Module 2D Respiratory Drugs

Question 1

Contraindications for antihistamine

Answer 1

Sever liver diseases, narrow-angle glaucoma, urinary retention

Question 2

Mode of adm for CROMOLYN AND NEDOCROMIL

Answer 2

Inhalation

Question 3

For:
○ Prophylactic treatment of bronchial asthma
○ Not to be used for acute asthma attack
Antiinflammatory effect and suppresses the release of histamine

Answer 3

CROMOLYN AND NEDOCROMIL

Question 4

Nursing interventions for leukotriene receptor antagonist

Answer 4

Assess herbal meds intake

Question 5

Prophylactic and maintenance for chronic asthma; causes decrease in bronchoconstriction

Answer 5

LEUKOTRIENE RECEPTOR ANTAGONIST
○ Zafirlukast (Accolate)
○ Montelukast (Singulair)

Question 6

Xanthines when taken with Beta-adrenergic agonist (terbutaline) causes

Answer 6

synergistic effect cardiac

dysrhythmias

Question 7

Xanthines when taken with __________cause decrease effects

Answer 7

Barbiturate and carbamazepine

Question 8

Xanthines when taken with Beta-blockers, cimetidine (Tagamet), propranolol (Inderal) and erythromycin causes

Answer 8

decreased metabolism rate or increase the

half-life of theophylline

Question 9

Caution xanthines when px have hx of

Answer 9

○ Seizure

○ Cardiac, renal, or liver disorders

Question 10

Causes bronchodilation; for COPD and asthma;

Answer 10

XANTHINES
○ Aminophylline (Somophyllin)
○ Theophylline (Theo-Dur)
○ Oxtriphylline (Choledyl)

Question 11

Anticholinergic drugs (respi) have potential increase fluorocarbon toxicity when used with

Answer 11

other inhalation bronchodilators having a fluorocarbon propellant

Question 12

Used For COPD

Answer 12

ANTICHOLINERGIC

Question 13

Examples of this drug include
○ Epinephrine (adrenaline)
○ Isoproterenol (Isuprel)
○ Terbutaline (Brethine)
○ Metaproterenol (Alupent)
○ Albuterol (Proventil, Ventolin)

Answer 13

BETA2 - ADRENERGIC AGONIST

Question 14

beta2 adrenergic agonists decrease with

Answer 14

beta blockers (-olol)

Question 15

Facilitates smooth muscle relaxation and inhibits mast cell

degranulation

Answer 15

CAMP- CYCLIC ADENOSINE MONOPHOSPHATE

Question 16

Nursing interventions for bronchodilators

Answer 16

avoid food containing xanthine (cola, coffee, tea)

Question 17

An autoimmune disorder wherein antibodies destroy

communication between nerves and muscles

Answer 17

Myasthenia gravis

Question 18

Symptoms include:
Dyspnea, excess mucus secretion
● Airway obstruction, bronchospasm
● Permanent irreversible damage to the lung tissue

Answer 18

COPD

Question 19

LOWER RESPIRATORY TRACT disorders causes

Answer 19

difficulty breathing

Question 20

Increase /liquefy respiratory secretions to aid in the clearing of
airway for patients who are coughing thick, tenacious secretions

Answer 20

MUCOLYTICS
● Acetylcysteine (Mucomyst)
● Dornase alfa (Pulmozyne)

Question 21

For:
○ Non-productive cough
○ Low viscosity of tenacious secretion
 Act on the cough-control center in the medulla to suppress the
cough reflex

Answer 21

ANTITUSSIVES
 Dextromethorphan hydrobromide (benylin)

Question 22

Nursing interventions for INTRANASAL GLUCOCORTICOIDS (STEROIDS)

Answer 22

Clear nasal passages before administration

Question 23

Do not use INTRANASAL GLUCOCORTICOIDS (STEROIDS) if

Answer 23

there is a presence of untreated acute

infection (mucus)

Question 24

Used to treat allergic rhinitis; May be used alone or in combination with H1 antihistamines; decrease inflammatory activity in the
bronchial wall, inhibit constriction of airway

Answer 24

INTRANASAL GLUCOCORTICOIDS (STEROIDS)

Question 25

Do not use nasal decongestants for more than

Answer 25

5 days

Question 26

nursing Intervention for nasal decongestants (assess for)

Answer 26

``` ○ Allergy ○ Glaucoma ○ HTN (hypertension) ○ DM (Diabetes mellitus) ○ Thyroid problem ```

Question 27

``` Stimulate alpha-adrenergic receptors ■ Produces nasal vascular vasoconstriction of respiratory tract mucosa ■ Shrinks nasal mucus membranes ■ Reduces nasal secretion ```

Answer 27

NASAL DECONGESTANTS Oxymetazoline (Afrin), Naphazoline (allerest), Pseudoephedrine (Sudafed)

Question 28

health teaaching for antihistamine

Answer 28

Avoid operating motor vehicles if drowsiness occurs; Use sugarless candy or gum, as well as ice chips for temporary relief of mouth dryness

Question 29

Second-generation antihistamines; causes less sedation and fewer anticholinergic effects

Answer 29

Cetirizine (Zyrtec), Fexofenadine (Allegra), Loratadine | Claritin

Question 30

First generation antihistamine

Answer 30

Diphenhydramine (Benadryl)

Question 31

Contraindications for antihistamine

Answer 31

Sever liver diseases, narrow-angle glaucoma, urinary retention

Question 32

What type of blocker is an antihistamine

Answer 32

H1

Question 33

chem released during inflammation that increases | secretions and narrows airways

Answer 33

Histamine

Question 34

``` Symptoms include ■ Nasal congestion ■ Watery nasal discharge (rhinorrhea) ■ Cough ■ Increased mucosal secretions ```

Answer 34

Acute rhinitis

Question 35

virus causing acute =rhinitis

Answer 35

rhinovirus

Question 36

Contagious period of common cold

Answer 36

■ 1-4 days before onset of symptoms | ■ During first 3 days of cold

Question 37

(common cold)

Answer 37

acute rhinitis

Question 38

- the process by which O2 moves into the capillary bed | and CO2 leaves the capillary bed

Answer 38

Diffusion

Question 39

occurs when blood from the pulmonary circulation is | sufficient at the alveolar capillary bed to conduct diffusion

Answer 39

Perfusion

Question 40

process by which oxygenated air passes through the | respiratory tract during inspiration

Answer 40

Ventilation

Question 41

NASAL DECONGESTANTS when taken with Halothane anesthesia causes

Answer 41

serious cardiovascular problem

Question 42

For: Dry, nonproductive cough ○ Loosen bronchial secretions by reducing surface tension of secretions ○ Viscosity = increase productive cough to clear airway

Answer 42

EXPECTORANTS ○ Guaifenesin (Robitussin) ○ Mucolytics

Question 43

Mode of adm for CROMOLYN AND NEDOCROMIL

Answer 43

Inhalation