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Pharmacology > Lower Respiratory Drugs > Flashcards

Lower Respiratory Drugs Flashcards

1
Q

Class action for Albuterol and Salmeterol

A

Beta 2 Adrenergic Agonist

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2
Q

Albuterol… LABA or SABA?

A

SABA

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3
Q

Salmeterol… LABA or SABA

A

LABA

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4
Q

Albuterol Route

A

inhaler/nebulizer (5-15 min onset)

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5
Q

Salmeterol Route

A

inhaler

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6
Q

Rescue inhalor

A

Albuterol

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7
Q

Maintenance Inhalers

A

Salmeterol, Ipratropium, Fluticasone

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8
Q

Albuterol trade name

A

Pro Air

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9
Q

Salmeterol trade name

A

Severent Diskus

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10
Q

Albuterol indications

A

acute bronchospasm: Asthma Attack, COPD Exacerbation, pneumonia
prevention of exercise induced asthma

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11
Q

Salmeterol indications

A

prevention of Asthma Attack, COPD Exacerbation, and exercise induced asthma

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12
Q

Albuterol and Salmeterol MoA

A

Beta 2 selective adrenergic agonists- BRONCHODILATION

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13
Q

Contraindications of Albuterol and Salmeterol

A

conditions exacerbated by sympomimetic effects
drug drug interactions with beta adrenergic antagonists

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14
Q

AE/SE of Albuterol and Salmeterol

A

sympomimetic stimulation: cardiac arrhythmias, tachycardia, HTN, sweating, tremors, worsened bronchospasm

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15
Q

Black Box Warning with Salmeterol

A

asthma related deaths… use corticosteroid to decrease risk

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16
Q

Nursing implications with Albuterol

A

use to treat symptoms or as scheduled… overuse can cause AE/SE. administer 30-60 min before exercise

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17
Q

Nursing implications with Salmeterol

A

use on schedule

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18
Q

Class action for ipratropium

A

respiratory cholinergic antagonist

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19
Q

Trade name for ipratropium

A

Atrovent

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20
Q

Route for Ipratropium

A

inhaler

21
Q

Indications for ipratropium

A

prevention of bronchospasm

22
Q

MoA for ipratropium

A

blocks acetylcholine BRONCHODILATION

23
Q

AE/SE for ipratropium

A

dry mouth, nasal congestion, heart palpitations, other sympathetic effects are rare

24
Q

Nursing implications for ipratropium

A

not a rescue inhalor

25
Q

Class action for Fluticasone

A

inhaled corticosteroid

26
Q

Route for fluticasone

A

inhaler

27
Q

Trade name for fluticasone

A

Flovent

28
Q

Indications for fluticasone

A

prevention and treatment of asthma

29
Q

MoA for fluticasone

A

decrease inflammatory response in airways

30
Q

AE/SE for fluticasone

A

sore throat, hoarseness, coughing, dry mouth, pharyngeal and laryngeal infections (oral thrush), rare systemic reaction

31
Q

Nursing implications for fluticasone

A

assess mucous membranes- fungal infections not a rescue inhaler

32
Q

Patient Education for Fluticasone

A

rinse mouth after each inhalation

33
Q

Class action for Montelukast

A

leukotriene

34
Q

Route for Montelukast

A

oral

35
Q

Trade name for montelukast

A

Singulair

36
Q

Indication for montelukast

A

prophylaxis in adults and children

37
Q

MoA of montelukast

A

selectively blocks Leukotriene production receptors
reduces inflammation

38
Q

AE/SE for montelukast

A

headache, nausea, diarrhea

39
Q

Nursing Implications for montelukast

A

not a rescue medication
can be used for children 1yo and older

40
Q

Class action for Theophylline and Aminophylline

A

Xanthine Derivatives

41
Q

Route for theophylline

A

oral

42
Q

route for aminothylline

A

IV

43
Q

Indications for theophylline

A

prevention of bronchospasm

44
Q

Indications for aminophylline

A

reversal of bronchospasm

45
Q

MoA of theophylline and aminophylline

A

direct effect on smooth muscles on respiratory tract- bronchi and blood vessels
metabolized to caffeine

46
Q

Contraindications for theophylline and aminophylline

A

cardiac disease

47
Q

AE/SE for Aminophylline and theophylline

A

related to blood vessels: GI Upset, nausea, irritability, tachycardia to seizure, brain damage, death

48
Q

Nursing implications for theophylline and aminphylline

A

narrow therapeutic window, monitor levels for drug toxicity, smoking increases metabolism (decrease levels)

Pharmacology (6 decks)

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