Pulmonary meds and supplemental O2 Flashcards

The learner will recall common side effects of bronchodilators, corticosteroids, and oxygen  The learner will relate common pulmonary medications to pulmonary pathologies  The learner will relate common pulmonary medications to pulmonary surgeries and use of the ventilator The learner will apply pulmonary exercise physiology to exercise prescription

1
Q

What is important for pulmonary response to exercise?

A

Intensity of exercise over the mode of exercise
Dyspnea and RPE are good predictors for exerise prescription and monitoring alongside vital signs

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2
Q

(There are four)

Function of pulmonary meds

A
  1. Bronchodilation and/or limiting bronchoconstriction
  2. Facilitation of mucocilliary function (therefore secretion clearance)
  3. Increased alveolar ventilation and/or improved oxygenation
  4. Improved control of breathing pattern
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3
Q

Purpose of bronchodilators- adrenergic agonists

A
  • Increase sympathetic stimulation and create bronchodilation
  • Action: works on secondary NT messengers
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4
Q

Side effects of bronchodilators- adrenergic agonists

A

IncreaseBP and HR, positiveionotropiceffect,palpitations,vasoconstriction,anginalpain

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5
Q

Main action of bronchodilators- adrenergic agonists

A

Prevents reuptake of norepinephrine

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6
Q

Purpose of bronchodilators- adrenergic antagonists

A
  • For hypertensive crisis
  • Works on alpha-receptors to block bronchoconstriction
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7
Q

Side effects of bronchodilators- adrenergic antagonists

A

N/V, hypotension, dizziness

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8
Q

How are bronchodilators- adrenergic antagonists administered?

A

Injection

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9
Q

Action of bronchodilators- muscarinic antagonists

A

Stimulates vagus nerve (sympathetic)

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10
Q

Side effects of bronchodilators- muscarinic antagonists

A

Tachycardia, blurred vision, constipation

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11
Q

Action of medications for PF

A

Downregulates growth factors of procollagen I and II

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12
Q

Side effects of medications for PF

A

N/V,rash, diarrhea,dizziness,HA,fatigue, URI,insomnia, weight loss,arthralgia, liver issues

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13
Q

Action of medication for pulmonary HTN

A

Dilation, Ca+ channel blockers, diuretics

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14
Q

Side effects of medications for pulmonary HTN

A
  • Dilation: N/V, diarrhea,dz, HA, flushing, sweating,hypotension, tachycardia,myalgia
  • Ca+: edema, nausea, HA, fatigue, drowsiness, palpitations
  • Diuretics: hypotension,hyponatremia, hypokalemia, blurred vision
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15
Q

Action and purpose of corticosteroid

A
  • Decrease mucosal inflammation
  • Immunosuppression
  • Ex: prednisone, budenoside, cortisone
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16
Q

Side effects of corticosteroid

A

motor restlessness,thirst, blurred vision, frequent urination

17
Q

Action and purpose of respiratory depressives neuromuscular blockades

A
  • sedate or calm patients on ventilator
  • CNS depression
18
Q

Side effects of respiratory depressives neuromuscular blockades

A

hypotension, decreased arousal/awareness,blurred vision,dry mouth,constipation, urinary retention

19
Q

Action and purpose of supplemental O2

A
  • shift to the right and improve peripheral tissue oxygenation
  • improve O2 saturation