Respiratory Drugs Flashcards by Brian B

Q

Proventil, Ventolin

Another Name

A

Albuterol

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Q

Albuterol

Another Name

A

Proventil

Ventolin

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Q

Albuterol (Ventolin, Proventil)

Class

A

Sympathomimetic Bronchodilator

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Q

Albuterol (Proventil, Ventolin)

Description

A

Synthetic sympathomimetic that causes bronchodilation with less cardiac effect then epinephrine and reduces mucus secretions, pulmonary capillary leaking and edema in the lungs during allergic reactions.

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Q

Albuterol (Proventil, Ventolin)

Indications

A

Bronchospasm in asthma COPD, Hyperkalemia

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Q

Albuterol (Proventil, Ventolin)

Contraindications

A

Hypersensitivity

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Q

Albuterol (Proventil, Ventolin)

Precautions

A

Pt may experience tachycardia, anxiety, nausea, cough, wheezing and/or dizziness. Vital signs and breath sounds must be monitored, use caution with elderly, cardiac or hypertensive patients

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Q

Albuterol (Proventil, Ventolin)

Dose/Route

A

2.5 mg in 2.5 to 3mL NS via nebulizer repeat as needed.

Hyperkalemia 20-30mg nebulizer

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Q

Aminophylline

Another Name

A

Somophyllin

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Q

Somophyllin

Another Name

A

Aminophylline

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Q

Aminophylline (Somophyllin)

Class

A

Methylxanthine Bronchodilator

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Q

Aminophylline (Somophyllin)

Description

A

Methylxanthine that prolongs bronchodilation and decreased mucus production and has mild cardiac and CNS stimulating effects

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Q

Aminophylline (Somophyllin)

Indications

A

Bronchospasm in asthma, COPD refractory so sympathomimetic and other bronchodilator and in CHF

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Q

Ipratropium

Another Name

A

Atrovent

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Q

Atrovent

Another Name

A

Ipratropium

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Q

Ipratropium (Atrovent)

Class

A

anticholinergic

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Q

Ipratropium (Atrovent)

Description

A

Bronchodilator used in the treatment of respiratory emergencies that causes bronchodilation and dries respiratory tract secretions by blocking acetylcholine receptors

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Q

Ipratropium (Atrovent)

Indications

A

Bronchospasm associated with asthma, COPD and inhaled irritants

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Q

Ipratropium (Atrovent

Contraindications

A

Hypersensitivity to atropine or derivatives, or as primary treatment for acute bronchospasm. Nut allergy

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Q

Ipratropium (Atrovent)

Precautions

A

Elderly, cardiovascular disease, hypertension

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Q

Ipratropium (Atrovent)

Dose/Route

A

500mcg in 2.5 to 3 mL NS via nebulizer

Pedi: 125-250mcg in 2.5-3 mL NS via nebulizer

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Q

Furosemide

Another Name

A

Lasix

Q

Lasix

Another Name

A

Furosemide

Q

Furosemide (Lasix)

Class

A

Diuretic

Furosemide (Lasix) | Description

Rapid acting, potent diuretic and antihypersensitive that inhibits sodium reabsorption by the kidney. Its vasodilating effects reduce venous return and cardiac workload.

Furosemide (Lasix) | Indications

Acute Pulmonary Edema (CHF)

Furosemide (Lasix) | Contraindications

Hypotension

Furosemide (Lasix) | Precautions

Infants, elderly, hepatic impairment, cardiogenic shock associated with acute MI, gout, or patients receiving digitalis or potassium-depleted steroids.

Furosemide (Lasix) | Dose/Route

40-120 mg slow IV or could cause tinitis | Pedi: 1 mg/kg slow IV

Magnesium | Another Name

Magnesium Sulfate

Magnesium Sulfate | Another Name

Magnesium

Magnesium Sulfate | Class

Electrolyte

Magnesium | Description

Electrolyte that acts as a calcium channel blocker, acting as CNS depressant and anticonvulsant. It also depresses the function of smooth, skeletal and cardiac muscles

Magnesium | Indications

Refactory ventricular fubrillation and pulseless ventricular tachycardia, eclamptic seizures, asthma COPD

Magnesium Sulfate | Contraindications

Heart block, myocardial damage, shock, and hypocalcemia

Magnesium | Precautions

CNS depressants or neuromuscular blocking agents

Magnesium | Dose/Route

Ventricular fibrillation : 1-2 g IV over 2 min Torsade de pointes: 1-2 g IV Asthma/COPD: 1-2 g over 10 min Eclampsia: 4-6 g IV over 15-30 min

Racemic Epinephrine | Another Name

microNefrin, Vaponefrin

``` Racemic Epinephrine (microNefrin, Vaponefrin) Class ```

Sympathomimetic Agonist

``` Racemic Epinephrine (microNefrin, Vaponefrin) Description ```

Variation of epinephrine used only for inhalation to induce bronchodilation and to reduce laryngeal edema and mucus secretions

``` Racemic Epinephrine (micoNefrin, Veponefrin) Indications ```

Croup (laryngealtracheobronchotis)

``` Racemic Epinephrine (microNefrin, Vaponefrin) Contraindications ```

Hypersensitivity, hypertension, or epiglottitis

Trebutaline | Another Name

Brethine, Bricanyl

Terbutaline (Brethine, Bricanyl) | Class

Sympathetic Agonist

Terbutaline (Brethine, Bricanyl) | Description

Synthetic sympathomimetic that causes ronchodilatation with less cardiac effect then epinephrine

Terbutaline (Brethine, Bricanyl) | Indications

Bronchial asthma and bronchospasm in COPD

Trebutaline (Brethine, Bricanyl) | Dose/Route

0.25 mg SQ repeated in 15-30 mins

Levalbuterol | Another Name

Xopenex

Xopenex | Another Name

Levabuterol

Levalbuterol (Xopenex) | Class

Sympathomimetic bronchodilator

Levalbuterol (Xopenex) | Description

Stimulates beta-2 receptors resulting in smooth muscle relaxation of bronchial tree and peripheral vasculature

Levalbuterol (Xopenex) | Indications

Treatment of acute bronchospasm in pts with reversible obstructive airway disease (COPD/asthma). Bronchospasm prophylaxis in asthma patients

Levalbuterol (Xopenex) | Contraindications

Angioedema, tachydysrhythmias, and severe cardiac disease. Avoid use in pts taking phenothiazines; may cause prolonged QT interval and dysrhythmias

Levalbuterol (Xopenex) | Dose/Route

1.25 mg in 3 mL