Ch 36- Antihistamines, Decongestants, Antitussives, Expectorants Flashcards

1
Q

What causes congestion?

A

Dilation of blood vessels in the nasal cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Do medications used to treat respiratory disorders cure the diseases?

A

No they treat symptoms not virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The release of histamine 1 causes what kind of response to the body?

A

Vasodilation, decreased blood pressure, increased secretions (lacrimal, saliva), itching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What effects do the release of histamine 2 have on the body?

A

Increase heart rate, increase GI secretions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If histamine has already releases in the body will taking an antihistamine reverse the reactions?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some examples of antihistamine H1 drugs?

A

Benadryl or Claritin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When people go into anaphylactic shock what is happening in their body?

A

Their body has released too much histamine. Antihistamines need to be given to block histamine receptor sites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some adverse effects of antihistamines?

A

Drowsiness, dry mouth, constipation, difficulty urinating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What groups of drugs can be classified as decongestants?

A

Adrenergics, anticholinergics, topical corticosteroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the purpose of using decongestants?

A

Relieve nasal stuffiness by shrinking nasal membranes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do adrenergic drugs help relieve nasal congestion?

A

Adrenergic alpha drugs constrict blood vessels shrinking mucosa decreasing secretions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How do anticholinergics help with decongestion?

A

Decrease gland secretion ( SLUDGE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the purpose of antitussives?

A

Suppress coughing by depressing cough center in the medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the most common antitussives used?

A

Robitussin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What opioid drugs are used as antitussives?

A

Codeine and hydrocodone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What adverse effects can antitussives have?

A

Sedation or nausea

17
Q

What are the actions of expectorants?

A

Stimulates flow of respiratory secretions my reducing the thickness

18
Q

When assessing a patient receiving a decongestant the nurse will recognize what condition that would be a contradiction to this drug?

A

Glaucoma

19
Q

When giving decongestants the nurse must remember that these drugs have alpha adrenergic stimulating effects that may result in what?

A

Hypertension

20
Q

A patient diagnosed with bronchitis with a productive cough should be receiving what kind of medication?

A

An expectorant

21
Q

The nurse knows that an antitussives cough medication would be the best choice for what kind of patient?

A

A patient who has had recent abdominal surgery

22
Q

A patient is taking a decongestant for a cold. The nurse will instruct the patient to look for what adverse effects of this drug?

A

Heart palpitations

23
Q

The nurse is giving an antihistamine and will observe the patient for what side effects?

A

Dizziness, hangover effect, drowsiness, and dry mouth

24
Q

The nurse sees that a patient is taking benzonatate. Based on this medication the nurse can assume the patient has what kind of problem?

A

A cough