NCLEX Airflow disorder meds

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Gandrews
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196898
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NCLEX Airflow disorder meds
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2013-02-01 16:21:35
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NCLEX Airflow disorder meds
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NCLEX Airflow disorder meds
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  1. Albuterol (Proventil, Ventolin)
    Beta 2 adrenergic agonist use to relax bronchial smooth muscle in asthma. (inhaled or oral)
  2. Terbutaline (Brethine)
    Beta 2 adrenergic agonist use to relax bronchial smooth muscle in asthma. (Oral, long acting)
  3. Formoterol (foradil aerolizer)
    Beta 2 adrenergic agonist use to relax bronchial smooth muscle in asthma. (inhaled, long acting) taken q 12 hours.
  4. Salmeterol (Serevent)
    Beta 2 adrenergic agonist use to relax bronchial smooth muscle in asthma. (Inhaled, long acting)
  5. Beta 2 adrenergic agonists are contraindicated in pts who have?
    Tachydysrhythmias
  6. Oral beta 2 adrenergic agonists can cause what?
    tachycarida and agina because of activation of alpha 1 receptors in heart.
  7. what type of drugs can negate the effects when both are used and should not be used concurrently w/ beta 2 adrengergic agonists?
    Beta- adrenergic blockers (prorpanolol)
  8. What should you tell the client when prescribed both a beta 2 agonist and a glucocorticoid for asthma?
    Take the beta 2 agonist first because it enhances the absorption of the glucocorticoid.
  9. Theophylline (Theolair, Theo-24)
    Methylxanthine. Causes relaxation of bronchial smooth muscle, resulting in bronchodilation
  10. What food can increase theophylline levels?
    caffiene
  11. What drugs decrease theophylline levels.
    Abx
  12. Why is it important to monitor drug levels of Thephylline?
    Because mild and severe reactions to the drug can occur

    Mild: GI distress

    Severe: dysrhythmias and seizures
  13. Ipratropium (Atrovent)
    Inhaled anticholinergic. Block muscarinic receptors of the bronchi, resulting in bronchodialtion.
  14. Tiotropium (Spiriva)
    Inhaled anticholinergic. Block muscarinic receptors of the bronchi, resulting in bronchodialtion.
  15. Ipratropium (atrovent) and tiotropium (spiriva), inhaled anticholinergic drugs used for asthma are contraindicated in who?
    Clients who have an allergy to peanuts because the medication preparations may contain soy lecithin
  16. anticholinergics need to be used cautiously in clients who have?
    narrow angle glaucoma and benign prostatic hypertrophy because of the anticholinergic side effects.
  17. if client is prescribed two inhaled meds, instruct pts to wait at least how many min before taking the next one?
    wait 5 min between medications.
  18. Beclomethasone dipropionate (QVAR)
    Glucocorticoid. Inhalation. Inhaled agents are used for long-term prophylaxis of asthma.
  19. Prednisone (Deltasone)
    Glucocorticoid. Oral.
  20. 'one' indicates what kind of drug?
    Glucocorticoid
  21. Budesonide (Pulmicort Flexhaler)
    Inhaled Goucocorticoid.
  22. Fluiticasone (advair, flovent)
    Inhaled glucocorticoid
  23. Triamcinolone (Azmacort)
    Inahled Gluococorticoid.
  24. Prednisolone (Prelone)
    Oral Glucocorticoid.
  25. What are two IV glucocorticoid meds that are given for airway disorders?
    Hydrocortisone (Solu-Cortef) and Methylprednisolone (Solu- Mefrol)
  26. What are some side/adverse effects of Beclomethasone?
    Difficulty speaking, hoarseness and candidiasis.
  27. What electrolyte imabalance can glucocorticoids cause such as prednisone?
    Hypokalemia. Prednisone is a corticosteroid which promotes na and water retention while excreting potassium.
  28. glucocorticoids are contraindicated in who?
    in clients who received a live virus vaccine and pts with systemic fungal infections.
  29. Are glucocorticoids used to tx an acute asthma atack?
    no
  30. Oral glucocorticoids are used short term following an acute asthma attack because prolonged use can cause adverse effects. How many days should the client use these meds up to?
    3-10 days
  31. Cromolyn Sodium (intal)
    Mast cell stabilizer (anti-inflammatories) used for airflow disorders these meds stabilize mast cells, which inhibit the release of histamine and other inflam mediators.
  32. Nedocromil sodium (Tilade)
    Mast cell stabilizer (anti-inflammatories) Used for airflow disorders. these meds stabilize mast cells, which inhibit the release of histamine and other inflam mediators.
  33. When should the client take a mast cell stabilizer such as comolyn?
    15 min before excercise or exposure to allergen.
  34. what is important to teach the client about mast cell stabilizers such as cromolyn?
    not for acute asthma attack.
  35. montelukast (Singulair)
    Leukotriene modifier. Prevent the effect of leukotrienes, thereby suppressing inflammation, bronchoconstriction, airway edema and mucous production
  36. Zeleuton (Zyflo), Zarfilukast (accolate)
    • Leukotriene modifier. Prevent the effect of leukotrienes, thereby suppressing inflammation, bronchoconstriction, airway edema and mucous
    • production
  37. What are leukotriene modifiers for?
    Used for long-term therapy of astham in adults/ children 15 years and older.
  38. What is an adverse effect with Zyflo and Accolate?
    Liver injury. Chech basline liver function tests.
  39. Zileuton and Zafirlukast inhibit metabolism of what two drugs?
    Coumadin and Theophylline. this leads to increased levels of coumadine and thephylline.
  40. When should clients take Montelukast (singulair)
    Once @ bedtime
  41. How should zafirlukast (accolate) be administered?
    should not be given with food. admin 1 hour before or 2 hours after.
  42. What should the nurse instruct the client when using an MDI for a glucocorticoid.
    Use a spacer and rinse mouth afterwards to decrease thrush.

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