Respiratory Drugs

Question 1

Adrenergic medications SE

Answer 1

tachycardia, anxiety, hypertension, insomnia

Question 2

Examples of adrenergic medications (OTC)

Answer 2

ephedrine
pseudoephedrine (sudafed)
phenylephrine
oxymetazoline (afrin)

Question 3

watch for rebound congestion in this drug

Answer 3

oxymetazole (afrin)

Question 4

route adrenergic medications are delivered

benefit?

Answer 4

nasal spray
directly into sinus and internal tissue

(delivered directly to site)
LOWER DOSES
LESS SIDE EFFECTS

Question 5

Patients sinus membranes become addicted to

Answer 5

Afrin

Question 6

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

Answer 6

complete closure of the mucus membranes

Question 7

signs of meth exposure

Answer 7

jitterness
tachycardia
anxiety
insomnia

Question 8

signs of meth exposure in kids

Answer 8

hyperactive

Question 9

Antihistamines are used for which diseases

Answer 9

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

Question 10

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

Answer 10

H 1 histamine blockers

Question 11

H1 receptor antagonists 1st generation versus second

“class”

Answer 11

1st sedating
2nd non sedating

antihistamine

Question 12

benadryl “class”

Answer 12

first gen antihistamine

Question 13

vistaril “class”

Answer 13

first gen antihistamine

Question 14

Patient education 1st generation antihistamine

Answer 14

do not smoke in bed

dont mix with alcohol or sedatives

Question 15

Zyrtec

Answer 15

2nd generation

Question 16

Clarinex

Answer 16

2nd generation

Question 17

Patient education 2nd generation antihistamine

Answer 17

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

Question 18

function of bronchodialators

Answer 18

constrict blood vessels, dilate the bronchi and alveoli

Question 19

Bronchodialators are used for which diseases

Answer 19

asthma
COPD
bronchitis
others that result in deoxygenation

Question 20

Adrenergic bronchodialators function
Name of drug

Perscription or OTC

Answer 20

vasoconstrict blood vessels but vasodialate the bronchi and alveoli

Primatene mist
Epipen

OTC

Question 21

Which drugs aren’t recommended and why?

Answer 21

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!

Question 22

Epi-pen- drug name
route
function

Answer 22

Epinehrine

IV or sub Q

Question 23

Adrenergic Beta 2 Agonists function

prescription or OTC

Answer 23

recommended

Stimulate beta2 receptor in lungs and cause dilation

prescription

Question 24

long acting adrenergic beta 2 agonists

Answer 24

servant

only long one, rest are short acting

Question 25

short acting adrenergic beta 2 agonists

Answer 25

albuterol | xopenex

Question 26

which adrenergic beta 2 agonists are good for kids and adults

Answer 26

albuterol xopenex b/c available in liquid/oral form

Question 27

a drug given orally generalized SE

Answer 27

higher dose so more side effects

Question 28

long action inhalers versus short

Answer 28

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)

Question 29

Spacers are recommended for

Answer 29

children and adults since it req hand-eye coordination

Question 30

promotes bronchodialation via CNS stimulant

Answer 30

methylaxnthines - theophylline and aminophylline

Question 31

while on methylaxnthines watch for

Answer 31

``` toxicity avoid caffeine (because CNS stimulant) ```

Question 32

Reduces theophylline levels

Answer 32

PPR cat purring and is calm PPR Phenobarbital Phenytoin Rifampin

Question 33

increases theophylline levels

Answer 33

Fluoroquinone antibiotics | cimetidine

Question 34

people who take servant also need

Answer 34

rescue inhaler | inhaled coricosteriod - when they get really sick

Question 35

glucocorticoids watch for

Answer 35

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

Question 36

thrush aka

Answer 36

oral mycosis

Question 37

how to use an inhaler

Answer 37

take 2 puffs wait 1-5 minutes for second puff rinse mouth after this allows dialation of the alveoli

Question 38

when stressed, advised patients to

Answer 38

supplement inhaled steriods with oral dosing (more potent)

Question 39

route: accolate leukotrine modifier

Answer 39

oral dont give w/ food

Question 40

Benylin

Answer 40

Nonnarcotic used for colds metabolizes into opioids in the body

Question 41

expoectorants examples | pt education

Answer 41

robitussin mucinex "you are going to cough up phelgm" so they dont think they are getting sicker

Question 42

Example of mucolytics

Answer 42

mucomyst- nebulizer

Question 43

herb that is useful for reducing symtoms of the common cold

Answer 43

echinacea

Question 44

cold medications should not be given to children under

Answer 44

2

Question 45

main drug used to treat TB

Answer 45

INH

Question 46

whhat do we treat viral infections with

Answer 46

antibiotics and antivirals! we do treat a virus with antibiotics