Book Ch. 17

Question 1

beta2 agonist complications

3

Answer 1

1. tachycardia
2. angina
3. tremors

Question 2

glucocorticoid ex

Answer 2

1. beclomethasone (IN)

2. prednisone (PO)

Question 3

theophylline therap. uses

Answer 3

long term control of chronic asthma or COPD

Question 4

prednisone complications

7

Answer 4

when used for 10 days or more can result in -

1. suppression of adrenal gland function
2. bone loss
3. hyperglycemia and glycosuria
4. myopathy
5. peptic ulcer disease
6. infection
7. disturbances of fluid and electrolytes

Question 5

prednisone is to

Answer 5

PO gluco.

Question 6

montelukast is to

Answer 6

leukotriene modifiers

Question 7

inhaled anticholinergics - ipratropium, tiotropium administration and education
4

Answer 7

1. usual adult dosage is 2 puffs
2. rinse mouth after to get rid of unpleasant taste
3. if two inhaled meds are prescribed, wait at least 5 mins between meds
4. do not swallow tiotropium capsules - an inhalation device is used for administration of the capsule

Question 8

inhaled anticholinergics

2

Answer 8

1. ipratropium

2. tiotropium

Question 9

ipratropium

Answer 9

inhaled anticholinergic

Question 10

theophylline complications

4

Answer 10

1. GI distress
2. restlessness
3. dysrhythmias (more severe intoxication)
4. seizures (more severe intoxications)

Question 11

what order do you inhale beta2 agonist and glucocorticoid

Answer 11

inhale beta2 agonist first because it promotes bronchodilation and enhances absorption of the glucocorticoid

Question 12

theophylline blood levels

Answer 12

monitor theophylline blood levels to keep within therap. range (5-15); a/e are unlikely to occur at levels < 20

Question 13

beta2 adrenergic agonists

5

Answer 13

1. albuterol
2. formoterol
3. salmeterol
4. terbutaline

Question 14

gluco. pharm action

3

Answer 14

1. prevent inflammation
2. suppress airway mucus production
3. reduce airway mucosa edema

Question 15

oral glucocorticoid

Answer 15

prednisone

Question 16

long-acting beta2 agonists that are inhaled every 12 hr for long term control and not used for an asthma attack or exacerbation
2

Answer 16

formoterol

salmeterol

Question 17

montelukast complications

2

Answer 17

1. depression

2. suicidal ideations

Question 18

beclomethasone (IN) - treat candidiasis with what

Answer 18

nystatin oral suspension

Question 19

constipation is an a/e of

Answer 19

tiotropium

Question 20

zileuton and zafirlukast complication

Answer 20

liver injury

Question 21

albuterol and terbutaline pharm action

4

Answer 21

1. bronchodilation
2. bronchospasm is relieved
3. histamine release is inhbited
4. ciliary motility is increased

Question 22

methylxanthine

1

Answer 22

theophylline

Question 23

used for long-term control of chronic asthma or COPD

Answer 23

theophylline (methylxanthine class)

Question 24

nervousness and insomnia are an a/e of what and not what

Answer 24

a/e of beta agonists - not an a/e of glucocorticoids

Question 25

leukotriene modifiers

3

Answer 25

1. montelukast
2. zileuton
3. zafirlukast

Question 26

beclomethasone complications

3

Answer 26

1. difficulty speaking
2. hoarseness
3. candidiasis

Question 27

contraindicated in clients who have an allergy to peanuts

Answer 27

inhaled anticholinergics - ipratropium, tiotropium

Question 28

montelukast therap. uses

2

Answer 28

1. long term therapy of asthma in adults

2. prevent exercise induced bronchospasm

Question 29

theophylline client education

Answer 29

period monitoring of blood levels are needed; report nausea, diarrhea, or restlessness, which are indicative of toxicity

Question 30

ipratropium/tiotropium complications

Answer 30

local anticholinergic effects - dry mouth, hoarseness

Question 31

terbutaline is to

Answer 31

beta2 adrenergic agonist - along with albuterol

Question 32

theophylline pharm action

1

Answer 32

1. relax bronchial smooth muscle - dilation

Question 33

tiotropium

Answer 33

inhaled anticholinergic

Question 34

beclomethasone is to

Answer 34

gluco. inhalaed

Question 35

beta2 agonist that are inhaled and long acting for long term control of astham
3

Answer 35

formoterol
salmeterol
terbutaline

Question 36

theophylline - treat dysrhythmias from this with what

Answer 36

lidocaine

Question 37

inhalted glucocorticoid

Answer 37

beclomethasone