Nursing II (Test III)

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Nursing II (Test III)
2011-04-03 15:01:09
Drugs Test III

Drugs (Resp, Diabetic)
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  1. *H1 antagonist; blocks action of histamine at the H1 receptor site
    * Have 3 properties
    - Antihistaminic
    - Anticholinergic
    - Sedative
  2. -Used for the management of symptoms from nasal allergies, allergic rhinitis, motion sickness, parkinsons, sleep disorders, common cold
    -Peripheral and Central acting
    -(Benadryl and Clor-trimaton)
    Traditional Antihistamines
  3. -Controls symptoms of allergies, common cold, allergic rhinitis
    -Longer duration
    -Peripheral acting
    -Non drowsy
    -(Claritin, Allegra, Zyrtec)
    Non-Sedating Antihistamines
  4. -Prolonged effects
    -Less potent than topical
    -No rebound congestion
    Oral Decongestant
  5. -Prompt onset
    -Causes rebound congestion
    Topical Decongestant
  6. -Takes a few weeks to kick in
    Intranasal Steroids
  7. -Constrict small blood vessles
    -Mucous membranes better able to drain
    -Nasal stuffiness is relieved
    Nasal Decongestant
  8. Nervousness/Insomnia/Palpitations/Tremors
    Side effects of Adrenergics
  9. -Used to stop or reduce coughing
    -Used only for a NON productive cough
    -Hydrocodone;Robitussin AC
  10. -Aids in the removal of mucus by thinning it
    -Drink with 8oz of fluid
    -Guaifenesin (N/V, gastric irrit)
    -Iodinated glycerol (GI irrit, rash, elarged thyroid gland)
    -Potassim Iodide ( N/V, taste alteration)
  11. -Used during acute asthma attacks
    -Quickly reduces airway constriction and restores normal airflow
    Bronchodialators (B-agonists)
  12. Three types
    -Non-Selective adrenergics (epinepherine;insomnia,restlessness, anorexia,tremor)
    -Non-Selective B-adrenergics (alupent; cardiac stimulation, anginal pain, hypotension)
    -Selective B2 adrenergics (Albuterol(Xopenex); hypotension, vascular headache,tremor)
    *must take exactly as prescribed,get prompt tx for the flu,take measures to promote good health, and monitor for adverse effects
    Types of Bronchodialators, there side effects, and nursing implications
  13. -Used to prevent bronchoconstriction by stopping ACh from binding
    -Slow and prolonged action
    - Atrovent/Spiriva (dry mouth,nasal cong, heart palp, GI distress, H/A, coughing, anxiety)
  14. -Plant alkaloids, caffeine, thoebromine, thoephylline
    -Synthetic xanthines: aminophylline,dyphylline, oxitriphylline
    -smooth muscle dilation, bronchodilation, and increased air flow
    Bronchodilators (Xanthine Derivatives)
  15. -Used in tx of asthma, chronic bronchitis, and emphysema
    -Adjunct drug in management of COPD
    -Adverse Effects; N/V, anorexia,GERD during sleep, sinus tach, palpitations
    Xanthine derivatives
  16. -Singulair, Zyflo
    -Also called LRTAs; newer class of asthma med
    -prevents leukotrienes from attatching to receptors on cells in the lungs and in circulation
  17. -Prevention and Tx of asthma in adults and children over 12
    -NOT for acute asthma attacks
    -Improvement seen in 1 wk
  18. -Antiinflammatory
    -Used for Chronic asthma NOT attacks
    -May take several wks to kick in
  19. -Flovent, Flonase
    -NOT first choice for acute attacks of asthma
    -Must rinse mouth after to prevent oral fungal infection
    -Adverse effects; dry mouth, cough, oral fungal infections
    Inhaled corticosteroids
  20. -Taken 0-15 min before meal
    -Onset 5-15 min
    -Novalog, Humalog

    (pneumonic: logs travel down the rapids)
    Rapid Acting Insulin
  21. -Taken 30-45 min before meals
    -Onset 30-60 min
    -Only insulin that can be given IV Bolus, IV infus, insulin pump
    -Humulin R, Novolin R
    Short acting (Regular) Insulin
  22. -NPH, Humulin N, Novolin N
    INtermediate Acting Insulin
  23. - Lantus
    -Injected once a day in the AM or PM
    -Steady and continuous; no peak
    -CANNOT be mixed
    Long acting Insulin (basal)
  24. -Do not heat/freeze-avoiding sunlight exposure
    -In-use Vials may be left at room temp for 4 wks (Lantus only 28 days)
    -Extra should be refrigerated
    Storage of insulin
  25. -Fastest absorbtion from abd
    -Rotate inj withine one site(like a checker board)
    -Dont inject into area to be exersised
    -1ml = 100 Units
    Insulin Administration
  26. -Continuous SC infusion for tight control of glucose inserted in abd wall
    Insulin pump
  27. -Exubera
    -Rapid acting dry powder
    -not recommended for asthma pts
    Inhaled Insulin
  28. -Used in Type II
    -Works on Insulin resistance, decreased insulin production, increased hepatic glucose
    -NOT insulin
    Oral Antidiabetic (OA)
  29. -Squeezes pancreas to spit out more insulin
    -Used in Type II
    -Cant take if allergic to sulfa
    -Adverse effects; nausea, fullness, hypoglycemia, heartburn
    -Allergic cross-sensitivity with loop-diuretics and sulfonamide antibiotic
    -Glucotrol, Amaryl
    Sulfonylureas (OA)
  30. -dont take if meal is skipped
    -take 30 min before meal
    -Adverse effects; headache, dizziness, weight gain, joint pain, upper resp infect, flu like symptoms
    -Prandin, Starlix
  31. -Decreases production of glucose by liver
    -Does not promote weight gain
    -Stop 2 days before dye tests
    -Adverse effects; diarrhea, abd bloating, cramping
    -Metformin, glucophage
  32. -"insulin sensitizing drugs"
    -moderate weight gain, edema, mild anemia
    -Actos, Avandia
  33. -Should have liver function tests done
    -Must take with the FIRST bite of each meal
    -Adverse effects; flatulence, diarrhea, abd pain
    -Precose, glyset
    Alpha-glucosidase inhibitors
  34. -Turns urine Orange/Red
    -Used to tx or precent TB
  35. -Mimics the incretin hormones
    -Given by SC
    -Cant use with insulin
    -ONLY for type II
  36. Regular or Rapid acting insulin first
    withdrawing two typs of insulin in one syringe