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Pharm Quiz 4
Terms in this set (30)
Name a medication that is an antihistamine. What are the patient education?
2. Due to its effect on the CNS, patient should avoid any alcoholic drinks and operating heavy machinery due to its possible side effects of drowsiness/ sleepiness
What are the concerns of prolonged use of Oxymetazoline (Afrin)?
Can cause rebound congestion
What are the important considerations for patient education when patients are using MDI inhaler?
The patient should not hear whistling sounds.
Why are most beta blockers contraindicated for asthma
Because asthma results from a combination of inflammation and brochoconstriction, so treatment must address both. Beta only addresses bronchoconstriction
What is the patient education for patient who are on hydrocodone?
When are they prescribe related to respiratory issues?
1. Advise patient to monitor bowel movements for constipation
2. Severe cough
What is a side effect of Sudafed?
Which type of patient be contraindicated?
1. Increase heart rate and blood pressure, can lead to dysrhthmias
2. Hypertension or coronary artery disease
What is the first nursing intervention is patient O2 saturations are dropping?
1. What drug class is theophyline (Theodur) in?
2. What is the range of safety
3. What are the adverse effects
2. 5-20. If levels are out of range, nurse should hold next doses and notify MD
3. If levels are higher than 20, this can lead to seizures. This medication can increase cardiac stimulation and cause tachycardia. Nurse must educate patient to stay away from caffeinated products while on this medication
How does Non-narcotics antitussive medication work?Name one
By suppressing the cough reflex in the medulla in the brain
How do you know if asthma medications are working?
If you hear that the patient's lung sounds are clear
What are 3 important education point about the upper respiratory tract?
1. Nose warms air before it reaches the lungs
2. The nasal mucosa is the first line of immune defense
3. Activation of the sympathetic nervous system arterioles in the nose
Which type of glucocorticoids produce no serious adverse effects
What drug class is fluticasone (Flonase) in terms of pregnancy? How does it affect the pregnancy?
Class C. The effects are not known. Patients that are pregnant shoud avoid taking this medication
Which is the best delivery method of administering medication? Why?
Respiratory. It offers a rapid and efficient mechanism for delivering drugs. The enormous survace area of the bronchiole sand alveoli, and the rich blood supply to these areas, results in an almost instantaneous onset of action for inhaled substances.
Name a bronchodilator. How does it work
2. The inhaler will widen the airway due to activation of the flight or fight response, or the B2 adrenergic receptors of the sympathetic nervous system. This activation causes smooth muscle to relax and bronchodilation to occur
What are some differences between using inhalers that are for prevention and prophylactic use such as advair compared to inhalers that are used for acute relief for bronchoconstriction such as albuterol
Advair is a combination of long acting bronchodilator and steroid. It provides control not quick relief. Albuterol is fast acting, used for quick relief of acute bronchospasm and prevention of exercise-induced bronchospasm.
What drug class is guaifenesin? What does it do?
2. Stimulate flow of secretion but decreases the viscosity of the mucus
How does the parasympathetic nervous system and sympathetic nervous system affect the bronchial?
When are dry powder inhalers active?
Albuterol has what type of medication classification and what is it used for?
1. beta 2 adrenergic agonist
2. Short acting bronchodilator/ rescue inhaler for asthma
What is leukotriene modifiers used for?
Prophylacis in the treatment of asthma. This medication works by reducing inflammation
Asthma is what type of respiratory condition?
COPD. It has obstructive and inflammatory component
What is the concern associated with the use of glucocorticoids if the patient is not rinsing mouth after using the inhaler?
What is proper way of using an inhaler?
1. Breath out slowly
2. push inhaler, breath in slowly3-5 seconds
3. Should hold their breath for at least 10 seconds to allow the medication to deposit in the lungs
4. Repeat puff as directs. waiting 1 minute between puff
When are glucocorticoid inhalers used? How often is it used
In COPD patients as prophylaxis and to prevent exacerbation. This is used daily
What is the brand of acetylcysteine? What does it do?
2. Helps break down and thin the mucus in the lungs
What is the order in using which inhaler first if patient is prescribe with two inhalers
The bronchodilator should be used prior to using leukotriene modifier or glucocorticoids. This will allow the airway to be opened, ensuring that the maximum dose of medication will get to the client's lungs.
What does intranasal anticholinergics treat?
ipratropium bromide (atrovent). allergic rhinits
What does mucolytics do?
Loosen thick bronchial secretions and break down mucus in the lungs
Where is beta 2 receptors activated/
bronchial smooth muscle
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