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MedSurg Nursing; N1110 > Medications: Respiratory > Flashcards

Medications: Respiratory Flashcards

1
Q

What is an example of a short acting beta two adrenergic agonist medication?

A

Albuterol

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2
Q

The medication albulterol falls under what drug class?

A

Short acting beta two adrenergic agonist

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3
Q

How does a short acting beta two adrenergic agonist medication work?

A

Stimulates beta two receptors to dilate the bronchioles immediately

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4
Q

How is a short acting beta two adrenergic agonist medication administered?

A

Metered Dose Inhaler
or
Nebulized Treatment

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5
Q

When is a short acting beta two adrenergic agonist medication given?

A

During acute respiratory problems, difficulty breathing, respiratory distress

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6
Q

Overuse of short acting beta two adrenergic agonist medications can cause what?

A

Bronchospasms

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7
Q

Short acting beta two adrenergic agonist medications will active what other receptors? What symptoms may occur?

A

Beta one receptors

Increased heart rate
Headache
Feelings of nervousness/jittery/shaky
Dizziness

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8
Q

What medication drug classes are considered “rescue” breathing medications?

A

Short acting beta two adrenergic agonists (Albuterol)

Combo Med: Short acting beta two adrenergic agonist and Anticholinergic (DuoNeb)

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9
Q

What assessments must be performed before and after administration of “rescue” breathing medications? After assessment is performed, the nurse must do what?

A 
Respiratory Rate
Heart Rate
SpO2
Lung Sounds
Reports of SOB
Accessory Muscle Use
Work of breathing
Speaking in how many word sentences?

The nurse must document findings after assessment

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10
Q

What are examples of long acting beta two adrenergic agonist medications?

A

Salmeterol (Servent)

Formoterol (Perforomist)

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11
Q

The medications Salmeterol and Formoterol fall under what drug class?

A

Long acting beta two adrenergic agonist medications

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12
Q

How does a long acting beta two adrenergic agonist medication work?

A

Opens the airways/bronchioles slowly
Keeps bronchioles dilated for up to 12 hours
Medication taken daily to improve daily breathing efforts

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13
Q

How is a long acting beta two adrenergic agonist medication administered?

A

Metered Dose Inhaler

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14
Q

When is a long acting beta two adrenergic agonist medication given?

A

Given daily to provide long term control of bronchoconstriction

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15
Q

Should a patient take a long acting beta two adrenergic agonist due acute respiratory episodes?

A

No!

Take “rescue” inhaler: Albuterol or DuoNeb

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16
Q

Medicatons ending in “-ol” work with what receptors?

A

Beta two receptors

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17
Q

What are examples of anticholinergic medications?

A 
Ipratropium Bromide (Atrovent)
Tiotropium (Spiriva)
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18
Q

The medications Ipratropium Bromide (Atrovent) and Tiotropium (Spiriva) fall under what drug class?

A

Anticholinergic medications

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19
Q

How does an anticholinergic medication work?

A

Blocks acetylcholine which in turn blocks the Parasympathetic Nervous System (PNS).
The PNS promotes relaxation and some constriction of the bronchioles
By blocking this, bronchodilation is promoted

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20
Q

How is an anticholinergic medication administered?

A

Metered dose inhaler
or
Inhalation powder device

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21
Q

When is an anticholinergic medication given?

A

Given daily to aide in long term bronchodilation, improves airflow and breathing long term

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22
Q

What education must be provided when a patient is taking the medication Tiotropium (Spiriva)?

A

Do not swallow the Spiriva capsules
Capsules are inserted into the inhalation device, punctured, and then the patient inhales the substance within the capsule

23
Q

What is an example of the combo medication with a short acting beta two adrenergic agonist and an anticholinergic agent?

A

Albuterol and Ipratropium Bromide (DuoNeb)

24
Q

The combo medication Albulterol and Ipratropium Bromide (DuoNeb) falls under what drug class?

A

Short acting beta two adrenergic agonist and an anticholinergic agent

25
Q

How does the combo medication with a short acting beta two adrenergic agonist and an anticholinergic agent work?

A

The short acting beta two adreergic agonist dilates bronchioles immediately
The anticholinergic agent blocks the PNS, causing bronchodilation for a prolonged time

26
Q

How is the combo medication with a short acting beta two adrenergic agonist and an anticholinergic agent administered?

A

Metered Dose Inhaler
or
Nebulized Mist Treatment

27
Q

When is the combo medication with a short acting beta two adrenergic agonist and an anticholinergic agent given?

A

During acute respiratory problems, difficulty breathing, respiratory distress

28
Q

Overuse of the combo medication with a short acting beta two adrenergic agonist and an anticholinergic agent can cause what?

A

Bronchospasms

29
Q

The combo medication with a short acting beta two adrenergic agonist and an anticholinergic agent will active what other receptors? What symptoms may occur?

A

Beta one receptors

Increased heart rate
Headache
Feelings of nervousness/jittery/shaky
Dizziness

30
Q

What are examples of an inhaled corticosteroid medication?

A

Fluticasone (Flovent)

Budesonide (Pulmicort)

31
Q

The medications Fluticasone (Flovent) and Budesonide (Pulmicort) fall under what drug class?

A

Inhaled Corticosteroids

32
Q

How does an inhaled corticosteroid medication work?

A

Specifically targets the lung tissue and bronchioles to decrease inflammation
Improves airflow

33
Q

How is an inhaled corticosteroid medication administered?

A

Metered Dose Inhaler

Fluticasone can also be given as a nasal spray for sinus issues

Budesonide can be given as a nebulized mist treatment

34
Q

When is an inhaled corticosteroid medication given?

A

Daily, decreases inflammation long term

35
Q

Are inhaled corticosteroids considered local or systemic?

A

Local, they do not cause systemic issues

They only target lung tissue

36
Q

If an inhaled corticosteroid is taken via metered dose inhaler, what education must be provided?

A

Wash mouth out after every use, prevent candadiasis (thrush)

37
Q

What are side effects of using an inhaled corticosteroid?

A

Dry Mouth, Hoarseness

38
Q

When a patient is using Fluticasone Nasal Spray, will it effect the lung tissue?

A

No, it targets the sinus area and tissues around it.

Aides with nasal congestion, runny nose, etc.

39
Q

What are examples of a systemic corticosteroid medication?

A

PO:
Prednisone (Deltasone)

IV:
Methylprednisolone (Solumedrol)

40
Q

The medications Prednisone (Deltasone) and Methylprednisolone (Solumedrol) fall under what drug class?

A

Systemic Corticosteroids

41
Q

How does a systemic corticosteroid medication work?

A

Reduces inflammation within the body

Decreases inflammation with the lung tissue and bronchioles, improves air flow

42
Q

How is a systemic corticosteroid medication administered?

43
Q

When is a systemic corticosteroid medication given?

A

During acute exacerbations of asthma or COPD

44
Q

Are the medications Prednisone (Deltasone) and Methylprednisolone (Solumedrol) considered local or systemic corticosteroids?

A

Systemic Corticosteroids

45
Q

What are side effects of using systemic corticosteroids?

A 
If the patient is on the medication longer than a week:
Increased blood sugar
Weight Gain
Insomnia
Mood changes
46
Q

Are the medications Fluticasone (Flovent) and Budesonide (Pulmicort) considered local or systemic corticosteroids?

A

Local corticosteroids

47
Q

What are examples of the combo medication with a long acting beta two adrenergic agonist and an inhaled corticosteroid?

A

Fluticasone and Salmeterol (Advair)

Budesonide (Symbicort)

48
Q

The combo medications Fluticasone and Salmeterol (Advair) and Budesonide (Symbicort) falls under what drug class?

A

Combo Drug: Long acting beta two adrenergic agonist and an inhaled corticosteroid

49
Q

How does the combo medication with a long acting beta two adrenergic agonist and an inhaled corticosteroid work?

A

Reduces inflammation within the bronchioles and lung tissue

Promotes long term bronchodilation

50
Q

How is the combo medication with a long acting beta two adrenergic agonist and an inhaled corticosteroid administered?

A

Metered Dose Inhaler

51
Q

When is the combo medication with a long acting beta two adrenergic agonist and an inhaled corticosteroid given?

A

Daily; long term control

52
Q

What education needs to be given when a patient is taking the combo medication with long acting beta two adrenergic agonist and an inhaled corticosteroid

A

Do not take for immediate respiratory issues
Wash mouth out after use of inhaler
May experience dry mouth and hoarseness

53
Q

List all medications that can be given for daily control of COPD and Asthma

A 
Salmeterol
Formoterol
Ipratropium Bromide
Tiotropium
Budesonide
Fluticasone
Advair
Symbicort
54
Q

Can a patient be on more than one daily control medication for their Asthma or COPD?

A

Yes. It is not uncommon to see an individual who has COPD or Asthma on more than one inhaler.
They may be on multiple inhalers and a PRN or scheduled rescue inhaler in order to manage their disease appropriately.

MedSurg Nursing; N1110 (15 decks)

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