Pharm test 5 respiratory

Question 1

antihistamine receptors

Answer 1

H1 receptor blocker

Antihistamine treat minor symptoms of allergy and common cold

Question 2

antihistamine side effects

Diphenhydramine - Benadryl

Answer 2

Drowsiness
Dry mouth and tachycardia
Report urinary hesitancy

Question 3

dextromethorphan teaching

Answer 3

Nonopioid used for mild or moderate cough.

Question 4

diphenhydramine side effect to report

Answer 4

Report urinary hesitancy

Question 5

expectorant indications

Answer 5

Promote mucous secretion
DRY NON-PRODUCTIVE COUGH
Increase bronchial secretions
Promote mucus secretion 
Make mucus thinner and easier to remove by coughing

Question 6

intranasal glucocorticoid adminsitration

Answer 6

Drug of choice to treat allergic rhinitis

Administer 2-3 weeks prior to allergen exposure

Question 7

opioid antitussive indication

Answer 7

used for severe cough… codeine with phenergan

Question 8

oral and intranasal decongestant differences

Answer 8

Oral: Have more systemic effects, RESPONSE TIME IS SLOWER THAN INTRANASAL, LESS EFFECTIVE at relieving severe congestion
Intranasal: MORE EFFICACIOUS THAN ORAL, available in OTC sprays and drops, affect local action within minutes, HAVE FEW SYSTEMIC EFFECTS

Question 9

oxymetazoline (Afrin) complications

Answer 9

rebound congestion when oxymetazoline is used for longer than 3 to 5 days

Question 10

pseudoephedrine illegal usage

Answer 10

starting chemical for methamphetamine

Question 11

pseudoephedrine side effects

Answer 11

hypertension
CNS stimulation
insomnia
anxiety

Question 12

asthma medication teaching

Answer 12

Asthma requires a complicated medication regimen for acute attacks but most important is continuing with the preventive medications.

Albuterol - rinse mouth to reduce bitter taste

Advise clients not to use leukotriene modifiers during acute asthma attack

Question 13

beta agonist adverse effect

Answer 13

beta adrenergic agonist… Albuterol prototype drug
-nervousness
-restlessness
-tachycardia
Secondary: palpitations, headaches, throat irritation, tremor

Question 14

bronchodilators mechanism of action

Answer 14

Activate beta2-receptors in bronchial smooth muscle to cause bronchodilation

Question 15

dry powder inhaler mechanism

Answer 15

Device activated by inhalation

Question 16

glucocorticoid inhalation side effect

Answer 16

• Do not use this medication during acute asthma attack

- During an attack steroids may be given IV

Question 17

inhalation therapy teaching

Answer 17

◦Asthma, allergic rhinitis
◦Blood clots, Cushing’s syndrome
◦Fungal infections, diabetes mellitus

Question 18

ipratropium contraindication

Answer 18

not recommended in children younger than 12 years

Question 19

leukotriene mechanism of action

Answer 19

• mediators of immune response
• primarily used for asthma prophylaxis
• PREVENTS AIRWAY EDEMA AND INFLAMMATION by blocking leukotriene receptors in airways