Acetylcysteine (Mucomyst) PDF

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Medication

STUDENT NAME _____________________________________

acetylcysteine (Mucomyst) MEDICATION __________________________________________________________________________

18 REVIEW MODULE CHAPTER ___________

Mucolytics CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Mucolytics thin and enhance the flow of secretions in the respiratory passages.

Therapeutic Use - Mucolytics are used in clients who have acute and chronic pulmonary disorders exacerbated by large amounts of secretions. - Mucolytics are used in clients who have cystic fibrosis. - Acetylcysteine is the antidote for acetaminophen poisoning.

Complications - Aspiration and bronchospasm when administered orally - Dizziness, drowsiness, hypotension, tachycardia - Hepatotoxicity

Medication Administration Mucolytic: inhalation Tylenol overdose: PO and IV

Contraindications/Precautions - Acetylcysteine is Pregnancy Risk Category B. - This medication should not be used in clients who are hypersensitive to acetylcysteine. - Use cautiously in clients who have hypothyroidism, CNS depression, renal, liver disease, and seizure disorders. - Due to the potential for bronchospasm, acetylcysteine should be used cautiously in clients who have asthma.

Interactions None

Nursing Interventions - Be prepared to suction clients if aspiration occurs with oral administration. - Monitor liver function tests, PT, BUN, creatinine, glucose, electrolytes and acetaminophen levels in clients who have acetaminophen toxicity.

Client Education Evaluation of Medication Effectiveness

- Advise clients that acetylcysteine has an odor that smells like rotten eggs.

Improvement of manifestations as demonstrated by regular respiratory rate, clear lung sounds, and increased ease of expectoration

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THERAPEUTIC PROCEDURE

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