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Block 1 Nursing > Respiratory Disorders & Drug therapy > Flashcards

Respiratory Disorders & Drug therapy Flashcards

1
Q

COPD symptoms

A

cough, dyspnea, underweight, fatigue

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2
Q

COPD diagnostics

A

CXR, ABG, ECG (WBC for infection), spirometry

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3
Q

COPD drug therapy

A

bronchodilators & inhaled corticosteroids
Albuterol (short), Ipratropium (long), fluticasone & budesonide (corticosteroids)

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4
Q

Bronchodilators

A

Albuterol (short acting) & Ipratropium (long acting)

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5
Q

Inhaled corticosteroids

A

Fluticasone & Budesonide

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6
Q

Bronchodilator SE

A

tremors, palpitations, unusual taste

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7
Q

Inhaled corticosteroids SE

A

hoarseness, headaches, decreased bone density, high risk for pneumonia, high risk for thrush

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8
Q

Pneumonia symptoms

A

cough, fever, chills, tachycardia, tachypnea, dyspnea, pleural pain, malaise, diminished breath sounds

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9
Q

Pneumonia diagnostics

A

CXR, CBC (WBC), sputum studies

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10
Q

Valley fever symptoms

A

similar to pneumonia except for SKIN RASH

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11
Q

Valley fever diagnostics

A

biopsy, sputum studies, blood test

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12
Q

Valley fever meds

A

Antifungal: Fluconazole and Amphotericin B

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13
Q

Antifungal SE

A

GI upset

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14
Q

Tuberculosis symptoms

A

severe cough, night sweats, thick sputum, unexplained wt. loss, fatigue, malaise, hemoptysis (in advanced TB)

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15
Q

Tuberculosis diagnostics

A

TB skin test, CXR, sputum studies (3 on 3 different days), interferon release assays

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16
Q

Tuberculosis meds
how long is treatment

A

RIPE, up to 18 weeks

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17
Q

RIPE SE

A

Rifampin: orange discoloration of body fluids
Isoniazid: peripheral neurotoxicity (supp. w vitamin B6)
Pyrazinamide: skin rash
Ethambutol: retrobulbar neuritis (irritation behind eyes)

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18
Q

Rhinitis symptoms

A

sore throat, sneezing, runny/stuffy nose, fatigue, mild cough

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19
Q

Influenza symptoms

A

FEVER, HEADACHE, BODY ACHES, cough, fatigue, sore throat, chills, sneezing, stuffy nose

20
Q

Covid-19 symptoms

A

SOB, LOSS OF SMELL/TASTE, fever, dry cough, fatigue, sore throat, body aches, headaches, chills, stuffy nose

21
Q

Covid-19 meds

A

Antiviral: Paxlovid (SE: hypertension)
Remdesivir (SE: nausea, hyperglycemia)

22
Q

Antihistamines meds

A

Diphenhydramine (1st gen)
Cetirizine, Loratadine, Fexofenadine (2nd gen)

23
Q

Antihistamines SE

A

drowsiness, n/v/d, fatigue, dizziness, thickened bronchial secretions

24
Q

Antihistamines contraindications
Drug-to-drug interactions

A

DO NOT USE WITH ASTHMA PTS
No ETOH use

25
Q

Antitussives function

A

cough suppressant for nonproductive cough

26
Q

Antitussives meds

A

Dextromethorphan (Robitussin DM)

27
Q

Antitussives contraindications

A

COPD & asthma

28
Q

Decongestants

A

vasoconstriction of nasal capillaries; reduces swelling and inflammation of nasal passages

29
Q

Decongestant meds

A

Pseudoephedrine

30
Q

Decongestant SE

A

jittery, nervousness, restless, hypertension, hyperglycemia

31
Q

Decongestant contraindications
Drug-to-drug interactions

A

hypertension, hyperthyroidism, cardiac disease, DM
Beta blockers

32
Q

Mucolytics

A

loosens mucous

33
Q

Mucolytics meds

A

Acetylcysteine

34
Q

Mucolytics SE

A

severe n/v, bronchospasm

35
Q

Mucolytics med information

A

malodorous
hepatoprotective when PO
used for Tylenol OD

36
Q

Expectorants

A

loosen & thins mucus to make it easier to cough up

37
Q

Expectorants meds

A

Guaifenesin & Dextromethorphan

38
Q

Expectorant SE

A

drowsiness, headache, GI upset

39
Q

Asthma

A

inflamed, narrow, swollen airway

40
Q

Asthma meds

A

bronchodilators & inhaled corticosteroids
albuterol, ipratropium, fluticasone, budesonide

41
Q

Meter dose inhalers

A

deliver controlled dose of medication with each compression

42
Q

Nasal cannula

A

1-6L, do not exceed 6L

43
Q

Simple mask

A

5-8L ; 40-60 % O2

44
Q

Nonrebreather

A

12-15L ; 80-95% O2

45
Q

Venturi mask

A

4-10L ; 24-40% O2
monitor FiO2 ; controlled O2 concentrations

46
Q

High flow cannula

A

60L ; 100% O2
FiO2

Block 1 Nursing (4 decks)

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