Medications: Respiratory

Question 1

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

Answer 1

Albuterol

Question 2

The medication albulterol falls under what drug class?

Answer 2

Short acting beta two adrenergic agonist

Question 3

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

Answer 3

Stimulates beta two receptors to dilate the bronchioles immediately

Question 4

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

Answer 4

Metered Dose Inhaler
or
Nebulized Treatment

Question 5

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

Answer 5

During acute respiratory problems, difficulty breathing, respiratory distress

Question 6

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

Answer 6

Bronchospasms

Question 7

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

Answer 7

Beta one receptors

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

Question 8

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

Answer 8

Short acting beta two adrenergic agonists (Albuterol)

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

Question 9

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

Answer 9

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

Question 10

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

Answer 10

Salmeterol (Servent)

Formoterol (Perforomist)

Question 11

The medications Salmeterol and Formoterol fall under what drug class?

Answer 11

Long acting beta two adrenergic agonist medications

Question 12

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

Answer 12

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

Question 13

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

Answer 13

Metered Dose Inhaler

Question 14

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

Answer 14

Given daily to provide long term control of bronchoconstriction

Question 15

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

Answer 15

No!

Take “rescue” inhaler: Albuterol or DuoNeb

Question 16

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

Answer 16

Beta two receptors

Question 17

What are examples of anticholinergic medications?

Answer 17

Ipratropium Bromide (Atrovent)
Tiotropium (Spiriva)

Question 18

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

Answer 18

Anticholinergic medications

Question 19

How does an anticholinergic medication work?

Answer 19

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

Question 20

How is an anticholinergic medication administered?

Answer 20

Metered dose inhaler
or
Inhalation powder device

Question 21

When is an anticholinergic medication given?

Answer 21

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

Question 22

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

Answer 22

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

Question 23

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

Answer 23

Albuterol and Ipratropium Bromide (DuoNeb)

Question 24

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

Answer 24

Short acting beta two adrenergic agonist and an anticholinergic agent

Question 25

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

Answer 25

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

Question 26

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

Answer 26

Metered Dose Inhaler or Nebulized Mist Treatment

Question 27

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

Answer 27

During acute respiratory problems, difficulty breathing, respiratory distress

Question 28

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

Answer 28

Bronchospasms

Question 29

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

Answer 29

Beta one receptors Increased heart rate Headache Feelings of nervousness/jittery/shaky Dizziness

Question 30

What are examples of an inhaled corticosteroid medication?

Answer 30

Fluticasone (Flovent) | Budesonide (Pulmicort)

Question 31

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

Answer 31

Inhaled Corticosteroids

Question 32

How does an inhaled corticosteroid medication work?

Answer 32

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

Question 33

How is an inhaled corticosteroid medication administered?

Answer 33

Metered Dose Inhaler Fluticasone can also be given as a nasal spray for sinus issues Budesonide can be given as a nebulized mist treatment

Question 34

When is an inhaled corticosteroid medication given?

Answer 34

Daily, decreases inflammation long term

Question 35

Are inhaled corticosteroids considered local or systemic?

Answer 35

Local, they do not cause systemic issues | They only target lung tissue

Question 36

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

Answer 36

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

Question 37

What are side effects of using an inhaled corticosteroid?

Answer 37

Dry Mouth, Hoarseness

Question 38

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

Answer 38

No, it targets the sinus area and tissues around it. | Aides with nasal congestion, runny nose, etc.

Question 39

What are examples of a systemic corticosteroid medication?

Answer 39

PO: Prednisone (Deltasone) IV: Methylprednisolone (Solumedrol)

Question 40

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

Answer 40

Systemic Corticosteroids

Question 41

How does a systemic corticosteroid medication work?

Answer 41

Reduces inflammation within the body | Decreases inflammation with the lung tissue and bronchioles, improves air flow

Question 42

How is a systemic corticosteroid medication administered?

Answer 42

PO or IV

Question 43

When is a systemic corticosteroid medication given?

Answer 43

During acute exacerbations of asthma or COPD

Question 44

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

Answer 44

Systemic Corticosteroids

Question 45

What are side effects of using systemic corticosteroids?

Answer 45

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

Question 46

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

Answer 46

Local corticosteroids

Question 47

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

Answer 47

Fluticasone and Salmeterol (Advair) | Budesonide (Symbicort)

Question 48

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

Answer 48

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

Question 49

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

Answer 49

Reduces inflammation within the bronchioles and lung tissue | Promotes long term bronchodilation

Question 50

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

Answer 50

Metered Dose Inhaler

Question 51

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

Answer 51

Daily; long term control

Question 52

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

Answer 52

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

Question 53

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

Answer 53

``` Salmeterol Formoterol Ipratropium Bromide Tiotropium Budesonide Fluticasone Advair Symbicort ```

Question 54

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

Answer 54

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.