Respiratory Agents Flashcards
Beta 1
ππ» heart rate.
Heart.
Beta 2
Bronchodilation.
Lungs.
Antihistamine
Block histamine receptor 1. Anticholinergic effects. Helps open up airway. ππ» secretions. Sedative effect.
Ventilation
Mechanical.
Respiration
Gas exchange.
Second generation antihistamines
Nonsedating.ππ»
Less anticholinergic effects.
Long half life.
Nasal decongestants
Stimulate alpha receptors in nose.
Vasoconstrict, ππ» swelling, opens airway)
S/E: REBOUND
Meant for short term use.
Systemic nasal contestants
Blood vessels constrict.
Can ππ» blood pressure and sugar.
Drug interactions.
Glucocorticoid
Intranasal.
Decrease runny nose, & inflammation process.
Not intended for long term use.
Antitussive
Suppress cough center in brain.
Narcotic and non-narcotic.
Expectorants
Drink 8 glasses of water a day.
S/E: nausea, vomiting.
Sympopathometics
Asthma. Selective for beta 2. Bronchodilation. S/E: tremulousness, nervousness, ππ»heart rate. Work rapidly.
Anticholinergics
Block cholinergic response = bronchodilation.
How to use an inhaler correctly
Shake, deep breath out, inhale slowly, wait in between puffs.
Methylxanthine derivatives
Narrow therapeutic index
S/E: toxicity, nausea, vomiting, tachycardia, & jittery.
Avoid caffeine.
Leukotriene receptor agonists and synthesis inhibitors
Preventative therapy.
Not for rescue, for maintenance.
ππ» inflammatory response.
Glucocorticoids (2)
Most powerful anti-inflammatory
Used when bronchodilators not effective.
Inhalers can cause fungal overgrowth on tongue.
Rinse mouth after use.
Cromolyn
Stops leukotrienes and histamines.
Maintenance drug.
Tastes bad, drink water before and after.
Mucolytics
Antidote for Tylenol overdose.
S/E: nausea, vomiting.
Bronchodilators nursing process
Lung sounds, O2/CO2 levels, skin color, history of pulmonary disease, asthma/triggers, current & meds. Drug-drug interactions with herbals. Push fluids. Sit up. Take with food. Kids get hyperactive.
Leukotriene inhibitors nursing process
Monitor for ππ» liver enzymes.
Take in evening if for allergies, and a few hours before if for exercise.
Weird side effects: agitation, aggressive behavior, anxiety, depression, insomnia, suicidal thoughts.
Alpha receptors are located where?
Blood vessels.