When administering fluticasone + salmeterol inhaler, give

When administering fluticasone + salmeterol inhaler, give rationale to the following nursing responsibilities listed. – Assess history of cardiac disease, hepatic impairment, seizure disorder. Rationale: – Screen for concomitant medications known to prolong QT interval. Rationale: – Monitor rate, depth, rhythm, type of respiration; quality/rate of pulse, B/P. Rationale: – Assess lungs for wheezing, rales, rhonchi. Rationale: – Periodically evaluate serum potassium Levels Rationale: – Not for relief of acute episodes. Rationale: – Keep the canister at room temperature (cold decreases effects). Rationale: – Do not stop medication or exceed suggested dosage. Rationale: – Report chest pain and dizziness. Rationale: – Wait at least 1 full minute before second inhalation. Rationale: – Administer dose 30-60 min before exercise when used to prevent exercise-induced bronchospasm. Rationale: – Avoid excessive use of caffeine derivatives (coffee, tea, colas, chocolate). Rationake: – Instruct the patient with the proper use of the inhaler. Rationale: SCIENCE HEALTH SCIENCE NURSING NURSING 110

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