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Adult Health Exam 1 Meds > Meds > Flashcards

Meds Flashcards

1
Q

Short acting Beta-2 agonist drug name (one)

A

albuterol

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2
Q

Nursing considerations for albuterol

A

monitor HR and BP, use care with cardiac patients

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3
Q

side effects of albuterol

A

tachycardia, palpitations, nervousness, increase BP

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4
Q

actions of albuterol

A

bronchodilators, relaxes smooth muscles in airways, begins working within minutes

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5
Q

name of oral/IV corticosteorids (three)

A

prednisone, methylprednisolone, orapred

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6
Q

actions of oral/IV corticosteroids

A

used to treat acute asthma attacks or severe asthma

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7
Q

Nursing considerations for oral/IV corticosteroids

A

may take a few hours or few days to become fully effective, long term use can cause serious side effects- cataracts, osteoporosis, muscle weakness, decreased resistance to infection, high BP

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8
Q

cholinergic antagonist drug name (one)

A

atrovent

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9
Q

cholinergic antagonist action

A

used to block parasympathetic nervous system which increases bronchodilation

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10
Q

side effects of cholinergic antagonists

A

blurred vision, headache, nausea, nervousness, palpitations

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11
Q

nursing considerations of cholinergic antagonists

A

drug can cause dry mouth - rinse mouth after use, must be used several times a day, used in conjunction with albuterol and/or nebulizers

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12
Q

inhaled corticosteroid drugs (four)

A

flovent, pulmicort, azmacort, aerobid

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13
Q

actions of inhaled corticosteroids

A

anti inflammatory, decreased inflammation in the airways

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14
Q

side effects of inhaled corticosteroids

A

few side effects, use of these minimizes need for oral steroids

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15
Q

nursing considerations of inhaled corticosteroids

A

monitor growth rate on kids, long term use can increase risk of bruising/thinning skin, gargle and spit out water after use to avoid oral thrush/yeast infections

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16
Q

long acting beta-2 agonists (LABA) drugs (three)

A

serevent (salmeterol), formoteraol, advair

17
Q

actions of LABA

A

bronchodilators - open constricted airways, last at least 12 hours, used to control moderate to severe asthma

18
Q

side effects of LABA

A

in some cases can actually make asthma attack worse

19
Q

nursing considerations of LABA

A

use on regular schedule, not to be used as main treatment for asthma, never to be used without inhaled corticosteroid

20
Q

leukotriene modifier drugs (two)

A

singulair, accolate

21
Q

action of leukotriene modifiers

A

reduces production/blocks the action of leukotriene substance released by cells in lungs during asthma attack

22
Q

side effects of leukotriene modifiers

A

headache, abdominal pain, cough

23
Q

nursing considerations of leukotriene modifiers

A

used in conjunction with other meds such as inhaled corticosteroids, used with mild asthma, given in oral pill form

24
Q

methylxanthine drugs (three)

A

theo-dur, uniphyl, theophylline

25
Q

action of methylxanthines

A

bronchodilator

26
Q

side effects of methylxanthines

A

nausea/vomiting, tachycardia, dysrthymias

27
Q

nursing considerations for methylxanthines

A

often used if other agents ineffective, narrow therapeutic range, patient becomes toxic easily, blood levels need to be monitored, avoid caffeine if possible, take oral meds with food

28
Q

Nasal cannula O2 concentration

A

22-45%

29
Q

nasal cannula advantage, disadvantages, and administration guidelines

A

adv: effective for low oxygen concentration
dis: will not deliver oxygen concentrations higher than 40%, dry mucous membranes
adm guidelines: maximum flow is 5-6 LPM. change to another O2 device if patient requires > 5 LPM. humidify for liter flows >4 LPM, use on patients with adequate tidal volume and normal vital signs

30
Q

simple mask advantages, disadvantages, and administration guidelines, O2 concentration

A

O2 concentration: 25-60%
adv: deliver oxygen concentrations up to 60%
dis: tight seal is required for higher oxygen concentrations, hot and confining impractical long term
adm guidelines: a minimum of 6 LPM is required for all masks to flush expired CO2 and prevent rebreathing of CO2. do not use humidifier and fit firmly. use for severe asthma, pneumonia, trauma, or severe sepsis

31
Q

nonrebreather O2 concentration, advantage, disadvantages, and administration guidelines

A

o2 concentration: 80-95%
adv: deliver highest possible oxygen concentration without intubation, short term therapy
dis: requires a tight seal, impractical for long term
adm guidelines: reservoir bag must remain inflated at all times, do not use humidifier bottle, if bag collapses, increase flow rate until inflated, ensure free expansion no twisting or kinks

32
Q

Venturi mask O2 concentration, advantage, disadvantages, and administration guidelines

A

O2 concentraiton: 24-60% is determined by color of venture device
adv: delivers highly accurate oxygen concentration for same amount of air always enters
dis: requires a tight seal intake ports can be blocked
adm guidelines: accurate O2 concentration depends on oxygen liter flow and color of attached venture device, always use the clear plastic collar to guarantee the oxygen concentration delivered. Do not use a humidifier bottle. USE ON COPD PATIENTS

33
Q

Aerosol/ large volume nebulizers O2 concentration, advantage, disadvantages, and administration guidelines

A

O2 concentration: 28-100%
adv: administers large volumes of mist, indicated for thick secretions
dis: condensation may collect in the trach. collar or tubing
adm guidelines: observe for signs of overhydration, pulmonary edema, crackles, connected to a wide corrugated tubing that receives oxygen from a jet nebulizer

34
Q

Nasal canula leater flow (LPM)

A 
1-6
1=25%
2=29%
3=33%
4=37%
5=41%
6=45%
35
Q

simple mask liter flow

A

6-10

36
Q

non rebreather liter flow

A

10-15

37
Q

venturi mask liter flow

A

varies, mixes a specific volume of air and oxygen

38
Q

aerosol/large volume nebulizers liter flow

A

10-15

Adult Health Exam 1 Meds (1 decks)

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