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Nursing Fundamentals II > Cardiac & Resp. - Drugs > Flashcards

Cardiac & Resp. - Drugs Flashcards

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1
Q

Nasal Decongestant - function

A
  • reduces swelling of mucous membranes and relieves congestion
  • release norepinephrine which causes vasoconstriction and shrinking of mucous and nasal drainage
  • treats rhinitis, coryza and sinusitis
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2
Q

Nasal Decongestant - contraindications

A
  • hypertension
  • glaucoma
  • prostrate disease
  • cardiac disease
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3
Q

Nasal Decongestant - side effects

A

nervousness, irritability, restlessness, insomnia, palpitations, urinary retention, and hypertension

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4
Q

Nasal Decongestant - elderly considerations

A

use cautiously in those with hypertension, hyperthyroidism, cardiovascular disease and BPH

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5
Q

Nasal Decongestant - examples

A

Afrin, Neo-Synephrine-Sudafed

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6
Q

Antihistamine - function

A
  • prevents the release of histamine

- relieve sneezing, rhinorrhea and nasal itching associated with allergic rhinitis

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7
Q

Antihistamine - contraindications

A

narrow angle glaucoma, BPH and pregnancy

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8
Q

Antihistamine - side effects

A
  • drowsiness, nausea, dry mouth, tinnitus and CNS depression

- anxiety and agitation especially in children

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9
Q

Antihistamine - examples

A

chlor-trimeton, tavist, Benadryl, zyrtec, vitaril, hismanil, allegra and claritan

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10
Q

Antitussives - function

A
  • suppress cough with 2 major groups - opiods & nonopiods

- decreasing the cough responses in the medulla

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11
Q

Antitussives - contraindications

A

do not mix with barbituates

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12
Q

Antitussives - side effects

A

change in pulse either increase or decrease, hypotension, lethargy and stupor

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13
Q

Antitussives - treats

A
  • decrease the frequency & intensity of coughing
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14
Q

Antitussives - examples

A
  • opioids: codeine, Robitussin with codeine, morphine sulfate
  • nonopiods: Tessalon Perles, Benylin, Robitussin DM
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15
Q

Expectorants - function

A
  • stimulates the flow of secretions
  • makes secretions more liquid and easier to expectorate
  • make cough more productive
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16
Q

Expectorants - examples

A
  • plain Robitussin and Novahistine
17
Q

Mucolytics - function

A

reacts with mucous to make it more water and easily expectorated

18
Q

Mucolytics - examples

A

NaCl solution and Mucomyst

19
Q

Mucolytics - administration

A

inhalation only

20
Q

Mucolytics - Tylenol overdose

A

DR may order it and have patient DRINK it

21
Q

Bronchodilators - B2 Adrenergic Agonists - examples

A

Terbutalin, Albuterol, Serecent, Brethine and Epi

22
Q

Bronchodilators - B2 Adrenergic Agonists - function

A

relax bronchial smooth muscle and produces bronchial dilation

23
Q

Bronchodilators - B2 Adrenergic Agonists - administration

A
  • metered dose inhaler or nebs for quick relief

- orally for long term therapy or IV and SQ

24
Q

Bronchodilators - B2 Adrenergic Agonists - side effects

A

tremor, angina, cardiac changes

25
Q

Bronchodilators - B2 Adrenergic Agonists - contraindications

A
  • people on Inderal

- Inderal can inhibit the effect of this med

26
Q

Bronchodilators - B2 Adrenergic Agonists - teaching

A
  • wait one minute at least between puffs of inhaler
  • don’t exceed dose
  • do oral cares
  • clean device
27
Q

Bronchodilators - B2 Adrenergic Agonists - methylxanthines-theophyline - function

A
  • relax smooth muscle

- long and short term control

28
Q

Bronchodilators - B2 Adrenergic Agonists - methylxanthines-theophyline - blood level

A
  • less than 20 mg
  • 20 - 25 mg will cause nausea, emesis, diarrhea, insomnia and restlessness
  • greater than 30 mg - sever cardiac changes, seizures and eath
29
Q

Bronchodilators - B2 Adrenergic Agonists - methylxanthines-theophyline - tobacco & phenobarbital

A

decreases level of this medicine

30
Q

Bronchodilators - B2 Adrenergic Agonists - methylxanthines-theophyline - teaching

A
  • do not break, crush, or chew enteric or time released products
  • avoid caffeine
31
Q

corticosteroids - function

A
  • suppress inflammation, decrease mucous secretion, decrease airway edema
  • used to treat acute and chronic conditions
32
Q

corticosteroids - contraindication

A
  • peptic ulcers disease, inflammatory bowel disease, hypertension and CHF
33
Q

corticosteroids - examples

A
  • inhaled: Beclovent, Vanceril, Aerobid, Azamcort
  • oral: Prednisone-Medrol Dose Pak
  • IV: Solu Methol

Nursing Fundamentals II (13 decks)

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