Pharmacology Respiratory

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Author:
jwhughes
ID:
304571
Filename:
Pharmacology Respiratory
Updated:
2015-06-29 21:50:17
Tags:
nurse
Folders:
ATI
Description:
Respiratory
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  1. Name 10 classes of drugs that fall under the respiratory system
    • Beta 2 Adrenergic Agonists
    • Methylxanthines
    • Inhaled Anticholinergics
    • Glucocorticoids
    • Leukotriene modifiers
    • Antitussives
    • Expectorants
    • Mucolytics
    • Decongestants
    • Antihistamines
  2. Name a medication that specifically blocks Beta 2
    Albuterol
  3. What are side effects of beta blockers
    • Tachycardia
    • Angina
    • Tremors
  4. What is the prototype medication of methylxanthines
    Theophylline
  5. Name 3 adverse effects of theophylline
    • Mild toxicity: GI distress & restlessness
    • Dysrhytmias
    • Seizures
  6. What is theophylline used to treat
    Long term treatment of asthma and COPD
  7. Name an inhaled anticholinergic used to relieve bronchospasm with COPD or allergen/exercised induced asthma
    Ipratropium
  8. What are adverse effects of ipratropium
    dry mouth, hoarseness
  9. Name 4 glucocorticoids used to treat asthma
    • Beclomethasone
    • Fluticasone
    • Salmetrol
    • Prednisone
  10. What 3 symptoms are common with beclomethasone
    • Difficulty speaking
    • Hoarseness
    • Candidiasis
  11. In what order should you instruct the patient to take a prescription for a beta 2 agonist and glucocorticoid
    First take Beta 2 agonist then the glucocorticoid
  12. Name 3 medications that fall under leukotriene modifiers
    • montelukast
    • Zileuton
    • Zafirlukast
  13. What is the major side effect of The Z's leukotriene modifiers
    Liver damage
  14. What should the nurse educate the patient when instructing how to take Zafirlukast
    Don't take with food (wait 1 hr before or 2 hrs after)
  15. Name two medications that are in the class Opioid Antitussives
    • Codeine
    • Hydrocodone
  16. What are 5 main adverse effects of codeine
    • Dizzy
    • Lightheaded
    • Drowsy
    • Respiratory depression
    • GI (n/v/c)
  17. Name 3 nonopioid antitussives
    • Dextromethorphan
    • Benzonatate
    • Diphenyhydramine
  18. Name a medication that acts as an expectorant
    Guaifenesin
  19. Name 2 adverse effects of expectorants
    • GI upset
    • Drowsy, dizzy
  20. What do you educate the patient to do when taking guaifenesin
    • Increase fluids to liquify secretions
    • Report any cough lasting more than a week
  21. Name a medication that acts as a mucolytic
    Acetylcysteine
  22. What are 3 indications of mucolytics
    • Chronic pulmonary disorders
    • CYSTIC FIBROSIS
    • Antidote to acetaminophen
  23. What are the two adverse effects of mucolytics
    • Aspiration
    • Bronchospasm
  24. What do you educate the client on regarding the use of acetylcysteine
    Smells like rotten eggs
  25. Nursing priority when administering acetylcysteine
    Suction as needed
  26. Name 2 meds that fall in the class decongestants
    • Phenylephrine
    • Ephedrine
  27. 3 side effects of decongestants
    • Rebound congestion
    • CNS stimulation
    • Vasoconstriction
  28. How do you instruct the client to administer decongestant nasal drops
    Lateral, head low position to increase desired effect and prevent swallowing
  29. How long do you instruct the patient to take topical decongestants
    3-5 days
  30. Name 3 meds that fall under Antihistamines
    • Diphenhydramine
    • Promethazine
    • Loratidine
  31. Name 4 side effects of antihistamines
    • Sedation
    • Anticholinergic effect
    • GI (n/v/c)
    • Toxicity
  32. What are side effects of nasal glucocorticoids (mometasone)
    • Sore throat
    • Nose bleed
    • HA
    • Burning in nose

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