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Pharm 1 Final Exam > Respiratory Drugs > Flashcards

Respiratory Drugs Flashcards

1
Q

Adrenergic medications SE

A

tachycardia, anxiety, hypertension, insomnia

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2
Q

Examples of adrenergic medications (OTC)

A

ephedrine
pseudoephedrine (sudafed)
phenylephrine
oxymetazoline (afrin)

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3
Q

watch for rebound congestion in this drug

A

oxymetazole (afrin)

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4
Q

route adrenergic medications are delivered

benefit?

A

nasal spray
directly into sinus and internal tissue

(delivered directly to site)
LOWER DOSES
LESS SIDE EFFECTS

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5
Q

Patients sinus membranes become addicted to

A

Afrin

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6
Q

When the pt stops using afrin what happens to the mucus membranes

A

complete closure of the mucus membranes

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7
Q

signs of meth exposure

A

jitterness
tachycardia
anxiety
insomnia

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8
Q

signs of meth exposure in kids

A

hyperactive

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9
Q

Antihistamines are used for which diseases

A

Sinusitis inflammation of the sinus
Allergic Rhinitis - runny nose-allergies
Anaphylaxis- severe allergic reax

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10
Q

in the case where sinusitis/allergic reactions what would we use to calm down the response

A

H 1 histamine blockers

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11
Q

H1 receptor antagonists 1st generation versus second

“class”

A

1st sedating
2nd non sedating

antihistamine

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12
Q

benadryl “class”

A

first gen antihistamine

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13
Q

vistaril “class”

A

first gen antihistamine

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14
Q

Patient education 1st generation antihistamine

A

do not smoke in bed

dont mix with alcohol or sedatives

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15
Q

Zyrtec

A

2nd generation

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16
Q

Clarinex

A

2nd generation

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17
Q

Patient education 2nd generation antihistamine

A

they say they are non sedating, but people get sedative effect from them

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18
Q

function of bronchodialators

A

constrict blood vessels, dilate the bronchi and alveoli

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19
Q

Bronchodialators are used for which diseases

A

asthma
COPD
bronchitis
others that result in deoxygenation

20
Q

Adrenergic bronchodialators function
Name of drug

Perscription or OTC

A

vasoconstrict blood vessels but vasodialate the bronchi and alveoli

Primatene mist
Epipen

OTC

21
Q

Which drugs aren’t recommended and why?

A

adrenergic bronchidialators- OTC
adrenergic beta 2 agonists are recommended- Perscibed

Reason: pt is masking underlying condition
risk: stroke MI hypertension.
They are not getting better!

22
Q

Epi-pen- drug name
route
function

A

Epinehrine

IV or sub Q

23
Q

Adrenergic Beta 2 Agonists function

prescription or OTC

A

recommended

Stimulate beta2 receptor in lungs and cause dilation

prescription

24
Q

long acting adrenergic beta 2 agonists

A

servant

only long one, rest are short acting

25
Q

short acting adrenergic beta 2 agonists

A

albuterol

xopenex

26
Q

which adrenergic beta 2 agonists are good for kids and adults

A

albuterol
xopenex

b/c available in liquid/oral form

27
Q

a drug given orally generalized SE

A

higher dose so more side effects

28
Q

long action inhalers versus short

A

prevention an asthma attack
taken at regular intervals

short aka rescue inhalers are taken when theres an attack (even if someone is already on serevent)

29
Q

Spacers are recommended for

A

children and adults since it req hand-eye coordination

30
Q

promotes bronchodialation via CNS stimulant

A

methylaxnthines - theophylline and aminophylline

31
Q

while on methylaxnthines watch for

A 
toxicity
avoid caffeine (because CNS stimulant)
32
Q

Reduces theophylline levels

A

PPR cat purring and is calm PPR

Phenobarbital
Phenytoin
Rifampin

33
Q

increases theophylline levels

A

Fluoroquinone antibiotics

cimetidine

34
Q

people who take servant also need

A

rescue inhaler

inhaled coricosteriod - when they get really sick

35
Q

glucocorticoids watch for

A

immunosuppression- steriods are immune suppressants
adrenal supression
(inhaler) watch for local immunosupresion - thrush

36
Q

thrush aka

A

oral mycosis

37
Q

how to use an inhaler

A

take 2 puffs
wait 1-5 minutes for second puff
rinse mouth after

this allows dialation of the alveoli

38
Q

when stressed, advised patients to

A

supplement inhaled steriods with oral dosing (more potent)

39
Q

route: accolate leukotrine modifier

A

oral dont give w/ food

40
Q

Benylin

A

Nonnarcotic
used for colds
metabolizes into opioids in the body

41
Q

expoectorants examples

pt education

A

robitussin
mucinex

“you are going to cough up phelgm” so they dont think they are getting sicker

42
Q

Example of mucolytics

A

mucomyst- nebulizer

43
Q

herb that is useful for reducing symtoms of the common cold

A

echinacea

44
Q

cold medications should not be given to children under

A

2

45
Q

main drug used to treat TB

A

INH

46
Q

whhat do we treat viral infections with

A

antibiotics and antivirals! we do treat a virus with antibiotics

Pharm 1 Final Exam (16 decks)

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