Respiratory Flashcards
What drug class is diphenhydramine in
Antihistamine
What is the action of diphenhydramine?
First gen H1 receptor
Block histamine receptors, inhibited, email, bronchoconstriction, Pruritus, vascular permeability
Diphenhydramine does not prevent what?
The release or reduction of histamine
Why do we give diphenhydramine?
Allergic reaction, motion, sickness, insomnia, Parkinson’s
What is the side effect of diphenhydramine?
Anticholinergic: can’t pee, see, shit, spit
CNS depression (drowsy/sedation)
CNS stimulant (anxiety/agitation)
What are the contraindications of diphenhydramine?
Pregnancy, elderly, glaucoma
What are patient teachings with diphenhydramine?
Avoid prolong sun exposure
When do we not give diphenhydramine?
Two patients with asthma, bronchitis, pneumonia
What do we not mix with diphenhydramine?
Alcohol increases effects
Tricyclic antidepressants,increases anticholinergic effects
What drug class is Cetirizine?
Second generation, H1 receptor
Find the histamine, receptors and prevent activation, preventing allergy symptoms
What is Cetirizine used for?
Seasonal allergies, urticaria , other minor, allergies
What are the side effects of Cetirizine
HA/N/V, dysmenorrhea, fatigue
What is the effect of Cetirizine?
What decreases the effect of Cetirizine?
Increase- alcohol, cannabis, antifungal’s
Decrease: High Fat Meals, fruit juice (apple, orange, and grapefruit), St. John’s wort
What drug is Beclomethasone in?
Inhaled Corticosteroids
What is the action of Beclomethasone
suppresses release of, decreases inflammatory agents and decreases airway eosinophils
why do we give beclomethasone
ashma and in combo with bronchodilators
what are the SE’s of Beclomethasone
fungal infection, hyperglycemia, osteoporosis from long term use, HA/N, cough and dry mouth
what do we do to beclamethosone inhalers
wash after every use
what drug class is albuterol in
SABA Adrenergic
what is the action of Albuterol
fast acting Bronchodilator, stimulate beta 2 and cyclic AMP
Why do we give albuterol
prevent/treat bronchospasm in asthma/obstructive airway
What are SE’s of albuterol
Muscle tremor, insomnia, angina, tachycardia, palpitations, CNS stimulation, dysrhythmias
What do we monitor when giving albuterol?
Cardiac and respiratory monitoring required
What do we tell pts to avoid when using albuterol?
What do we tell them to do after using it?
caffeine, increases side effects
Rinse mouth out after use
what drug class is Salmertol and Formoterol in?
LABA adrenergic
What is the action of Salmertol?
long acting bronchodilator
why do we give Salmuterol
Prophylaxis of acute bronchoconstriciton
What is the black box warning on Salmeterol
Initiating salmeterol in pts with worsening and acute asthma is life threatening
