Respiratory

Question 1

What drug class is diphenhydramine in

Answer 1

Antihistamine

Question 2

What is the action of diphenhydramine?

Answer 2

First gen H1 receptor
Block histamine receptors, inhibited, email, bronchoconstriction, Pruritus, vascular permeability

Question 3

Diphenhydramine does not prevent what?

Answer 3

The release or reduction of histamine

Question 4

Why do we give diphenhydramine?

Answer 4

Allergic reaction, motion, sickness, insomnia, Parkinson’s

Question 5

What is the side effect of diphenhydramine?

Answer 5

Anticholinergic: can’t pee, see, shit, spit
CNS depression (drowsy/sedation)
CNS stimulant (anxiety/agitation)

Question 6

What are the contraindications of diphenhydramine?

Answer 6

Pregnancy, elderly, glaucoma

Question 7

What are patient teachings with diphenhydramine?

Answer 7

Avoid prolong sun exposure

Question 8

When do we not give diphenhydramine?

Answer 8

Two patients with asthma, bronchitis, pneumonia

Question 9

What do we not mix with diphenhydramine?

Answer 9

Alcohol increases effects
Tricyclic antidepressants,increases anticholinergic effects

Question 10

What drug class is Cetirizine?

Answer 10

Second generation, H1 receptor
Find the histamine, receptors and prevent activation, preventing allergy symptoms

Question 11

What is Cetirizine used for?

Answer 11

Seasonal allergies, urticaria , other minor, allergies

Question 12

What are the side effects of Cetirizine

Answer 12

HA/N/V, dysmenorrhea, fatigue

Question 13

What is the effect of Cetirizine?
What decreases the effect of Cetirizine?

Answer 13

Increase- alcohol, cannabis, antifungal’s
Decrease: High Fat Meals, fruit juice (apple, orange, and grapefruit), St. John’s wort

Question 14

What drug is Beclomethasone in?

Answer 14

Inhaled Corticosteroids

Question 15

What is the action of Beclomethasone

Answer 15

suppresses release of, decreases inflammatory agents and decreases airway eosinophils

Question 16

why do we give beclomethasone

Answer 16

ashma and in combo with bronchodilators

Question 17

what are the SE’s of Beclomethasone

Answer 17

fungal infection, hyperglycemia, osteoporosis from long term use, HA/N, cough and dry mouth

Question 18

what do we do to beclamethosone inhalers

Answer 18

wash after every use

Question 19

what drug class is albuterol in

Answer 19

SABA Adrenergic

Question 20

what is the action of Albuterol

Answer 20

fast acting Bronchodilator, stimulate beta 2 and cyclic AMP

Question 21

Why do we give albuterol

Answer 21

prevent/treat bronchospasm in asthma/obstructive airway

Question 22

What are SE’s of albuterol

Answer 22

Muscle tremor, insomnia, angina, tachycardia, palpitations, CNS stimulation, dysrhythmias

Question 23

What do we monitor when giving albuterol?

Answer 23

Cardiac and respiratory monitoring required

Question 24

What do we tell pts to avoid when using albuterol?
What do we tell them to do after using it?

Answer 24

caffeine, increases side effects
Rinse mouth out after use

Question 25

what drug class is Salmertol and Formoterol in?

Answer 25

LABA adrenergic

Question 26

What is the action of Salmertol?

Answer 26

long acting bronchodilator

Question 27

why do we give Salmuterol

Answer 27

Prophylaxis of acute bronchoconstriciton

Question 28

What is the black box warning on Salmeterol

Answer 28

Initiating salmeterol in pts with worsening and acute asthma is life threatening