Anurse is caring for a client prescribed the inhaled glucocorticoid beclomethasone (qvar) for the treatment of asthma. what is a potential adverse effect of this medication and what are two (2) teaching points to discuss to address these adverse effects?

Adverse effects include hoarseness, candidiasis (fungal infection)

To deal with adverse effects, the patient should be taught to rinse the mouth with water after administration of the product and use a bronchodilator, wait 5 minutes and then use glucocorticoid.

Explanation:

An inhaled glucocorticoid beclomethasone are steroid hormones that have a wide and diverse pharmacology, however, their mechanism of action and main effects can be summarized simply. These hormones are synthesized in the adrenal gland cortex and present as a basic structure . They can alter carbohydrate metabolism and decrease the inflammatory response. For this reason, this drug can be used in clinical practice for several purposes, including hormone replacement, immunosuppression, anti-allergic and anti-inflammatory therapy, as well as asthma treatments, such as the above question.

In the case shown in the question above, the patient should be informed of the possible side effects he may suffer from the drug. These effects include rickling and candidiasis, so it is important that the patient take some precautions during treatment.

These precautions include using a bronchodilator five minutes before glucocorticoid and rinsing your mouth with clean water after inhaling the medication.

In the given chemical equation, 4 moles of nh3 gas react with 5 moles of oxygen to form 6moles of water vapours (h2o). Hence each mole of nh3 contributes to production of 1.5 moles of water vapours. therefore, the rate of formation of h2o is 1.5*0.5 ms-1, i.e 0.75 moles/sec