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Nursing of Adults I > Chapter 31: Obstructive Pulmonary Diseases: Drugs > Flashcards

Chapter 31: Obstructive Pulmonary Diseases: Drugs Flashcards

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1
Q

cause tachycardia (2)

A

SABA, formoterol

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2
Q

first-line agents that are most effective short-term controller drugs for asthma

A

inhaled corticosteroids

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3
Q

(SABAs, SAMAs) are used first

A

SABAs

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4
Q

produce bronchodilation within minutes (2)

A

SAMA, SABA

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5
Q

olodaterol: class, uses, and forms

A

inhaled long-acting beta2-adrenergic agonist (LABA)
uses: COPD
forms: MDI

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6
Q

Suggested options for COPD drug treatment: less than 2 exacerbations, no hospitalizations with fewer daily symptoms

A

SABA or LABA

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7
Q

albuterol: class, uses, and forms

A

inhaled short-acting beta2-adrenergic agonists (SABA)
uses: asthma, COPD
forms: nebulizer, MDI

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8
Q

cause dizziness (3)

A

SAMA, olodaterol, montelukast

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9
Q

When LABAs are used to treat COPD, they can be used as ______________ but should not be used for rapid relief of ________

A

monotherapy, dyspnea

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10
Q

cause fatigue (1)

A

montelukast

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11
Q

type of inhaler: some need to be shaken before use (read package insert)

A

metered-dose inhaler (MDI)

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12
Q

montelukast: class, uses, and forms

A

leukotriene modifier: leukotriene receptor antagonist
uses: asthma
forms: oral

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13
Q

prednisone: class, uses, and forms

A

corticosteroid
uses: asthma, COPD
forms: oral

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14
Q

first-line treatment for most patients with COPD

A

bronchodilators

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15
Q

type of inhaler: often 1 inhalation per dose

A

dry powder inhaler (DPI)

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16
Q

small, hand-held, pressurized devices that deliver a measured dose of drug with each activation

A

metered-dose inhaler (MDI)

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17
Q

cause GI distress (2)

A

formoterol, montelukast

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18
Q

contains dry, powdered medication and is breath activated

A

dry powder inhaler (DPI)

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19
Q

cause hyperglycemia (1)

A

corticosteroids

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20
Q

ipratropium: class, uses, and forms

A

short-acting anticholinergic (SAMA)
uses: asthma, COPD
forms: nebulizer, MDI

21
Q

cause tremors (2)

A

SABA, formoterol

22
Q

formoterol: class, uses, and forms

A

inhaled long-acting beta2-adrenergic agonist (LABA)
uses: asthma
forms: DPI, nebulizer

23
Q

When using a nebulizer, the patient must breathe (slowly, quickly) and (shallowly, deeply) through the mouth and hold each inspiration for _________, breathing normally in between.

A

slowly, deeply, 2-3 seconds

24
Q

cause nausea (1)

A

SABA

25
Q

Suggested options for COPD drug treatment: more than 2 exacerbations, 1 hospitalization with fewer daily symptoms

A

LAMA

26
Q

When LABAs are used to treat asthma, they are never used as ______________ but in combination with _______________

A

monotherapy, inhaled corticosteroids

27
Q

oral albuterol is _____________ and not used for acute situations

A

long-acting

28
Q

type of inhaler: often 2 inhalations per dose

A

metered-dose inhaler (MDI)

29
Q

albuterol: use with caution in patients with __________ disorders due to increased BP and HR, CNS stimulation, and increased risk for dysrhythmias

A

cardiac

30
Q

type of inhaler: do not shake

A

dry powder inhaler (DPI)
(some MDIs- read insert)

31
Q

Suggested options for COPD drug treatment: more than 2 exacerbations, 1 hospitalization with more daily symptoms

A

LAMA or LABA and LAMA or LABA and ICS

32
Q

Asthma: In most circumstances, a _____________ drug is used first, followed by a _____________ drug

A

quick-acting drug, reliever

33
Q

cause palpitations (1)

A

SAMA

34
Q

cause headache (3)

A

SAMA, SABA, montelukast

35
Q

use with caution in diabetes, can increase glucose levels

A

formoterol

36
Q

albuterol: (MDI, nebulizer) is more effective and delivers drug more quickly to the lungs

A

MDI

37
Q

cause dry mouth (1)

A

SAMA

38
Q

type of inhaler: slow inspiration

A

metered-dose inhaler (MDI)

39
Q

type of inhaler: rapid inspiration

A

dry powder inhaler (DPI)

40
Q

type of inhaler: spacer may be used

A

metered-dose inhaler (MDI)

41
Q

cause cold symptoms (1)

A

olodaterol

42
Q

effects of albuterol last ______ hours

A

2-5

43
Q

(SABAs, SAMAs) are used in worse situations

A

SAMAs

44
Q

SAMAs are only used for __________ acute asthma attacks

A

severe

45
Q

Suggested options for COPD drug treatment: less than 2 exacerbations, no hospitalizations with more daily symptoms

A

LAMA or LABA

46
Q

type of inhaler: spacer is not used

A

dry powder inhaler (DPI)

47
Q

can be used to prevent wheezing and shortness of breath caused by asthma during exercise (not in acute attack)

A

montelukast

48
Q

cause fluid retention (1)

A

corticosteroids

Nursing of Adults I (21 decks)

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