Respiratory/1 Flashcards
six types of drugs to treat airflow disorders
6
- beta 2 agonists
- inhaled anticholinergic
- methylxanthines
- glucocorticoids
- mast cell stabilizers
- leukotriene modifiers
beta2-adrenergic agonists therap. uses
3
- short and long term asthma mgmt
- prevent EIA
- tx of ongoing asthma exacerb.
beta2-adrenergic agonists rx
4
- albuterol
- formoterol
- salmeterol
- terbutaline
beta2-adrenergic agonists expected pharm action
3
- promote bronchodilation
- relieve bronchospasm
- valuable in tx of asthma
beta2-adrenergic agonists (albuterol) s/e
4
- tachycardia
- heart palpitations
- tremors
- angina
beta2-adrenergic agonists (albuterol) - monitor and report
3
- tachycardia
- heart palpitations
- chest pain
inhaled anticholinergics therap uses
2
- relief of bronchospasm in pts with COPD
2. tx of allergen and exercise induced asthma
relief of bronchospasm in pts with COPD
inhaled anticholinergics - ipratropium
inhaled anticholinergics rx
2
- ipratropium
2. tiotropium
ipratropium is to
inhaled anticholinergics
inhaled anticholinergics (ipratropium) s/e 4
- dry mouth
- hoarseness
- increase intraocular pressure
- urinary retention
inhaled anticholinergics (ipratropium) interventions 3
- provide pt with water and hard candy
- schedule routine testing for glaucoma
- monitor urinary elimination
methylxanthines are for long term mgmt of
3
- chronic asthma
- chronic bronchitis
- emphysema
tx is long term mgmt of chronic asthma and bronchitis, and emphysema
methylxanthines - theophylline
methylxanthines rx
1
theophylline
glucocort. rx names
inhaled
oral
nasal
inhaled - beclomethasone dipropionate
oral - prednisone
nasal - beclomethasone
mast cell stabilizers rx
2
- cromolyn
2. nedocromil sodium
cromolyn is to
mast cell stabilizer
mast cell stabilizer (cromolyn) s/e
6
- allergic reaction
- dry mouth
- headache
- bitter aftertaste
- cough
- tingling or burning in throat/trachea
mast cell stabilizer (cromolyn) - if anaphylaxis occurs, administer what
2
epinephrine or antihistamine
leukotriene modifiers rx
3
- montelukast
- zileuton
- zafirlukast
leukotriene modifiers (montelukast) s/e 2
liver damage
headache
sedating antihistamines (diphenhydramine) therap. uses 3
- mgmt of mild allergic reactions
- mgmt of severe anaphylactic reactions
- tx of motion sickness and insomnia
sedating antihistamines (diphenhydramine) s/e 5
- drowsiness
- dizziness
- anticholinergic effects
- GI discomfort
- acute toxicity
nonsedating antihistamin etherap uses
2
allergic rhinitis
chronic idiopathic urticaria
nonsedating antihistamine rx
4
- cetirizine
- loratadine
- fexofenadine
- desloratadine
cetirizine is to
nonsedating antihistamine
nonsedating antihist. (cetirizine) s/e
3
drowsiness
fatigue
mild anticholinergic effects
sympathomimetics rx
3
- phenylephrine
- pseudoephedrine
- ephedrine
sympathomimetics (phenylephrine) therap. uses
1
reduce nasal congestion (allergic rhinitis, sinusitis, common cold)
sympathomimetics (phenylephrine) s/e
6
- agitation
- anxiety
- insomnia
- vasoconstriction, tachy
- rebound nasal congestion
- abuse potential