{"id":241,"date":"2019-11-12T17:52:43","date_gmt":"2019-11-12T22:52:43","guid":{"rendered":"https:\/\/opentextbc.ca\/nursingpharmacology\/chapter\/5-9-expectorants\/"},"modified":"2022-07-13T19:38:24","modified_gmt":"2022-07-13T23:38:24","slug":"5-9-expectorants","status":"publish","type":"chapter","link":"https:\/\/opentextbc.ca\/nursingpharmacology\/chapter\/5-9-expectorants\/","title":{"raw":"5.9 Expectorants","rendered":"5.9 Expectorants"},"content":{"raw":"<h1>Expectorants<\/h1>\r\nGuaifenesin (Mucinex) is an example of an expectorant.\r\n<h2>Mechanism of Action<\/h2>\r\nExpectorants reduce the viscosity of tenacious secretions by irritating the gastric vagal receptors that stimulate respiratory tract fluid, thus increasing the volume but decreasing the viscosity of respiratory tract secretions.\r\n<h2>Indication for Use<\/h2>\r\nExpectorants are used for a productive cough and for loosening mucus from the respiratory tract.\r\n<h2>Nursing Considerations Across the Lifespan<\/h2>\r\nThe medication is safe for all ages. Guaifenesin is only recommended for use during pregnancy and breastfeeding when the benefit outweighs the risk.\r\n<h2>Adverse\/Side Effects<\/h2>\r\nGuaifenesin may cause a skin rash, headache, nausea, and vomiting.[footnote]Frandsen, G. &amp; Pennington, S. (2018). <em>Abrams\u2019 clinical drug: Rationales for nursing practice <\/em>(11th ed.). Wolters Kluwer.[\/footnote]\r\n<h2>Client Teaching &amp; Education<\/h2>\r\nClients should take care to avoid irritants that stimulate their cough.\u00a0 Additionally, the medication can cause drowsiness. Clients should avoid taking them with other CNS depressants or alcohol.[footnote]uCentral from Unbound Medicine. <a href=\"https:\/\/www.unboundmedicine.com\/ucentral\"  rel=\"noopener noreferrer\">https:\/\/www.unboundmedicine.com\/ucentral<\/a>[\/footnote]\r\n<h1>Guaifenesin Medication Card<\/h1>\r\nNow let's take a closer look at the medication card for guaifenesin.[footnote]This work is a derivative of\u00a0<a href=\"https:\/\/www.oercommons.org\/authoring\/54330-pharmacology-notes-nursing-implications-for-clinic\/view\"  rel=\"noopener noreferrer\">Pharmacology Notes: Nursing Implications for Clinical Practice<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.oercommons.org\/profile\/213497\"  rel=\"noopener noreferrer\">Gloria Velarde<\/a>\u00a0licensed under\u00a0<a class=\"internal\" href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/\"  rel=\"noopener noreferrer\">CC BY-NC-SA 4.0<\/a>.[\/footnote],[footnote]Frandsen, G. &amp; Pennington, S. (2018).\u00a0<em>Abrams\u2019 clinical drug: Rationales for nursing practice\u00a0<\/em>(11th ed.). Wolters Kluwer.[\/footnote],[footnote]This work is a derivative of\u00a0<a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/\"  rel=\"noopener noreferrer\">Daily Med<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.nlm.nih.gov\/\"  rel=\"noopener noreferrer\">U.S. National Library of Medicine<\/a>\u00a0in the <a class=\"internal\" href=\"https:\/\/creativecommons.org\/share-your-work\/public-domain\/\"  rel=\"noopener noreferrer\">public domain<\/a>. [\/footnote]\r\n<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\r\n<h2 class=\"textbox__title\">Medication Card 5.9.1: Guaifenesin<\/h2>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\n<strong>Class: <\/strong>Expectorants\r\n\r\n<strong>Prototypes: <\/strong>Guanfenesin (Mucinex)\r\n\r\n<strong>Mechanism:\u00a0 <\/strong>Expectorants reduce the viscosity of tenacious secretions by irritating the gastric vagal receptors that stimulate respiratory tract fluid, thus increasing the volume but decreasing the viscosity of respiratory tract secretions.\r\n<h3>Therapeutic Effects<\/h3>\r\n<ul>\r\n \t<li>Helps loosen sputum (mucus) and thin bronchial secretions to make coughs more productive<\/li>\r\n<\/ul>\r\n<h3>Administration<\/h3>\r\n<ul>\r\n \t<li>Liquid syrup or elixir, PO pill form \u2013 12 hr effect (1 tablet is 600 mg) Max dose is 1200 mg in 24hrs<\/li>\r\n \t<li>No eating or drinking for 30 minutes after syrup<\/li>\r\n \t<li>Encourage patient to cough and deep breath<\/li>\r\n \t<li>Stay hydrated (2-3 liters\/day)<\/li>\r\n \t<li>For adults 12 years and older<\/li>\r\n \t<li>Do not exceed 24 hr limit of two doses<\/li>\r\n \t<li>IF taking pill form-take with full glass of water<\/li>\r\n \t<li>Do not crush or break pill<\/li>\r\n<\/ul>\r\n<h3>Indications<\/h3>\r\n<ul>\r\n \t<li>Expectorants are used for a productive cough and for loosening mucus from the respiratory tract<\/li>\r\n<\/ul>\r\n<h3>Contraindications<\/h3>\r\n<ul>\r\n \t<li>CNS depressants<\/li>\r\n \t<li>Caution with pregnancy and breast feeding<\/li>\r\n \t<li>Do not use if: Hyperthyroid, diabetes, closed angle glaucoma, high blood pressure, Heart disease, Enlarged prostate<\/li>\r\n<\/ul>\r\n<strong>Side Effects<\/strong>\r\n<ul>\r\n \t<li>skin rash<\/li>\r\n \t<li>headache<\/li>\r\n \t<li>nausea and vomiting<\/li>\r\n \t<li>diarrhea<\/li>\r\n \t<li>large doses cause drowsiness<\/li>\r\n \t<li><strong>Safety: <\/strong>\r\n<ul>\r\n \t<li>Speak with prescribing doctor for use when pregnant or breast feeding<\/li>\r\n \t<li>Risk of drowsiness-assess respirations and wakefulness<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n<h3>Nursing Considerations<\/h3>\r\n<ul>\r\n \t<li>The medication is safe for all ages. Guaifenesin is only recommended for use during pregnancy and breastfeeding when benefit outweighs the risk<\/li>\r\n \t<li>Avoid irritants that stimulate their cough.<\/li>\r\n \t<li>Can cause drowsiness. Patients should avoid taking them with other CNS depressants or alcohol<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>","rendered":"<h1>Expectorants<\/h1>\n<p>Guaifenesin (Mucinex) is an example of an expectorant.<\/p>\n<h2>Mechanism of Action<\/h2>\n<p>Expectorants reduce the viscosity of tenacious secretions by irritating the gastric vagal receptors that stimulate respiratory tract fluid, thus increasing the volume but decreasing the viscosity of respiratory tract secretions.<\/p>\n<h2>Indication for Use<\/h2>\n<p>Expectorants are used for a productive cough and for loosening mucus from the respiratory tract.<\/p>\n<h2>Nursing Considerations Across the Lifespan<\/h2>\n<p>The medication is safe for all ages. Guaifenesin is only recommended for use during pregnancy and breastfeeding when the benefit outweighs the risk.<\/p>\n<h2>Adverse\/Side Effects<\/h2>\n<p>Guaifenesin may cause a skin rash, headache, nausea, and vomiting.<a class=\"footnote\" title=\"Frandsen, G. &amp; Pennington, S. (2018). Abrams\u2019 clinical drug: Rationales for nursing practice (11th ed.). Wolters Kluwer.\" id=\"return-footnote-241-1\" href=\"#footnote-241-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><\/p>\n<h2>Client Teaching &amp; Education<\/h2>\n<p>Clients should take care to avoid irritants that stimulate their cough.\u00a0 Additionally, the medication can cause drowsiness. Clients should avoid taking them with other CNS depressants or alcohol.<a class=\"footnote\" title=\"uCentral from Unbound Medicine. https:\/\/www.unboundmedicine.com\/ucentral\" id=\"return-footnote-241-2\" href=\"#footnote-241-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><\/p>\n<h1>Guaifenesin Medication Card<\/h1>\n<p>Now let&#8217;s take a closer look at the medication card for guaifenesin.<a class=\"footnote\" title=\"This work is a derivative of\u00a0Pharmacology Notes: Nursing Implications for Clinical Practice\u00a0by\u00a0Gloria Velarde\u00a0licensed under\u00a0CC BY-NC-SA 4.0.\" id=\"return-footnote-241-3\" href=\"#footnote-241-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a>,<a class=\"footnote\" title=\"Frandsen, G. &amp; Pennington, S. (2018).\u00a0Abrams\u2019 clinical drug: Rationales for nursing practice\u00a0(11th ed.). Wolters Kluwer.\" id=\"return-footnote-241-4\" href=\"#footnote-241-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a>,<a class=\"footnote\" title=\"This work is a derivative of\u00a0Daily Med\u00a0by\u00a0U.S. National Library of Medicine\u00a0in the public domain.\" id=\"return-footnote-241-5\" href=\"#footnote-241-5\" aria-label=\"Footnote 5\"><sup class=\"footnote\">[5]<\/sup><\/a><\/p>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h2 class=\"textbox__title\">Medication Card 5.9.1: Guaifenesin<\/h2>\n<\/header>\n<div class=\"textbox__content\">\n<p><strong>Class: <\/strong>Expectorants<\/p>\n<p><strong>Prototypes: <\/strong>Guanfenesin (Mucinex)<\/p>\n<p><strong>Mechanism:\u00a0 <\/strong>Expectorants reduce the viscosity of tenacious secretions by irritating the gastric vagal receptors that stimulate respiratory tract fluid, thus increasing the volume but decreasing the viscosity of respiratory tract secretions.<\/p>\n<h3>Therapeutic Effects<\/h3>\n<ul>\n<li>Helps loosen sputum (mucus) and thin bronchial secretions to make coughs more productive<\/li>\n<\/ul>\n<h3>Administration<\/h3>\n<ul>\n<li>Liquid syrup or elixir, PO pill form \u2013 12 hr effect (1 tablet is 600 mg) Max dose is 1200 mg in 24hrs<\/li>\n<li>No eating or drinking for 30 minutes after syrup<\/li>\n<li>Encourage patient to cough and deep breath<\/li>\n<li>Stay hydrated (2-3 liters\/day)<\/li>\n<li>For adults 12 years and older<\/li>\n<li>Do not exceed 24 hr limit of two doses<\/li>\n<li>IF taking pill form-take with full glass of water<\/li>\n<li>Do not crush or break pill<\/li>\n<\/ul>\n<h3>Indications<\/h3>\n<ul>\n<li>Expectorants are used for a productive cough and for loosening mucus from the respiratory tract<\/li>\n<\/ul>\n<h3>Contraindications<\/h3>\n<ul>\n<li>CNS depressants<\/li>\n<li>Caution with pregnancy and breast feeding<\/li>\n<li>Do not use if: Hyperthyroid, diabetes, closed angle glaucoma, high blood pressure, Heart disease, Enlarged prostate<\/li>\n<\/ul>\n<p><strong>Side Effects<\/strong><\/p>\n<ul>\n<li>skin rash<\/li>\n<li>headache<\/li>\n<li>nausea and vomiting<\/li>\n<li>diarrhea<\/li>\n<li>large doses cause drowsiness<\/li>\n<li><strong>Safety: <\/strong>\n<ul>\n<li>Speak with prescribing doctor for use when pregnant or breast feeding<\/li>\n<li>Risk of drowsiness-assess respirations and wakefulness<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>Nursing Considerations<\/h3>\n<ul>\n<li>The medication is safe for all ages. Guaifenesin is only recommended for use during pregnancy and breastfeeding when benefit outweighs the risk<\/li>\n<li>Avoid irritants that stimulate their cough.<\/li>\n<li>Can cause drowsiness. Patients should avoid taking them with other CNS depressants or alcohol<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-241-1\">Frandsen, G. &amp; Pennington, S. (2018). <em>Abrams\u2019 clinical drug: Rationales for nursing practice <\/em>(11th ed.). Wolters Kluwer. <a href=\"#return-footnote-241-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-241-2\">uCentral from Unbound Medicine. <a href=\"https:\/\/www.unboundmedicine.com\/ucentral\" rel=\"noopener noreferrer\">https:\/\/www.unboundmedicine.com\/ucentral<\/a> <a href=\"#return-footnote-241-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-241-3\">This work is a derivative of\u00a0<a href=\"https:\/\/www.oercommons.org\/authoring\/54330-pharmacology-notes-nursing-implications-for-clinic\/view\" rel=\"noopener noreferrer\">Pharmacology Notes: Nursing Implications for Clinical Practice<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.oercommons.org\/profile\/213497\" rel=\"noopener noreferrer\">Gloria Velarde<\/a>\u00a0licensed under\u00a0<a class=\"internal\" href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/\" rel=\"noopener noreferrer\">CC BY-NC-SA 4.0<\/a>. <a href=\"#return-footnote-241-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-241-4\">Frandsen, G. &amp; Pennington, S. (2018).\u00a0<em>Abrams\u2019 clinical drug: Rationales for nursing practice\u00a0<\/em>(11th ed.). Wolters Kluwer. <a href=\"#return-footnote-241-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><li id=\"footnote-241-5\">This work is a derivative of\u00a0<a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/\" rel=\"noopener noreferrer\">Daily Med<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.nlm.nih.gov\/\" rel=\"noopener noreferrer\">U.S. National Library of Medicine<\/a>\u00a0in the <a class=\"internal\" href=\"https:\/\/creativecommons.org\/share-your-work\/public-domain\/\" rel=\"noopener noreferrer\">public domain<\/a>.  <a href=\"#return-footnote-241-5\" class=\"return-footnote\" aria-label=\"Return to footnote 5\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":90,"menu_order":9,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[50],"contributor":[],"license":[],"class_list":["post-241","chapter","type-chapter","status-publish","hentry","chapter-type-numberless"],"part":209,"_links":{"self":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/241","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/wp\/v2\/users\/90"}],"version-history":[{"count":4,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/241\/revisions"}],"predecessor-version":[{"id":1268,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/241\/revisions\/1268"}],"part":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/parts\/209"}],"metadata":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/241\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/wp\/v2\/media?parent=241"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapter-type?post=241"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/wp\/v2\/contributor?post=241"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/wp\/v2\/license?post=241"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}