Theophylline belongs to a group of medicines known as bronchodilators. It usually is taken every 6, 8, 12, or 24 hours. Breastfeeding. In addition to Lexicomp, check out Emmi, the complete patient engagement … Theophylline comes as an extended-release (long-acting) tablet, extended-release capsule, and a solution (liquid) to take by mouth. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Schedule your appointment now for safe in-person care. The nurse's initial assessment reveals that the patient has a history of pneumonia, drinks large quantities of … Motivate patients to become active participants in their own health. It's sometimes used as a medicine to treat lung conditions such as asthma, chronic obstructive pulmonary disease, … Bronchodilators are medicines that relax the muscles in the bronchial tubes … Accessed 5/14/2018. Patient education is a significant part of a nurse's job. Next: Pathophysiology. Don't delay your care at Mayo Clinic. 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 … What special precautions should I follow? Find the information you need, whether you've been diagnosed with a health condition, have an implanted device, or need support. Adenosine blockade … Consult your doctor or health care provider: If shortness of breath becomes worse or if there is no improvement within a few days. Looking for patient engagement that extends beyond their medications? Question 5 1 out of 1 points A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Do not take … Patients with acute theophylline intoxication have a 50% probability of major toxicity at peak serum theophylline concentration of 611 micromole/L (110 mg/L). After the initial dose, the patient … Help patients be active participants in their own recovery. The nurse will contact the provider to discuss: A patient with COPD is prescribed tiotropium [Spiriva]. Indications. Learn More. What monitoring will I need? of theophylline. A patient who takes oral theophylline [Theochron] twice daily for chronic stable asthma develops an infection and will take ciprofloxacin. Patient Pain Management Planner. Use of low-dose oral theophylline as an adjunct to inhaled corticosteroids in preventing exacerbations of chronic obstructive pulmonary disease: study protocol for a … If the medication is not working you need other treatment. 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 is a chemical similar to caffeine. Bronchodilators are medicines that relax the muscles in the bronchial tubes (air passages) of the lungs. Why is this medication being recommended? D. Inhibition of antigen: antibody reaction theophylline concentrations 10 mcg/mL or higher), obtain a second measurement after one expected half-life (the manufacturer product information should be … Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding. 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. A blood level between 5-15 µg/ml often gives good relief of symptoms with the fewest side effects. before starting theophylline or taking any new medications if you take theophylline. 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; … Theophylline competitively blocks phosphodiesterase which increases cAMP tissue concentrations causing bronchodilatation, diuresis, CNS and cardiac stimulation, and gastric acid secretion. This is used to regulate the dose. C. Reduced mediator release . Does this test have other names? This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. During the initiation of Theophylline therapy, caffeine-like adverse effects may transiently alter patient behavior, … Reinforce your patient counseling with these concise, visual, easy-to-understand handouts on how to choose, use, and dose OTC pain relievers appropriately. Patient education. With Lexicomp, patient education for medications is provided right within your clinicians’ workflow for seamless access and usability. … 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, … Find patient medical information for theophylline oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. B. Augmentation of diaphragmatic contractility . Theophylline is believed to benefit asthma patients by exerting the following actions except: A. Bronchodilatation . Patients … If your sleep or activity is still impaired by shortness of breath. Theophylline helps relieve symptoms such as cough, wheeze and shortness of breath. Devereux G, Cotton S, Barnes P, et al. 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. 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. The primary mechanisms of theophylline therapeutic efficacy and its toxicity are through the excess of catecholamines and adenosine antagonism. When patients are involved in their care, they are more likely to engage in interventions that may increase their chances for positive outcomes. COPD Foundation. If you are having any side effects. What side effects can this medication cause? 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. Transfusion therapy can take place in a hospital or an outpatient center. In an effort to ensure good patient education, nurses are taught the teach-back method. Theophylline is an oral medication used to treat asthma and other lung diseases. A benzodiazepine such as diazepam … Theophylline. They relieve cough, wheezing, shortness of breath, and troubled breathing by increasing the flow of air through the bronchial tubes. Assessment reveals that she has a history of asthma and dextromethorphan, (Robitussin) is prescribed for … Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of theophylline in the elderly. 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 … The benefits of patient education include: Prevention of medical conditions such as obesity, diabetes or heart disease. Simple checklist includes personal goal setting, treatment concerns, … 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. Theophylline overdose can occur if you accidentally take too much at one time. What is this test? Prednisone is part of a … 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). 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. If the level is greater than 15, there is an increased risk of side effects. This test measures the level of theophylline in your blood. Some people may do better with a level less than 5 µg/ml. Data sources include IBM Watson Micromedex (updated 6 Jan 2021), Cerner Multum™ (updated 4 … Symptomatic relief or prevention of bronchial asthma and reversible bronchospasm associated with chronic bronchitis and emphysema; Unlabeled use of 2 … Learn who it’s for, how it works, its side effects, warnings, and more. Theophylline has been used as a controller in the management of mild persistent asthma, although it is usually found … -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. Patient Education . COPD Treatment. Brand Names: US Elixophyllin; Theo-24; Theochron Brand Names: Canada AA-Theo LA; Pulmophylline; TEVA-Theophylline SR [DSC]; … Take theophylline exactly as directed. 2-pain-management-plan.jpg. Patient Education. Overdose can also occur slowly over time if your daily doses are too high. Theophylline belongs to a group of medicines known as bronchodilators. Connective Tissue Disease-Associated ILD Hypersensitivity Pneumonitis Sarcoidosis Why is this medication being recommended? Serum theophylline concentrations, blood theophylline level. If you don’t have a permanent IV, a line will be inserted into one of your blood vessels. Answer: A theophylline level is a measure of theophylline in the bloodstream. Learn more about the drug, including side effects at Patient. 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. 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. Theophylline (1,3-dimethylxanthine) can indirectly stimulate both ... For patient education information, see First Aid for Poisoning in Children and Child Safety Proofing. Patients who smoke may require an increase in theophylline dosage of up to 50%, but increasing the dosage is not a nursing responsibility. … 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. 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