Lower Respiratory Medications

Question 1

Name 1 Corticosteroid

Answer 1

1. Fluticasone (Flovent)

Question 2

Corticosteroid Mechanism of Action

Answer 2

Anti-Inflammatory to decrease airway obstruction

Question 3

Corticosteroid treats or is prophylactic for…?

Answer 3

To prevent asthma attack

Question 4

Corticosteroid Adverse Effects are…

Answer 4

1. Cough
2. Pharyngeal irritation
3. Dry Mouth
4. Oral fungus **
5. Hoarsness

Question 5

Corticosteroid Contraindication

Answer 5

1. Not for acute attacks **
2. Acute respiratory infection
3. Hypoglycemia

Question 6

Corticosteroid RN Implication

Answer 6

1. Inhalation reduces systemic adverse effects

2. Wash mouth out after inhalation

Question 7

Name 2 Beta Agonist Medications

Answer 7

1. Albuterol

2. Salmeterol

Question 8

Beta Agonist Mechanism of Action

Answer 8

Bronchodilate- Works @ Beta 2 receptor

Question 9

Beta Agonist Treatment by…?

Answer 9

Emergency bronchoconstriction & prevention

Question 10

Beta Agonist Adverse Effects

Answer 10

SNS Response

Question 11

Beta Agonist Contraindication

Answer 11

1. Cardiovascular disease
2. HTN
3. Thyroid disease
4. Drug Interaction
   a. MAOI
   b. Adrenergic Antagonist

Question 12

Beta Agonist RN Implication

Answer 12

Teach correct method of administration

Question 13

Name 1 Anticholinergic Medication

Answer 13

1. Atrovent

Question 14

Anticholinergic Mechanism of Action

Answer 14

Inhibits bronchoconstriction

Question 15

Anticholinergic Tx

Answer 15

1. Asthma
2. COPD
3. Airway constriction

Question 16

Anticholinergic Adverse Effects

Answer 16

1. Dry mouth
2. Sore throat
3. Coughing
4. Headache **
5. Anxiety **

Question 17

Anticholinergic Contraindication

Answer 17

1. Allergy to peanuts*
2. Acute bronchospasm
3. Hypersensativity to atropine
4. Drug Interaction
   a. MAOI
   b. Cholinergic agonist
   c. adrenergic agonist

Question 18

Anticholinergic RN Implication

Answer 18

Watch for and report urinary retention

Question 19

Xanthine Derivative Mechanism of Action

Answer 19

Relaxes smooth muscle of respiratory tract, Similar to caffeine

Question 20

Xanthine Derivative Tx

Answer 20

Long term management of asthma that is unresponsive to beta agonist & corticosteroids

Question 21

Xanthine Derivative Adverse Effects

Answer 21

1. Headache
2. Nervousness
3. Tachycardia
4. N/V

Question 22

Xanthine Derivative Contraindication

Answer 22

1. Coronary artery disease
2. Renal disease
3. Drug Interaction
   a. Antibiotics
   b. Beta blockers

Question 23

Xanthine Derivative Implication

Answer 23

1. Take oral on empty stomach

2. Avoid smoking or keep consistent

Question 24

Leukotriene Receptor Antagonist Mechanism of Action

Answer 24

Non-steroidal Anti-inflammatory

Question 25

Leukotriene Receptor Antagonist Tx

Answer 25

Management of asthma symptoms

Question 26

Leukotriene Receptor Antagonist Adverse Effects

Answer 26

1. Headache 2. Dizziness 3. Myalgia 4. N/V/D/ 5. Elevated liver enzymes

Question 27

Leukotriene Receptor Antagonist Contraindication

Answer 27

1. Hepatic & Renal dysfunction (Not used for acute attacks 2. Drug Implications a. Warfarin b. Theophyline

Question 28

Leukotriene Receptor Antagonist Implication

Answer 28

1. Administer on empty stomach 2. Monitor theophyline 3. INR/PT