage of up to 50%, but increasing the dosage is not a nursing responsibility. Theophylline levels: Serum theophylline levels should be monitored after initiation of therapy and prior to making dose increases; in the presence of signs or symptoms of toxicity; or when a new illness, worsening of a present illness, or change in patient’s treatment regimen that may alter theophylline clearance (eg, fever >102°F or sustained for 24 hours or more, … D. Inhibition of antigen: antibody reaction Does this test have other names? Some people may do better with a level less than 5 µg/ml. If the medication is not working you need other treatment. C. Reduced mediator release . Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of theophylline in the elderly. of theophylline. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for … Don't delay your care at Mayo Clinic. FAQ: Prednisone Related Conditions. before starting theophylline or taking any new medications if you take theophylline. After the initial dose, the patient … With Lexicomp, patient education for medications is provided right within your clinicians’ workflow for seamless access and usability. Patients with acute theophylline intoxication have a 50% probability of major toxicity at peak serum theophylline concentration of 611 micromole/L (110 mg/L). Although theophylline is less effective than a β 2 agonist and corticosteroids, a minority of asthmatic patients appear to derive unexpected benefit, and even patients on oral steroids may show a deterioration in lung function when theophylline is withdrawn. theophylline concentrations 10 mcg/mL or higher), obtain a second measurement after one expected half-life (the manufacturer product information should be … This is used to regulate the dose. However, elderly patients may be more sensitive to the effects of theophylline than younger adults, and are more likely to have kidney, liver, heart, or lung problems, which may require caution and an adjustment in the dose for patients … Bronchodilators are medicines that relax the muscles in the bronchial tubes … The primary mechanisms of theophylline therapeutic efficacy and its toxicity are through the excess of catecholamines and adenosine antagonism. Simple checklist includes personal goal setting, treatment concerns, … Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding. Theophylline overdose can occur if you accidentally take too much at one time. However, elderly patients may be more sensitive to the effects of theophylline injection than younger adults, which may require caution and an adjustment in the dose for patients receiving theophylline injection. Overdose can also occur slowly over time if your daily doses are too high. Transfusion therapy can take place in a hospital or an outpatient center. The benefits of patient education include: Prevention of medical conditions such as obesity, diabetes or heart disease. Connective Tissue Disease-Associated ILD Hypersensitivity Pneumonitis Sarcoidosis Why is this medication being recommended? Patients not currently taking theophylline: 5-7 mg/kg IV/PO; not to exceed 25 mg/min IV ; Aminophylline: 6-7 mg/kg IV infused over 20 minutes ; Maintenance. In addition to Lexicomp, check out Emmi, the complete patient engagement … B. Augmentation of diaphragmatic contractility . A blood level between 5-15 µg/ml often gives good relief of symptoms with the fewest side effects. Consult your doctor or health care provider: If shortness of breath becomes worse or if there is no improvement within a few days. Next: Pathophysiology. Patient Pain Management Planner. What monitoring will I need? A patient who takes oral theophylline [Theochron] twice daily for chronic stable asthma develops an infection and will take ciprofloxacin. Bronchodilators are medicines that relax the muscles in the bronchial tubes (air passages) of the lungs. If you don’t have a permanent IV, a line will be inserted into one of your blood vessels. Accessed 5/14/2018. Patient education. Why is this medication being recommended? Patient Education. Motivate patients to become active participants in their own health. COPD Foundation. … Answer: A theophylline level is a measure of theophylline in the bloodstream. Prednisone is part of a … Devereux G, Cotton S, Barnes P, et al. Take theophylline exactly as directed. Breastfeeding. Theophylline has been used as a controller in the management of mild persistent asthma, although it is usually found … PATIENT & CAREGIVER EDUCATION Theophylline This information from Lexicomp explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider. The nurse will contact the provider to discuss: A patient with COPD is prescribed tiotropium [Spiriva]. -When administered intravenously, patients who have had theophylline in the prior 24 hours should have serum concentrations drawn before giving a loading dose for safety; if no loading dose is indicated (e.g. Theophylline comes as an extended-release (long-acting) tablet, extended-release capsule, and a solution (liquid) to take by mouth. It usually is taken every 6, 8, 12, or 24 hours. To be sure you are using the correct dose, your blood will need to be tested often. Find the information you need, whether you've been diagnosed with a health condition, have an implanted device, or need support. Question 3 1 out of 1 points A nurse is providing education to a 56-year-old man who is admitted to the emergency department with an acute asthma attack. Question 5 1 out of 1 points A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. If you are having any side effects. Brand Names: US Elixophyllin; Theo-24; Theochron Brand Names: Canada AA-Theo LA; Pulmophylline; TEVA-Theophylline SR [DSC]; … Learn more about the drug, including side effects at Patient. Learn who it’s for, how it works, its side effects, warnings, and more. In patients with theophylline overdose who are at high risk for theophylline-induced seizures, e.g., patients with acute overdoses and serum theophylline concentrations > 100 mcg/mL or chronic overdosage in patients > 60 years of age with serum theophylline concentrations > 30 mcg/mL, the need for anticonvulsant therapy should be anticipated. Theophylline (1,3-dimethylxanthine) can indirectly stimulate both ... For patient education information, see First Aid for Poisoning in Children and Child Safety Proofing. Patients not currently taking theophylline: 5-7 mg/kg intravenously/orally; not to exceed 25 mg/min intravenously (IV) Aminophylline: 6-7 mg/kg intravenously/orally; IV infused over 20 minutes; Maintenance. What is this test? This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 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