Respiratory Flashcards
Inflammatory disease certain allergens will trigger response to your body. It creates an immune response
ASTHMA
people that are exposed to secondhand smoking
Pneumonia
green type of pneumonia indicate what
bacterial infection
yellow type of pneumonia indicate what
viral infection
mucus type of pneumonia indicate whate
fluids in lungs that is normal but it over secretes
phlegm type of pneumonia indicate what
contains bacteria
sputum type of pneumonia indicate what
phlegm and saliva
Bronchodilators Classes
Beta-2 Agonists
Anticholinergics
Methylxanthines
example of a short acting Beta-2 agonist
albuterol
example of a long acting Beta-2 agonist
salmeterol
example of a short acting anticholinergic
ipratropium
examples of a long acing anticholinergic
tiotropium
action of B-2 adrenergic agonists
Binds to Beta 2 adrenergic receptors in the airway leading to relaxation of the smooth muscles in the airways
Nursing Considerations of B2-ADRENERGIC AGONISTS
Can cause tachycardia, angina, tremor
● Be very cautious when using in clients with heart disease (increases HR), diabetes (can mask s/s of hypoglycemia), or glaucoma (can increase lOP).
● When using 2 inhalers: use SABA 1st, ensure at least 1 min interval between
action of ANTICHOLINERGICS
Action: Block muscarinic receptors in bronchi, leading to decreased bronchoconstriction.
Nursing Considerations of ANTICHOLINERGICS
Can be used to abort an ongoing attack.
Available in combo products with SABAs (ex: Albuterol + Ipratropium)
action of METHYLXANTHINES
Relaxes bronchial smooth muscles leading to bronchodilation
Nursing Considerations of METHYLXANTHINES
Has a narrow therapeutic window
Monitor drug levels. If a dose is missed, do NOT double the next dose
It will try to not inflame your lungs
ANTI-INFLAMMATORY AGENTS
examples of Inhaled Corticosteroids
fluticasone, budesonide
examples of Oral Corticosteroids
prednisone
examples of Leukotriene Modifiers
montelukast
action of CORTICOSTEROIDS
Decreases inflammatory mediators, infiltration of inflammatory cells, and vascular permeability (to decrease edema).
action of LEUKOTRIENE RECEPTOR ANTAGONIST
Suppress leukotrienes: decrease smooth muscle constriction, bronchoconstriction, edema, and mucus secretion
are signaling molecules involved in inflammation and the immune response. They play a role in conditions such as asthma, allergy, and arthritis
Leukotrienes
action of MONOCLONAL ANTIBODIES
Reduces the amount of IgE in the blood to limit their ability to trigger an inflammatory reaction
difference between first gen and second gen antihistamines
First-generation antihistamines are more likely to cause side effects than second-generation antihistamines because they pass through the blood-brain barrier more easily, main side effects being dizziness
examples of a first gen antihistamine
diphenhydramine
examples of a second gen antihistamine
loratadine
examples of decongestants
pseudoephedrine, phenylephrine
Why should decongestants be used cautiously in patients with hypertension
it’s harder for blood to flow through a narrowed blood vessel. This can increase blood pressure
examples of H1 antagonists
Diphenhydramine, chlorpheniramine,, clemastine, promethazine, hydroxyzine, loratadine, fexofenadine
action of H1 ANTAGONISTS
Blocks H1 receptors: decreases flushing, edema, secretions, itching, and pain
action of decongestants
Activates a1-adrenergic receptors on nasal blood vessels causing vasoconstriction and shrinking of swollen mucous membranes
examples of opoid antitussives
Codeine, Hydrocodone
examples of non-opoid antitussives
Dextromethorphan
action of ANTITUSSIVES
Elevate the cough threshold, preventing cough
examples of EXPECTORANTS
guaifenesin
action of EXPECTORANTS
Stimulates the flow of respiratory tract secretions, making the cough more productive
examples of MUCOLYTIC
acetylcysteine
action of mucolytic
Reacts with mucus to make it more watery. Breaks up thick secretions so they are easier to expel
common antibiotics for Respiratory Infections
Amoxicillin, azithromycin, levofloxacin