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Block 2 Week 3 & 4 Respiratory System > Respiratory Drugs: Bronchodilators > Flashcards

Respiratory Drugs: Bronchodilators Flashcards

0
Q

Minimal side effects. This medication has more localized effects.
What medication has these side effects?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

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1
Q

Define Asthma?

A

Limitation to airflow that is reversible and intermittent.

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2
Q

What are both the generic and trade name of two of the bronchodilators a nurse needs to know?

A

Albuterol / Proventil

Ipratropium Bromide / Atrovent

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3
Q

This medication DOES NOT have systemic anti-cholinergic effects
What medication have these pharmacodynamics?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

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4
Q

What is Asthma caused by?

A

Etiology: Cigarette Smoking and Chronic Lung Infections

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5
Q

Use of _________ hairspray, deoderant, or lotion in the hospital can cause bronchial constriction in your patients.

A

Scented

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6
Q

Used for the acute treatment of bronchospasm.
Used as a rescue inhaler.
What medication have these therapeutic effects?

A

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

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7
Q

Teaching
Proper self administration
Rinse mouth after use
DO NOT use this medication for an acute asthma attack
What medication have these nursing interventions?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

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8
Q

What type of patient takes bronchodilator medications?

A

Patients with Obstructive Pulmonary Diseases

Ex. Asthma, Emphysema, and COPD

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11
Q

Nursing Interventions
Nebulizer or Inhalation Medication administration
What medication have these nursing interventions?

A

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

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12
Q

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator
What does this medication treat?

A

Bronchial Asthma

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13
Q

There are minimal Drug-Lab-Food Interactions but that can be increased when this medication is used with other anti-cholinergics.
What medication has interaction?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

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14
Q

What is Asthma caused by?

A

Etiology: Genetics / Allergies / Pollutants / Stress

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15
Q

Administer Beta 2-agonist inhaler (ALBUTEROL) 5 min before giving this medication to open up the airways to allow this medication to penetrate the airways more effectively.
What medication have these nursing interventions?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Study Tip: This is given secondarily because it has a much longer onset and duration.

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16
Q

What is the generic name for Ventolin?

A

Albuterol

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17
Q

What response does an allergen have on the patient with asthma?

A

Overreaction of the airway to stimulus that is caused by an inflammatory response of the lungs can have various causes between people [Individualized]
There is only minimal damage to pulmonary tissue.

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20
Q

Minimal adverse reactions due to low systemic absorption. This medication has more localized effects.
What medication has these adverse effects?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

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21
Q

If a Severe asthma Attack give the patient Epinepherine.
Used in COPD: Used to treat both asthma and bronchitis
What medication have these therapeutic effects?

A

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

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22
Q

Define COPD?

A

Limitation to airflow that is irreversible and chronic. This results in pathophysiological changes to the airway with COPD that is caused by an inflammatory response of the lungs.
-Primarily caused by cigarettes

22
Q

Stimulation of B2 adrenergic receptors in the lungs
Relaxation of bronchial smooth muscle
Results in reduced vasoconstriction and increased vasodilation
What medication have these pharmacodynamics?

A

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

23
Q

Triggers for ___________ include humidity, air pressure changes, smoke, temperature changes, exhaust fumes, perfumes, stress, emotional upset, exercise, animals, mold, work, dust mites, and foods.

A

bronchospasm

24
Q

What pathophysiological response does COPD have on the patient?

A

Increased dyspnea and mucus secretions.

Severe damage done to pulmonary tissue.

24
Q

___________ is characterized by periods of bronchospasms lung tissue is exposed to extrinsic and intrinsic factors that stimulate a bronchoconstrictive response.

A

Bronchial Asthma

26
Q

What is the Pathophysiology of Bronchial Asthma?

A

Allergens attach themselves to mast cells and basophils > Resulting in antigen-antibody reaction > stimulating chemical mediators (histamines, prostaglandins, and leukotrienes) which contribute to bronchoconstriction. Inflammmatory response > stimulates mast cells to degranulate releasing the chemical mediators histamine, serotonin, eosinophil, chemotactic factor of anaphylaxis [ECF-A], and leuotrienes which cause bronchoconstriction, bronchial edema, increased bronchial secretions which can close your patients airway if not resolved.

27
Q

Chest pain
Tachycardia/Palpitations
Cardiac dysrhythmias
What medication has these adverse effects?

A

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

28
Q

What are three medications that can trigger bronchospasm?

A

NSAIDS
Aspirin
Ibuprofen

28
Q

What is the generic name for Proventil?

A

Albuterol

29
Q

Inhibits cholinergic receptors in bronchial smooth muscle
causes bronchodilation and prevents bronchoconstriction
What medication have these pharmacodynamics?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

30
Q

Stimulates SNS which effects the lungs causing Vasodilation.

What medication have these therapeutic effects?

A

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

32
Q

This medication is used as adjunctive management of bronchospasm in asthma it is commonly used after Albuterol or for prophylaxis.
What medication have these therapeutic effects?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

33
Q

What is the therapeutic classification of Albuterol Proventil/Ventolin?

A

Beta2 Adrenergic Bronchodilator

34
Q

When using inhalers which do you give first the bronchodilator or the corticosteroid?

A

Use Albuterol 1st if using many inhalation drugs because it works the fastest to open the airways. Corticosteroid is given later to fully penetrate the dilated airways.

35
Q

Why do you rinse your mouth and the mouthpiece after using an albuterol inhaler vs. a corticosteroid inhaler?

A

Rinse mouth after dose:
Albuterol to prevent dry mouth
Corticosteroids to prevent oral infections
Rinse mouth piece on the inhaler too because the medication will go from the cap back onto the mouthpiece.

36
Q

Patient Teaching:
Self administration of inhaler
Correct Inhaler Use
Contact Physician if shortness of breath not relieved by medication
What medication have these nursing interventions?

A

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

37
Q

PROPER USE OF INHALER

A

SEE POWERPOINT

39
Q

How do you measure the amount of medication left in an inhaler?

A

Put inhaler in a bowl of water to see how much medication is left.
When full it will sink. When empty it will float.
Another way to measure how much medication you have left is to measure the amount of puffs required per day divided by the number of puff in the canister.

Ex. 200 puffs total in canister / 8 puffs per day = 25 days worth of medication
Dont want patient ot run out in an emergency and not have any.

39
Q

What is the difference between Ipratropium Bromide and Albuterol?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Albuterol Proventil / Ventolin: Beta2 Adrenergic Bronchodilator

39
Q

This medication is Anti PSNS.

This medication causes bronchodilation. What is the name of this medication?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

40
Q

Maintenance therapy for asthma because it is an anti-bronchial constrictor. Albuterol is actually forcing the bronchioles to dilate.
What medication have these therapeutic effects?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

41
Q

What is the therapeutic classification of Ipratropium Bromide / Atrovent?

A

Anticholinergic Bronchodilator

42
Q

Combivent is an inhaler with both Albuterol + Atrovent if given as an SVN treatment the medication is called __________.

A

DUONEB

43
Q 
Nervousness COMMON
Restlessness COMMON
Tremor COMMON
Dizziness
What medication has these side effects?
A

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

43
Q

What is the generic name for the medication Atrovent?

A

Ipratropium Bromide

43
Q

This medication is NOT for treatment of an acute asthma attack or exacerbation.
In these cases administer albuterol.
What medication has this nursing intervention?

A

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator
Study Tip: This is contraindicated in patients with acute asthma attacks because it takes a long time to reach it’s therapeutic effect.

44
Q

Anticholinergics have the same pathophysiological effect on the body as what therapeutic class of medication?

A

Andrenergics

45
Q

What does Xerostomia mean?

A

Dry mouth

Block 2 Week 3 & 4 Respiratory System (13 decks)

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