Exam 2 Upper Respiratory Stuff Flashcards

1
Q

What do antitussive opioids like codeine do?

A

suppress cough

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2
Q

What are side effects of antitussive opioids like codein?

slows down in many ways

A

dizziness
lighteadedness
drowsiness
n/v
constipation
decreased respirations

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3
Q

What caution should you take with codein?

A

highly addictive
caution with elderly, children, and pt with hx of abuse

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4
Q

What education would you provide for codein?

A

change positions slowly

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5
Q

What is guaifenesin used for?

A

chest congestion

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6
Q

What do expectorants like guaifenesin do?

A

thin mucous so you can cough it up

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7
Q

What education would you give to a client about guaifenesin?

A

dont crush or chew tabs
encourage fluids

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8
Q

What do mucolytics like acetylcysteine do?

A

thin and enhance flow of secretions?

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9
Q

What is acetylcysteine used for?

A

cystic fibrosis
antidote for acetaminophen

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10
Q

What is a unique quality of acetylcysteine?

A

smells like rotten eggs

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11
Q

What caution do you take with acetylcysteine?

For what condition?

A

caution with asthma; may cause bronchospasm

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12
Q

What do antihistamines do?

A

block histamine release

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13
Q

What is the difference between gen 1 and 2 antihistamines?

A

gen 1 crosses blood brain barrier

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14
Q

What are side effects of antihistamines?

not making you sleepy

A

dry mouth
urinary retention
constipation
anticholingeric effects

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15
Q

What are side effects unique to gen 1 antihistamines?

A

CNS depression

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16
Q

What is a side effect unique to promethazine?

A

respiratory depression

17
Q

What can you teach the patient to deal with dry mouth effects of antihistamines?

A

suck on hard candy

18
Q

What do antitussive non opioids do?

A

supress cough

19
Q

What are contraindications for antitussive non opioids?

A

do not take within 2 weeks of a MAOI

20
Q

What are decongestants like phenylephrine used for?

A

nasal stuffiness from rhinitis

21
Q

WHat are side effects of decongestants?

it is ironic

A

rebound congestions

22
Q

What are contraindications for decongestants like phenyleprine?

lots of different conditions

A

HTN
CVD
dyrhthmias
CAD
close angle glaucoma