Medications to improve resp function (Taylor, pg. 1373)

Question 1

Trade name, action, route, SE, Nurse implication of Zafirlukast

Answer 1

Trade name is Accolate, it is a bronchodilator given PO. SE are headache, dizziness, n/v. Do not give to treat acute attacks

Question 2

Trade name, action, route, SE, Nurse implication of Montelukast.

Answer 2

Trade name is Singulair. It inhibits leukotriene release as well as infammatory reaction. given PO

Question 3

Trade name, action, route, SE, Nurse implication of Albuterol.

Answer 3

it is a bronchodilator that is given PO or inhalation. SE are tremors, tachycardia, palpitaitons.

Question 4

Trade name, action, route, SE, Nurse implication of Theophylline.

Answer 4

Trade name is Aminophylline. It is a bronchodilator that is give PO, IV, or PR. SE are n/v, tachy, diuresis, vertigo

Question 5

Trade name, action, route, SE, Nurse implication of Corticosteroids.

Answer 5

Trade names are: prednisone, dexmethasone, budesonide, acetonide. It reduces inflammation, and is given PO, IV, inalation, and intranasal. SE are fluid retention, HTN, insomnia.

Question 6

Trade name, action, route, SE, Nurse implication of Diphenhydramine.

Answer 6

Trade name is benadryl. It is a antihistamine H1 receptor agonist. Given PO. SE are drowsiness, anorexia, dry mouth. Only take in presence of bronchial asthma

Question 7

Trade name, action, route, SE, Nurse implication of Cetrizine.

Answer 7

Trade name is Zyrtec. Antihistamine H1 receptor agonist. given PO. SE are headache c limited sedative effects, not associated c anticholinergic effcts.

Question 8

Trade name, action, route, SE, Nurse implication of Fexofenadine.

Answer 8

Trade name is allegra. Antihistamine H1 receptor agonist. given PO.

Question 9

Trade name, action, route, SE, Nurse implication of Cromolyn sodium.

Answer 9

Trade name is Intal. it is a mast cell stabilizer asthma prophylactic agent. This has no bronchodilating, antihistamine, or vasoconstrictor properties. given as inhalent(MDI or nasal solution). SE cough nasal and throat irritation. Remind pt that this is used to PREENT not treat asthma attacks. Only effective if taken regularly

Question 10

What is the mechnism of action for Anticholinergics?

Answer 10

Blocks cholinergic receptors, which prevents the binding f cholinergic substances that cause constriction and increase secretions

Question 11

What is the mechanism of action for Leukotriene receptor antogonist?

Answer 11

inhibits the activity of leukotrienes, which will decrease the inflammation and allergin-induced bronchocontriction

Question 12

what is the mechanism of action for beta agonists and xanthine derivatives?

Answer 12

relaxes smooth muscle and dilates the constricted bronchi and bonchioles

Question 13

What is the mechanism of action for corticosteroids?

Answer 13

prevent the inflammation provoked by the substances released from Mast cells

Question 14

What is the mechanism of action for mast cell stabilizers?

Answer 14

stabilize the membrane of mast cells preventing the release of histamine that causes constriction