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Pharmacology Exam 4 Ch. 36-37
Terms in this set (12)
what are the first generation antihistamines?
indications for antihistamines?
-seasonal allergies (Hay fever)
-1st line agent for allergic reactions
-sleep disorders (insomnia)
-relieve symptoms of a cold
adverse effects of antihistamines?
1st generation: drowsiness/sedation, impairment equal to illegal blood alcohol
-dizziness, fatigue, confusion especially in the elderly
-dry mucous membranes
oral vs topical adrenergic decongestants
-oral effect is less potent than the topical, but it lasts longer
-no rebound congestion with oral
-topical can be used for 3-5 dysfunction or else it will cause rebound congestion
-nasal decongestants are less systemic
what are the short-acting beta2 agonists (SABA) used for?
-whats an example of this medication?
for "rescue" treatment
-acute asthma attack
what are long-acting beta2 agonists used for?
they are used to prevent asthma attacks (prophylactically, not for "rescue")
what do steroids, mast cell stabilizers, and leukotriene inhibitors used for?
-used to reduce the inflammatory process
-they do not cause bronchodilator like the SABAs do
what is the DOC for anaphylaxis?
epinephrine, it opens the airway
what are mild respiratory reactions treated with?
patient teaching for using an inhaler (especially steroid inhalers)
-pt must rinse mouth afterwards to prevent candida infection (fungal/yeast infection of the mouth and throat)
patient teaching for the use of metered dose inhalers (MDI)
-if a 2nd puff of the same medication is ordered, instruct pt to wait 1-2 min between puffs
-if a 2nd type of inhaled drug is ordered, instruct the pt to wait 2-5 min between medications
what are antitussives?
-pt teaching for these meds
-pts need to increase fluid intake to help thin secretions
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