Meds affecting the RESPIRATORY SYSTEM Flashcards
what is the diff bw controllers and rescue respiratory meds?
controllers are taken daily and not for acute symptoms
rescue meds are taken as needed and have a quick onset
beta blockers that are considered rescue meds
albuterol
levalbuterol
beta blockers that are considered controller meds
formeterol
salmeterol
which med should a client inhale first: a beta-2 agonist or glucocorticoid? why?
administer the beta2 agonist FIRST (wait about 5 min), then glucocorticoid
so the lungs can open up first (bronchodilation), enhancing the absorption of the glucocorticoid
whats an example of an inhaled anticholinergic med?
ipatropium (short-acting)
tiotropium (long-acting)
why would an inhaled anticholinergic be helpful to a client with asthma or COPD?
inhaled anticholinergics block muscarinic receptors of the bronchi, resulting in BRONCHODILATION
what side effect would you expect with an inhaled anticholinergic?
dry mouth, hoarseness
clients should rinse their mouth after taking which kind of inhaled medication? why?
inhaled glucocorticoids
beclomethasone, fluticasone
whats the purpose/benefit of using a spacer?
increases medication
what conditions does montelukast help treat?
- long-term therapy of asthma in adults and children
- prevent exercise-induced bronchospasm
how does montelukast work?
suppresses the effects of leukotrienes, therefore reducing:
- inflammation
- bronchoconstriction
- airway edema
- mucus production
when should a client take montelukast if he/she is taking it for asthma?
once daily at bedtime
when should a client take montelukast if he/she is taking it for exercise-induced bronchospasm?
2hr before exercise
what does the word antitussive mean?
used to prevent/relieve a cough
why might someone with an upper respiratory infection take an opioid?
opioids, like codeine, suppresses cough. to decrease the frequency and intensity