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Meds for Exam 5 Flashcards

1
Q

Albuterol

A

beta2-adrenergic agonist

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2
Q

Albuterol: expected pharmacological action

A

relieve bronchospams and reducing airway resistance

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3
Q

Albuterol: therapeutic use

A

long-term mang. of asthma, prevention of excercise induced bronchospasms, and treatment of ongoing asthma exacerbations

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4
Q

Albuterol: complications

A

angina, palpitations, nervousness, tremors, and restlessness

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5
Q

Albuterol: common side effect

A

tachycardia

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6
Q

Albuterol: Med Admin

A

PO

inhale

take before inhaling glucocordicoids

watch fo signs of asthma

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7
Q

Albuterol: Contraindindications/Precautions

A

contrain.: allergy to albuterol and levalbuterol

precautions: Dm, hyperthyroidism, CVD, HTN, angina, tachycardia

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8
Q

albuterol: nursing interventions

A

monitor dizziness, heart palps, angina, and SOB

monitor and report tremors

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9
Q

albuterol: interactions

A

betablockers reduce effectivness

MAOIs and antidepressants increase risk of HTN, chest pain, and tachycardia

hypoglycemic drugs

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10
Q

albuterol: client education

A

take as prescribed
report angina
avoid caffine
report heart palpitations
notify PCP if tremors occur/interfere with ADLs

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11
Q

albuterol: eval of medication effectiveness

A

help prevent bronchospasms and productive treatment for on-going asthma

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12
Q

Atrovent

A

antilinergics

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13
Q

Atrovent: expected pharmacological action

A

antagonizing the action of acetylchoine

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14
Q

atrovent: therapeutic use

A

relief of bronchospasms in clients who have COPD, decrease secretions in clients with COPD

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15
Q

atrovent: complications

A

dry mouth, irritation of the pharynx, increased intracolar pressure, urinary retention

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16
Q

atrovent: med admin

A

PO; inhale

follow on schedule

delay other inhalants for 5 minutes

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17
Q

atrovent: contrainindications/precautions

A

contrain.: hypersensitivity to ipratropium, atropine

precautions: gluacoma, prostatic hypertrophy, bladder neck obstruction

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18
Q

atrovent: interactions

A

Beta2 andrenergic agonists enhance bronchodilation

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19
Q

atrovent: nursing interventions

A

provide water/hard candy to client

schedule routine for glaucoma

monitor urinary elimination patterns, espically in older adults

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20
Q

atrovent: client ed

A

suck on hard candy

sip water freq

regular testing for glaucoma

report any changes in urinary elimination

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21
Q

atrovent: eval of medication admin

A

improving lung functions (bronchospasms) in clients who have COPD

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22
Q

Theophylline

A

methyixanthines

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23
Q

theophylline: expected pharamcological action

A

relax smooth muscles located in the bronchial airways and the pulmonary blood vessels

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24
Q

theophylline: therapeutic use

A

long term mang of chronic asthma

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25
theophylline: complications
rare at therapeutic levels
26
theophylline: med admin
PO if does is missed, do NOT double dose DNC maintain schedule intervals between doses
27
theophylline: contraindications/precautions
contrain: clients with impaired metabolisms, tobacco/marijuana use, caffine precautions: heart disease, liver dysfunction, acute pulmonary edema
28
theophylline: interactions
cimetidine, some fluroquinolones, and caffine increse risk of toxicity phenobarbital, phenytoin, and nicotine increase metabolism of theophylline
29
theophylline: eval of med admin
improvement of Sx of chronic asthma
30
theophylline: nursing interventions
monitor plasma levels discontinue if toxic levels are indicated monitor HR and rhythm
31
theophylline: client ed
reduce/eliminate caffine intake have periodic lab tests of drug levels stop taking if seizures occur
32
prednisone
Anti-inflammatory (steroidal) agent, Immunosuppressant/ Glucocorticosteroid
33
prednisone: expected pharm action
Suppresses inflammation and the normal immune response.
34
prednisone: therapeutic use
Systemic and local treatment of a wide variety of inflammatory diseases and conditions. Replacement therapy in adrenal insufficiency.
35
prednisone: complications
Depression, euphoria, headache, personality changes, psychoses, restlessness, cataracts, increased ICP, hypertension, acne, decreased wound healing, fragility, adrenal suppression, hyperglycemia, fluid retention, hypokalemia, weight gain, muscle wasting, osteoporosis, aseptic necrosis of joints, muscle pain, increases susceptibility to infection.
36
prednisone: med admin
PO
37
prednisone: contrainindications/precautions
Hypersensitivity, systemic fungal infection, active tuberculosis
38
prednisone: interactions
NSAIDs, live virus vaccines, nobarbital, rifampin, insulin, phenytoin, loop diuretics, digoxin
39
prednisone: eval of med admin
Decrease in presenting symptoms with minimal systemic side effects; suppression of the inflammatory and immune response in autoimmune disorders, allergic reactions, and neoplasms
40
prednisone: nursing interventions
Give with food to avoid GI upset. Monitor daily weight, edema, lung sounds, serum electrolytes, CBC, and glucose levels.
41
prednisone: client ed
Do not stop medication abruptly. Avoid grapefruit juice and limit caffeine intake.
42
cromolyn
mast cell stabilizer antiasthmatics
43
cromolyn: expected pharm action
Prevents the release of histamine and slow-reacting substance of anaphylaxis from sensitized mast cells
44
cromolyn: therapeutic use
Long-term treatment of allergy-related asthma Prophylaxis for exercise-induced bronchospasm Prophylaxis for seasonal allergy symptoms Management of allergic rhinitis
45
cromolyn: complications
Dizziness, headache, rash, nasal irritation, sneezing, coughing, wheezing, nausa, and unpleasant taste
46
cromolyn: contraindications/precautions
Renal or Hepatic dysfunction Bronchiospasm Acute attacks of asthma
47
cromolyn: med admin
Use with a nebulizer or metered-dose inhaler Expect several weeks of use for full effect to become apparent Administer four times daily on a fixed schedule Use the inhaler 15 minutes before exercise to prevent exercise-induced bronchospasm Do not used to relieve acute asthma exacerbation
48
cromolyn: interactions
unknown
49
cromolyn: nursing interventions
Administer epinephrine and or antihistamines to reverse anaphylaxis
50
cromolyn: eval of med admin
Reduction in symptoms of asthma Prevention of exercise-induced bronchospasm Decrease in the symptoms of allergic rhinitis
51
cromolyn: client education
Seek medical care immediately for certain rash, swelling of the mouth or throat, or wheezing after use
52
singulair
Leukotriene modifiers
53
singulair: expected pharm action
Leukotriene modifiers suppress the effects of leukotrienes, thereby reducing inflammation, bronchoconstriction, airway edema, and mucus production.
54
singulair: therapeutic use
Long-term therapy of asthma in adults and children, and to prevent exercise-induced bronchospasm - Montelukast is used in children as young as 12 months of age. - Zafirlukast is used in children age 5 years and up. - Zileuton is used in adolescents and adults
55
singulair: complications
Depression, suicidal ideation, insomnia, hallucinations, Pulmonary eosinophilia
56
singulair: med admin
P.O. Once daily PM Or what the provider instructs you to do
57
singulair: contraindications/precautions
Montelukast and zafirlukast are Pregnancy Category B. Zileuton is Pregnancy Category C. - Use cautiously in clients who have liver dysfunction.
58
singulair: nursing interventions
Take 2hrs before exercised to prevent excersise-enduced asthma - No overdose
59
singulair: interactions
Montelukast used concurrently with phenytoin can inhibit effects of montelukast
60
singulair: eval of med admin
Depending on therapeutic intent, effectiveness is evidenced by long term control of asthma.
61
singulair: client ed
Advise clients to take montelukast once daily at bedtime. For exercise-induced bronchospasm, take 2 hr before exercise. Instruct clients taking daily montelukast to not take an additional dose for exercise induced bronchospasm.

Fundamentals (20 decks)

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