Drugs Affecting the Respiratory System Flashcards

1
Q

What do respiratory medications treat

A
  • asthma
  • bronchitis
  • emphysema
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2
Q

What is asthma

A

chronic inflammatory disorder of the airway

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3
Q

What do Beta-2 Adrenergic Agonists do

A

activates beta-2 receptors resulting in bronchodilation

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4
Q

Beta-2 Adrenergic Agonists medication examples

A

Salmeterol

Terbutaline

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5
Q

What is Albuterol classification

A

bronchodilators

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6
Q

What does Albuterol treat

A

wheezing and shortness of breath caused by breathing problems

  • asthma
  • COPD
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7
Q

How does Albuterol work

A
  • opens breathing passages

- relaxes muscles

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8
Q

What are Salmeterol and Terbutaline used for

A

Asthma

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9
Q

What are contraindications of Beta-2 Adrenergic Agonists

A

tachydysrhythmias

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10
Q

In what patients should Beta-2 Adrenergic Agonists be used cautiously in

A
  • diabetes
  • hyperthyroidism
  • heart disease
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11
Q

What adverse effects can occur with inhaled agents

A
  • tachycardia
  • angina b/c of alpha-1 activation
  • tremors b/c of beta-2 activation
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12
Q

Use of an inhaler teaching

A

Remove the cap and hold the inhaler upright.
• Shake the inhaler
• Tilt head back slightly and breathe out
• Open mouth
• Hold inhaler 1 to 2 inches away
• Use spacer attached to inhaler
• Hold inhaler in your mouth
• Press down on inhaler to release medicine
• Breathe in slowly for 3 to 5 s
• Hold your breath for 10 s to allow medicine to go deeply into your lungs
• Repeat puffs as directed
• Wait 1 min between puffs to allow the second puff to get into the lungs better

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13
Q

What does Theophylline do

A
  • relaxation of bronchial smooth muscle resulting in bronchodilation
  • relives bronchospasm
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14
Q

What is Theophylline used for

A

long term control of chronic asthma

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15
Q

How can Theophylline be administered

A
  • oral

- IV for emergency use only

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16
Q

What classification is Theophylline under

A

Methylxanthines

17
Q

Mild toxicity reactions of methylxanthines

A
  • GI distress

- Nervousness/restlessness

18
Q

More severe reactions of methylxanthines

A
  • arrhythmias
  • tachycardia
  • tremors
19
Q

What should you instruct the patient to do if adverse reactions of Theophylline occurs

A

notify the provider

20
Q

Patient teaching for a patient taking Theophylline

A

Theophylline levels will need to be drawn

21
Q

What should be avoided when taking Theophylline

22
Q

What will smoking do when taking Theophylline

A

decrease effects

23
Q

What will alcohol abuse do when taking Theophylline

A

increase effects

24
Q

What is the action of Montelukast

A

decrease symptoms caused by asthma or allergies

25
Montelukast uses
- long term treatment to prevent or treat asthma | - in pt older than 14 yrs, prevents exercise-induced asthma (bronchospasm)
26
What else does Montelukast treat
allergic rhinitis allergies hay fever
27
What do Glucocorticoids do
prevents inflammatory response by suppression of airway mucus production
28
Glucocorticoids medications
- prednisone - betamethasone - fluticasone - methylprednisolone
29
What are short-term Glucocorticoids for
acute asthma attacks
30
What are long-term Glucocorticoids for
prophylaxis (prevention) of asthma
31
Precautions of Glucocorticoids
diabetes pt may require a higher dose | -do NOT stop abruptly
32
What should Glucocorticoids be administered with
meals
33
What should NOT be used with Glucocorticoids
NSAIDs
34
How should you stop Glucocorticoids
taper off the medication
35
If a Glucocorticoids inhalant is used w/ a bronchodilator how should you take them together
wait 5-15 min before using inhaler containing steroid for bronchodilator effect