pharm final- resp

Question 1

Dipenhydramine (Benadryl) class

Answer 1

1st generation antihistamine

Question 2

Dipenhydramine (Benadryl) MOA

Answer 2

compete with histamine for receptor sites thus preventing a histamine response of rhinorrhea, itching, and sneezing.

Question 3

Dipenhydramine (Benadryl) SE

Answer 3

anticholinergic effects: drowsiness, blurred vision, dry mouth, urinary retention, constipation

Question 4

Dipenhydramine (Benadryl) nursing implications

Answer 4

Can increase blood sugar, intraocular pressure
caution use with HTN, diabetes, glaucoma, renal disease, prostate disease.
avoid use with ETOH

Question 5

Dipenhydramine (Benadryl) uses

Answer 5

allergies, hypersensitivity reactions, motion sickness, sleep aid

Question 6

codeine class

Answer 6

antitussive

Question 7

codeine MOA

Answer 7

act on the cough control center in the medulla to help suppress the cough reflex.

Question 8

codeine SE

Answer 8

drowsiness, nausea, constipation, respiratory depression

Question 9

codeine nursing implications

Answer 9

not used in patients with excessive secretions who need to be able to cough up the secretions i.e. asthma, emphysema

Question 10

Guaifenesin (Robitussin, Humibid LA, Mucinex) class

Answer 10

expectorant

Question 11

Guaifenesin (Robitussin, Humibid LA, Mucinex) MOA

Answer 11

thin/loosen bronchial secretions so they can be coughed up easier.

Question 12

Guaifenesin (Robitussin, Humibid LA, Mucinex) SE

Answer 12

N&V, dizziness, headache

Question 13

Guaifenesin (Robitussin, Humibid LA, Mucinex) nursing implications

Answer 13

Used in combination with analgesics, antihistamines, decongestants and antitussives.
Hydration is best treatment for expectoration.

Question 14

Albuterol class

Answer 14

beta 2 adrenergic agonist

Question 15

Albuterol MOA

Answer 15

mimic the sympathetic nervous system, cause Bronchodilation

Question 16

Albuterol SE

Answer 16

tachycardia, heart palpitations, shakiness, restlessness, agitated, increase in BP

Question 17

Albuterol nursing implications

Answer 17

Indications: Asthma and COPD

dont take inhaler before bed (it will keep you awake)

Question 18

advair discus class

Answer 18

combination agents

Question 19

advair discus MOA

Answer 19

Salmeterol (albuterol-long acting bronchodilator)
Fluticasone (steroid-decrease edema in the nasal membranes and sinuses through steroid (anti-inflammatory action). Blocks histamine and allergic response)

Question 20

advair discus SE

Answer 20

at risk for fungal infection

Question 21

advair discus nursing implications

Answer 21

must rinse their mouth after each use