Part 3 (respiratory, cancer, diuretics)

Question 1

What drug class is Diphenhydramine in?

Answer 1

Antihistamines

Question 2

what is the action of Diphenhydramine?

Answer 2

occupies histamine receptor sites, preventing histamine form action on target tissue

Question 3

what is the therapeutic use of Diphenhydramine?

Answer 3

hypersensitivity reactions, motion sickness, insomnia, Parkinsonism

Question 4

What are the adverse effects of Diphenhydramine?

Answer 4

drowsiness, mental impairment, sedation, anticholinergic effects (blurred vision, urinary retention, dry mouth, and constipation)
- can’t see, can’t pee, can’t spit, can’t shit

Question 5

what are the contraindications of Diphenhydramine?

Answer 5

pregnancy, prostatic hypertrophy, cation in older adults

Question 6

What is the patient teaching for Diphenhydramine?

Answer 6

do not perform tasks that require mental alertness ex. driving; do not take if you have asthma, pneumonia, or bronchitis; avoid prolong sun exposure

Question 7

what drug class is Albuterol in?

Answer 7

SABA (short acting beta antagonist), adrenergic

Question 8

What is the action of Albuterol?

Answer 8

Bronchodilator

Question 9

what is the therapeutic use of Albuterol?

Answer 9

treats and prevents bronchospasms in people w/ asthma and other reversible obstructive airway diseases.

Question 10

What are the adverse effects of Albuterol?

Answer 10

muscle tremors, angina, tachycardia, palpitations, agitation, anxiety, insomnia, seizures, and tremors.

Question 11

what are the contraindications of Albuterol?

Answer 11

cardiac tachydysrhythmia, severe coronary artery disease.

Question 12

What are the nursing actions for Albuterol?

Answer 12

cardiac monitoring, assess respiratory functions, rinse mouth after use

Question 13

what drug class is Salmeterol in?

Answer 13

LABA (Long-acting beat antagonist) adrenergic

Question 14

what is the action of Salmeterol?

Answer 14

long active bronchodilator

Question 15

what is the therapeutic use of Salmeterol?

Answer 15

prophylaxis of acute bronchoconstriction

Question 16

what is Salmeterol BBW for?

Answer 16

initiating salmeterol in people with significantly worsening or acutely deteriorating asthma may be life threatening

Question 17

what is the patient teaching for Salmeterol?

Answer 17

do not use more often than every 12 hours

Question 18

what drug class is Beclomethasone in?

Answer 18

Inhaled corticosteroids

Question 19

what is the action of Beclomethasone?

Answer 19

suppress releases of inflammatory mediators, blocks generation of cytokines, and decreases recruitment of airways eosinophils.

Question 20

what is the therapeutic use of Baclomethasone?

Answer 20

prophylaxis management of asthma; used in combination with bronchodilators

Question 21

what are the adverse effects of Beclomethasone?

Answer 21

Ha, cough, dry mouth, hoarseness, oral fungal infection, nausea,

Question 22

what are the contraindications of Beclomethasone?

Answer 22

recent nasal surgery, injury, or ulcers

Question 23

what is the patient teaching of Beclomethasone?

Answer 23

rinse mouth after use to prevent fungal infections

Question 24

what drug class is Cyclophosphamide in?

Answer 24

alkylating drugs (Cancer)

Question 25

What is the action of Cyclophosphamide?

Answer 25

interrupts cell division and leads to cell death or impairment cell functioning.

Question 26

what is the therapeutic use of Cyclophosphamide?

Answer 26

Tx of cancer

Question 27

what are the adverse effects of Cyclophosphamide?

Answer 27

bone marrow depression, N/V, alopecia, bleeding

Question 28

What are the nursing actions of Cyclophosphamide?

Answer 28

check liver functions before administration

Question 29

What is the patient teaching for Cyclophosphamide?

Answer 29

take on empty stomach if possible; drink plenty of water, report bloody urine

Question 30

What drug class is Alemtuzumab in?

Answer 30

Biologics (Cancer)

Question 31

What is the action of Alemtuzumab?

Answer 31

Activates antibody and complement medicated cytotoxicity

Question 32

What is the therapeutic use for Alemtuzumab?

Answer 32

Tx of cancer

Question 33

What are the adverse effects of Alemtuzumab?

Answer 33

Immunosuppressant, hypo/hypertension, peripheral edema, N/V/D, mucositis

Question 34

What drug class is Hydrochlorothiazide in?

Answer 34

Thiazide (diuretic)

Question 35

What is the action of Hydrochlorothiazide?

Answer 35

Decreases absorption of sodium, water, chloride, and bicarbonate in the distal tubule

Question 36

What is the therapeutic use of Hydrochlorothiazide?

Answer 36

mild hypertension and heart failure; drug of choice for long-term management

Question 37

What are the adverse effects of Hydrochlorothiazide?

Answer 37

hypotension, paresthesia, erectile dysfunction, electrolyte imbalance, dizziness, weakness, diarrhea, constipation

Question 38

What are the contraindications of Hydrochlorothiazide?

Answer 38

sulfa allergy

Question 39

What is the nursing actions for Hydrochlorothiazide?

Answer 39

can use during pregnancy (B), monitor BUN and Cr levels, watch Na and K levels

Question 40

What is the patient teaching for Hydrochlorothiazide?

Answer 40

take in the morning with food; eat foods high in Potassium

Question 41

What drug class is Furosemide in?

Answer 41

Loop diuretics

Question 42

What is the action of Furosemide?

Answer 42

inhibits sodium and chloride reabsorption in the ascending loop of Henle

Question 43

What is the therapeutic use of Furosemide?

Answer 43

#1 heart failure drug, edema, pulmonary edema, hepatic and renal disease

Question 44

What are the adverse effects of Furosemide?

Answer 44

hypotension, fluid and electrolyte imbalance, dizziness, weakness, HA, ototoxicity

Question 45

What are the contraindications of Furosemide?

Answer 45

anuria, sulfa allergy, and pregnancy

Question 46

What is the nursing action for Furosemide?

Answer 46

monitor BUN, Cr, Na, and K levels

Question 47

What is the patient teaching for Furosemide?

Answer 47

eat potassium-rich foods, reduce salt intake to avoid aggravating edema and hypertension, take in the morning with food.

Question 48

What drug class is Spironolactone in?

Answer 48

K-sparing diuretics

Question 49

What is the action of Spironolactone?

Answer 49

blocks effects of aldosterone (which retains sodium and water and promotes excretion of potassium

Question 50

What is the therapeutic use of Spironolactone?

Answer 50

heart failure, ascites, hypokalemia, hypertension, hyperaldosteronism

Question 51

What are the adverse effects of Spironolactone?

Answer 51

Dizziness, HA, abd cramping, diarrhea

Question 52

What is the BBW for Spironolactone for?

Answer 52

Avoid in first trimester of pregnancy due to risk of spontaneous abortion or abnormalities

Question 53

What are the contraindications of Spironolactone?

Answer 53

Renal insufficiency, 1st trimester of pregnancy

Question 54

What is the patient teaching for Spirolactone?

Answer 54

avoid salt substitutes, take in the morning with food