Pharmacology exam two respiratory tract and Anticoagulant drugs Flashcards
What are the three Anti- inflammatory agents?
- Glucocorticoids
- Leukotriene Modifiers
- Mast Cell Stabilizers
Examples of Glucocorticoids (anti-inflammatory agent)
- Budesonide
- Fluticasone
- Methylprednisolone (IV)
- Prednisone (oral)
Mechanism of Action for ? Budesonide fluticasone Methylprednisolone (IV) Prednisone (oral)
- Suppress INFLAMMATION
- Decreases synthesis and release of inflammatory mediators.
- Decreases infiltration and activity of inflammatory cells.
Anti-inflammatory agents glucocorticoids (What is the Therapeutic Effects of the following?) Budesonide Fluticasone Methylprednisolone(IV) Prednisone(oral)
Therapeutic effects are:
- Reduces bronchial hyperreactivity
- Decreases mucus production
- Increases number/responsiveness of beta-2 receptors
Anti-inflammatory agents (glucocorticoids)
What are the Adverse Effects of the following?
Budesonide
Fluticasone
Methylprednisolone (IV)
Prednisone(oral)
Adverse effects are:
- Thrush
- Severe long-term side effects: adrenal suppression, osteoporosis, hyperglycemia
Anti-inflammatory (Glucocorticoids) What are the Nursing Considerations for the following? Budesonide Fluticasone Methylprednisolone(IV) Prednisone(oral)
Nursing Considerations are:
- Most effective anti-asthma drugs (when used properly).
- Rinse mouth after each inhalation dose.
Examples of Leukotriene Modifiers (anti-inflammatory agents)
- Zileuton (Zyflo)
- Zafirlukast (Accolate)
- Montelukast (Singulair)
What is the mechanism of action for the following:
Zileuton (Zyflo)
Zafirlukast (Accolate)
Montelukast (Singulair)
Mechanism of action
- Suppress effects of leukotrienes
- Target leukotrienes (inflammatory mediators)
What are the therapeutic effects of the following:
Zileuton (Zyflo)
Zafirlukast (Accolate)
Montelukast (Singulair)
Therapeutic Effects (same as Glucocorticoids)
- Reduces bronchial hyperreactivity
- Decreases mucus production
- Increases number/responsiveness of beta-2 receptors.
what are the adverse effects of the following:
Zileuton (Zyflo)
Zafirlukast (Accolate)
Montelukast (Singulair)
Adverse Effects:
- Risk for liver damage
- Dyspepsia
- Churg-Strauss Syndrome
What are the drug interactions for the following:
Zileuton (Zyflo)
Zafirlukast (Accolate)
Montelukast (Singulair)
Drug Interactions are:
- Theophylline and propranolol
- Food (Accolate only)
what are the nursing considerations for the following:
Zileuton (Zyflo)
Zafirlukast (Accolate)
Montelukast (singulair)
Nursing Considerations
- Less effective than glucocorticoids
Examples of mast cell stabilizers (anti-inflammatory agents)
Cromolyn (inhalation, nebulizer, MDI-metered dose inhaler)
What is the mechanism of action for
Cromolyn (anti-inflammatory agent) ?
Mechanism of action
-Targets and inactivates mast cells.
What are the therapeutic effects of Cromolyn?
Therapeutic effects
- Suppresses inflammation (not a bronchodilator)