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Pharmacology - NCLEX > Respiratory Medications (33) > Flashcards

Respiratory Medications (33) Flashcards

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1
Q

CROMOLYN SODIUM: Nursing Considerations

A
  • Available as nasal solutions, nebulizer solution, and PO
  • Full therapeutic effect may take several weeks
  • PO: take 30 minutes before meals, do not crush
  • Not appropriate for acute asthma
  • Rx; Preg Cat B
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2
Q

CROMOLYN SODIUM: Side Effects

A
  • Nasal burning and irritation
  • Headache
  • Dry mouth
  • Rash
  • Bronchospasm
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3
Q

CROMOLYN SODIUM: Purpose

A

Prophylaxis and treatment of allergic rhinitis and bronchial asthma.

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4
Q

CROMOLYN SODIUM: Side Effects

A
  • Nasal burning and irritation
  • Headache
  • Dry mouth
  • Rash
  • Bronchospasm
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5
Q

GUAIFENESIN: Nursing Considerations

A
  • Increase fluid intake
  • Do not crush pills
  • Take with full glass of water
  • OTC, Rx; Preg Cat C
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6
Q

GUAIFENESIN: Side Effects

A
  • Nausea
  • Headache
  • Dizziness
  • Anorexia
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7
Q

GUAIFENESIN: Purpose

A

Relief of chest congestion by loosening mucus and bronchial secretions

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8
Q

GUAIFENESIN: Nursing Considerations

A
  • Increase fluid intake
  • Do not crush pills
  • Take with full glass of water
  • OTC, Rx; Preg Cat C
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9
Q

TERBUTALINE SULFATE: Nursing Considerations

A
  • Inhalation and subQ used for short-term control; PO as long-term
  • PO: take with food to decrease GI upset
  • Contact provider if unrelieved shortness of breath
  • Do not use OTC meds without contacting provider
  • Rx; Preg Cat B
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10
Q

TERBUTALINE SULFATE: Side Effects

A
  • Nervousness
  • Restlessness
  • Tremor
  • Palpations, dysrhythmias
  • Headache
  • Hypokalemia
  • Hyperglycemia
  • Paradoxical bronchospasms
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11
Q

TERBUTALINE SULFATE: Nursing Considerations

A
  • Inhalation and subQ used for short-term control; PO as long-term
  • PO: take with food to decrease GI upset
  • Contact provider if unrelieved shortness of breath
  • Do not use OTC meds without contacting provider
  • Rx; Preg Cat B
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12
Q

TERBUTALINE SULFATE: Purpose

A

Treatment of bronchospasms

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13
Q

SALMETEROL: Nursing Considerations

A
  • Do not use to treat acute symptoms; do not as a use a rapid-acting bronchodilator
  • Contact provider if using more than 4 inhalations of a rapid-acting bronchodilator for 2 or more consecutive days
  • Teach patient inhaler setup and use
  • Rx; Preg Cat C
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14
Q

SALMETEROL: Side Effects

A
  • Headache
  • Tremors, anxiety
  • Throat irritation
  • Myalgia
  • Nausea, vomiting
  • Cough
  • Palpitation, dysrhythmias
  • Hypo/hypertension
  • Dry nose
  • Paradoxical bronchospasm
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15
Q

SALMETEROL: Purpose

A

Prevention of exercise-induced bronchospasms, treatment of COPD and asthma

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16
Q

SALMETEROL: Nursing Considerations

A
  • Do not use to treat acute symptoms; do not as a use a rapid-acting bronchodilator
  • Contact provider if using more than 4 inhalations of a rapid-acting bronchodilator for 2 or more consecutive days
  • Teach patient inhaler setup and use
  • Rx; Preg Cat C
17
Q

CROMOLYN SODIUM: Nursing Considerations

A
  • Available as nasal solutions, nebulizer solution, and PO
  • Full therapeutic effect may take several weeks
  • PO: take 30 minutes before meals, do not crush
  • Not appropriate for acute asthma
  • Rx; Preg Cat B
18
Q

CROMOLYN SODIUM: Side Effects

A
  • Nasal burning and irritation
  • Headache
  • Dry mouth
  • Rash
  • Bronchospasm
19
Q

CROMOLYN SODIUM: Purpose

A

Prophylaxis and treatment of allergic rhinitis and bronchial asthma

20
Q

BUDESONIDE/FORMOTEROL: Nursing Considerations

A
  • Not for bronchospasms needing rapid response
  • Rinse mouth with water after each use
  • Teach proper use of inhaler
  • Rx
21
Q

BUDESONIDE/FORMOTEROL: Side Effects

A
  • Thrush
  • Throat irritation
  • Vomiting, abdominal pain
  • Flulike symptoms
  • Back pain
  • Headache
  • Respiratory infection
22
Q

BUDESONIDE/FORMOTEROL: Purpose

A

Prevention of bronchospasm in asthma and COPD

23
Q

IPRATROPIUM BROMIDE: Nursing Considerations

A
  • Can use with spacer
  • Not for acute bronchospasm needing rapid response
  • Teach use of metered dose inhaler: inhale, hold breath, exhale slowly
  • Don’t mix in nebulizer with cromolyn sodium
  • Assess for hypersensitivity, including soy products, atropine, peanuts
  • Encourage 10–12 glasses water/day
  • Avoid OTC cough/hay-fever medications
  • Use caution with hazardous activities
  • Rx; Preg Cat B
24
Q

IPRATROPIUM BROMIDE: Side Effects

A
  • Nervousness
  • Nausea, cramps
  • Dry mouth
  • Palpitations
  • Blurred vision
  • Headache
25
Q

IPRATROPIUM BROMIDE: Purpose

A

Treatment of bronchospasms, COPD, and rhinorrhea

26
Q

BENZONATATE: Nursing Considerations

A
  • PO: onset 15–20 minutes, duration 3–8 hours
  • Capsules should be swallowed whole; do not chew, because release of med may cause local anesthetic effect and choking
  • Avoid activities requiring alertness until response to med is known
  • Rx; Preg Cat C
27
Q

BENZONATATE: Side Effects

A
  • Dizziness
  • Drowsiness
  • Rash
  • Sedation, headache
  • Nausea
  • Constipation
28
Q

BENZONATATE: Purpose

A

Treatment of nonproductive cough

29
Q

TIOTROPIUM: Nursing Considerations

A
  • Take once daily
  • Oral inhalation: onset 30 minutes, peak 2 hours, duration 24 hours
  • Teach how to correctly use inhaler: insert dry powder capsule into inhaler device just before inhalation; do not swallow capsules; rinse mouth with water after inhalation (decreases side effects)
  • Do not use as a rescue inhaler (delayed onset, long duration of action)
  • Rx; Preg Cat C
30
Q

TIOTROPIUM: Side Effects

A
  • Oral thrush
  • Vomiting, abdominal pain
  • Skeletal pain
  • Pharyngitis
  • Cough, URI
  • Depression, paresthesia
  • Chest pain, increased heart rate
  • Dry mouth
  • Urinary difficulty
31
Q

TIOTROPIUM: Purpose

A

Prevention of bronchial swelling and bronchospasms associated with COPD

32
Q

THEOPHYLLINE: Nursing Considerations

A
  • PO: peak 2 hours; take with full glass of water; best on empty stomach
  • Check all OTC and other meds for ephedrine before taking with this med
  • Avoid alcohol, caffeine, smoking
  • Avoid activities requiring alertness until response to med is known
  • Contact provider if toxicity: nausea, vomiting, anxiety, insomnia, convulsions
  • Drink 8–10 glasses of fluid per day
  • Rx; Preg Cat C
33
Q

THEOPHYLLINE: Side Effects

A
  • Restlessness
  • Palpitations, sinus tachycardia
  • Dizziness
  • Anorexia
  • Vomiting
  • Headache
  • Insomnia
  • SIADH
  • Flushing
  • Hyperglycemia
  • Tachypnea
34
Q

THEOPHYLLINE: Purpose

A

Treatment of bronchial asthma, bronchospasm of chronic bronchitis, and emphysema

Pharmacology - NCLEX (20 decks)

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