Respiratory Drugs

Question 1

Bronchial Asthma

Answer 1

• Recurrent and reversible SOB
• Occurs when the airways of the lungs become narrow

Question 2

Status Asthmaticus

Answer 2

Prolonged asthma attack that does not respond to drug therapy

Question 3

Bronchodilators

Answer 3

Help relax and widen the airway in the lungs

Question 4

Short-acting B- agonists inhalers

Answer 4

Salbutamol ( Ventolin)
Most commonly used drug

Question 5

B-Adrenergic Agonist

Answer 5

• Used during acute phase of asthmatic attacks
• Quickly reduce airway constriction and restore normal airflow

Question 6

Long-acting B-agonist Inhalers

Answer 6

Salmeterol (Serevent)
- Used for the maintenance of treatment of asthma and COPD

Question 7

Anticholinergics

Answer 7

Ipratropium

Anticholinergics bind to acetylcholine receptors, preventing it from binding.

Question 8

Xanthine Derivative

Answer 8

Not for management of acute asthma attack

Question 9

Leukotriene Receptor Antagonists

Answer 9

• Substances released when a trigger stats a series or chemical reactions in the body
• Prophylaxis and long term treatment of asthma in adult and children
• Montelukast safe in children

Question 10

Corticosteriods

Answer 10

Dual effect of both reducing inflammation and enhancing the activity of B-agonist

• May taken several weeks before full effects are seen.

Question 11

Phosphodiesterase Type 4 inhibitor

Answer 11

Roflumilast (Daxas)
- Prevent coughing and excess mucus from worsening

Question 12

Monoclonal Antibody Antiasthmatic

Answer 12

Omalizumab (Xolair)
- Selectively bind to immunoglobulin E, which limits the release of mediators of the allergic response.

Question 13

Nursing Implication

Answer 13

• Instruct pt to rise their mouth with water after inhaling a steroid medication to prevent oral fungal infection
• Bronchodilator and corticosteroid are both order, use bronchodilator several minutes before corticosteroid.