Respiratory

Question 1

Corticosteroids

Answer 1

• Inhaled, topical, and non respiratory use (Addison’s)

- Suffix: -sone, -Ide

Question 2

Acetylcysteine

Answer 2

• mucolytic
• Tx: CF, pneumonia, bronchitis
• Antidote for acetaminophen overdose
• Given nebulizer to loosen secretions and clear airway
• AE: can cause worsen bronchospasm in asthma pt
• Smells like rotten eggs
• don’t exceed recommended dose

Question 3

Long-Acting Beta 2-Agonists (LABAs)

Answer 3

• Bronchodilators
• Suffix: -terol
• SE: tacky, palps, arrhythmias, HTN, Nervousness/anxiety, insomnia/restless, tremors (aka fight or flight)
• Broncho, wait 5 min, then corticosteroid
• rinse mouth
• spacer can decrease thrush

Question 4

Short-Acting Beta2-Agonsists (SABAs)

Answer 4

• Bronchodilator
• Asthma= rescue inhaler
• Suffix: -terol
• Think fight or flight SEs
• Shake well before admin
• rinse mouth
• dont exceed 3 doses of 2-4 puffs every 20 min

Question 5

Guaifenesin

Answer 5

• Expectorants
• Relief of cough when dry and nonproductive
• Tx: pneumonia, asthma, bronchitis, CF, trach care
• mobilize secretions
• reduce viscosity of secretions
• SE: N/V, HA, drowsiness, rash

Question 6

Inhaled Anticholinergics

Answer 6

Tx: COPD, congestion (rhinitis), Allergy induced asthma, exercise induced- bronchospasm

• Suffix: -tropium
• No not swallow capsules, they go in specialized inhalers
• SE: can’t see, spit, pee, poop
• Dont take if peanut allergy
• increase fluids/ candy for dry mouth
• often taken with albuterol

Question 7

Leukotriene Inhibitors

Answer 7

-bronchodilator
Prevents leukotriene release as a inflammatory response
-Tx: chronic asthma and seasonal allergies
-suffix: -lukast
-SE: HA and Flu symptoms
-Long term management
-takes 1-2 wks to work

Question 8

Theophylline

Answer 8

Bronchodilators
-therapeutic 10-20
>20 = toxic
-Signs of toxicity: anorexia, N/V, Insomnia, Restless/nervous, SEIZURES, LIFE- threatening arrhythmias
-Avoid caffeine worn SE and increase serum levels

Question 9

Antihistamines

Answer 9

Tx: common cold, rhinitis, motion sickness urticaria, N/V
-suffux: -ramine or -adine (2nd gen)
SE: Sedation, anticholinergic se's
-2nd generations have less SE
-Are OTC meds (aka Benadryl)

Question 10

Codeine

Answer 10

• Antitussive opioid or cough supressant
• Decreases cough reflex
• SE: opioid SEs
• Avoid alcohol