Respiratory/1 Flashcards

1
Q

six types of drugs to treat airflow disorders

6

A
  1. beta 2 agonists
  2. inhaled anticholinergic
  3. methylxanthines
  4. glucocorticoids
  5. mast cell stabilizers
  6. leukotriene modifiers
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2
Q

beta2-adrenergic agonists therap. uses

3

A
  1. short and long term asthma mgmt
  2. prevent EIA
  3. tx of ongoing asthma exacerb.
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3
Q

beta2-adrenergic agonists rx

4

A
  1. albuterol
  2. formoterol
  3. salmeterol
  4. terbutaline
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4
Q

beta2-adrenergic agonists expected pharm action

3

A
  1. promote bronchodilation
  2. relieve bronchospasm
  3. valuable in tx of asthma
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5
Q

beta2-adrenergic agonists (albuterol) s/e

4

A
  1. tachycardia
  2. heart palpitations
  3. tremors
  4. angina
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6
Q

beta2-adrenergic agonists (albuterol) - monitor and report

3

A
  1. tachycardia
  2. heart palpitations
  3. chest pain
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7
Q

inhaled anticholinergics therap uses

2

A
  1. relief of bronchospasm in pts with COPD

2. tx of allergen and exercise induced asthma

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8
Q

relief of bronchospasm in pts with COPD

A

inhaled anticholinergics - ipratropium

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9
Q

inhaled anticholinergics rx

2

A
  1. ipratropium

2. tiotropium

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10
Q

ipratropium is to

A

inhaled anticholinergics

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11
Q
inhaled anticholinergics (ipratropium) s/e
4
A
  1. dry mouth
  2. hoarseness
  3. increase intraocular pressure
  4. urinary retention
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12
Q
inhaled anticholinergics (ipratropium) interventions
3
A
  1. provide pt with water and hard candy
  2. schedule routine testing for glaucoma
  3. monitor urinary elimination
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13
Q

methylxanthines are for long term mgmt of

3

A
  1. chronic asthma
  2. chronic bronchitis
  3. emphysema
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14
Q

tx is long term mgmt of chronic asthma and bronchitis, and emphysema

A

methylxanthines - theophylline

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15
Q

methylxanthines rx

1

A

theophylline

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16
Q

glucocort. rx names
inhaled
oral
nasal

A

inhaled - beclomethasone dipropionate
oral - prednisone
nasal - beclomethasone

17
Q

mast cell stabilizers rx

2

A
  1. cromolyn

2. nedocromil sodium

18
Q

cromolyn is to

A

mast cell stabilizer

19
Q

mast cell stabilizer (cromolyn) s/e

6

A
  1. allergic reaction
  2. dry mouth
  3. headache
  4. bitter aftertaste
  5. cough
  6. tingling or burning in throat/trachea
20
Q

mast cell stabilizer (cromolyn) - if anaphylaxis occurs, administer what
2

A

epinephrine or antihistamine

21
Q

leukotriene modifiers rx

3

A
  1. montelukast
  2. zileuton
  3. zafirlukast
22
Q
leukotriene modifiers (montelukast) s/e
2
A

liver damage

headache

23
Q
sedating antihistamines (diphenhydramine) therap. uses
3
A
  1. mgmt of mild allergic reactions
  2. mgmt of severe anaphylactic reactions
  3. tx of motion sickness and insomnia
24
Q
sedating antihistamines (diphenhydramine) s/e
5
A
  1. drowsiness
  2. dizziness
  3. anticholinergic effects
  4. GI discomfort
  5. acute toxicity
25
Q

nonsedating antihistamin etherap uses

2

A

allergic rhinitis

chronic idiopathic urticaria

26
Q

nonsedating antihistamine rx

4

A
  1. cetirizine
  2. loratadine
  3. fexofenadine
  4. desloratadine
27
Q

cetirizine is to

A

nonsedating antihistamine

28
Q

nonsedating antihist. (cetirizine) s/e

3

A

drowsiness
fatigue
mild anticholinergic effects

29
Q

sympathomimetics rx

3

A
  1. phenylephrine
  2. pseudoephedrine
  3. ephedrine
30
Q

sympathomimetics (phenylephrine) therap. uses

1

A

reduce nasal congestion (allergic rhinitis, sinusitis, common cold)

31
Q

sympathomimetics (phenylephrine) s/e

6

A
  1. agitation
  2. anxiety
  3. insomnia
  4. vasoconstriction, tachy
  5. rebound nasal congestion
  6. abuse potential