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Module 5 > Respiratory Meds > Flashcards

Respiratory Meds Flashcards

1
Q

Medications that are triggers to asthma

A

Aspirin , NSAIDS, beta blockers

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2
Q

Long term control preventative meds

A

To achieve and maintain control of inflammation
Taken every day to maintain

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3
Q

Quick relief rescue meds

A

To treat symptoms and exacerbations
In attack help immediately

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4
Q

Corticosteroids

A

Anti inflammatory

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5
Q

Mast cell stabilizers asthma

A

Antihistamine

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6
Q

Long acting b2 agonist “LABA” ( asthma)

A

Bronchodilator

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7
Q

K

A
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8
Q

Helox

A

Status asthmaticus
Decreases airway resistance and helps breathing

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9
Q

Magnesium sulfate

A

Potent muscle relaxant
Status asthmatics

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10
Q

Ketamine

A

Status asthmaticus
Anesthetic to help relax body

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11
Q

What medication for cystic fibrosis helps decrease viscosity or thickness of mucus

A

Dornase alpha (pulmozyme)

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12
Q

Fat soluble vitamins that body does not absorb in cystic fibrosis

A

Vitamin a d e k

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13
Q

Blow by o2

A

30% concentration
Can not control how much o2 depends on how close you hold it to face

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14
Q

Nasal cannula

A

106L
24-44%
Required over 4L to use humidifier

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15
Q

Room air.

A

21%
Nothing of 21 is bringing in extra o2

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16
Q

Venturie

A

4-12L
24-60%
Large holes on side to prevent co2 build up

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17
Q

Simple

A

5-8 L
40-60% o2 concentrtion
** have to make sure it stays at 5L minimum due to co2 build up if flow is too low or if child keeps messing with it

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18
Q

Non re breather

A

10-15 L
Nearly 100% o2

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19
Q

Caffeine citrate

A

Methylxan
IV or PO
Loading dose
For apnea
7 days * if HR is above 170 we will not give

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20
Q

Artificial surfactant replacement

A

RDS
Slow process
Turn babies too coat the lungs

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21
Q

Test for strep throat

A

Rapid strep antigen test / throat culture

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22
Q

What med do you take with strep and how long do you take it?

A

Penicillin/erythromycin
You take it for 10 days

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23
Q

How long can a strep test take to come back

A

A few days

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24
Q

After administration of antibiotics of strep when can the child return to school

A

24 hours after taking antibiotics

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25
Q

What can strep lead to if not treated

A

Rheumatic fever and glomerular nephritis

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26
Q

Rheumatic fever

A

From strep or scarlet

Inflamed heart blood vessels and joints

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27
Q

What diagnosis tonsillitis

A

Rapid strep test and or throat culture

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28
Q

Medications you take for tonsillitis

A

For fever acetaminophen and ib profin

Warm saline gargles
Surgical options

29
Q

When do you start IV when preparing for a tonsillectomy

A

AFTER sedated , then intubated

30
Q

Post op diet for tonsillectomy

A

Ice chips, water, clear liquids
No milk, citrus drinks or red drinks

31
Q

Tonsillitis discharge diet

A

Continue soft , bland foods (jello smoothie w spoon no fork or straw and soup)

32
Q

A tonsillectomy is ordered to take analgesics apart of their discharge info. What is an important detail the nurse should emphasize?

A

Give meds on schedule for first 24-48 hours to prevent break thru pain
At around day 3 usually dont need it continually maybe through out day or at night

33
Q

L

A
34
Q

Acute otitis media med admin

A

Administer antibiotics PO or drops or combo

35
Q

If fluid remains in the ear for longer than 3 mo Otitis media effusion what medical interventions can be done?

A

Antibiotics if not resolved on its own or myringotomy

36
Q

Otoscopic examination of AOM

A

Purulent discolored effusion
Bulging and full
Immobile
Red
Opaque

37
Q

OME otoscopic examination

A

Orange discolored
Immobile
Bubbles in ear of fluid

38
Q

When are myringotomy placed

A

Frequent chronic OM or persistent otitis media w effusion

39
Q

Why are antibiotics necessary after myringotomy

A

Oral and ear drop
Help keep drainage thinner to prevent clogged

40
Q

Causes of acute epiglottis

A

Haemophilus influenza hepb

41
Q

Med admin for acute epiglottis med admin for acute epiglottis

A

Antibiotics - help w swelling
Corticosteroids - help decrease air way inflammation

42
Q

What isolation is acute epiglottis on

A

Droplet (till 24 hours after antibiotics)

43
Q

How long does it take for antibiotics to help swelling weight acute epiglottis

A

24 hours

44
Q

Croup hospital medication

A

Nebulized epinephrine (racepinephrone, handheld)
Corticosteroids IV or oral
Wont give antibiotics because it’s viral and we are treating symptoms

45
Q

Diagnostics test for RSV

A

Nasopharyngeal secretions RSV antigen detection

46
Q

What precautions is someone with RSV on

A

Contact

47
Q

Med admin for RSV

A

Antibiotics (for coexisting infection)
Bronchodilators ( single dose or continuous)
Racemic epinephrine
Ribavirin

48
Q

Chest percussion (CPT)

A

For rsv
Resp therapist cupping of chest to help free up secretions
Helps recent sepsis or pneumonia

49
Q

Palivizumab (synagis)

A

Monthly IM inj for high risk infants such as preemie or nicu grads(RSV)

50
Q

Intermittent (category for asthm)

A

Having symptoms less than twice a wk

51
Q

Mild persistent (asthma category)

A

Twice a wk not daily

52
Q

Moderate persistent (asthma category)

A

Symptoms daily , exacerbations twice a wk

53
Q

Severe persistent (asthma category)

A

Frequent exacerbation daily effect quality of life

54
Q

Pulmonary function test (asthma)

A

Measures how well the lungs take in and exel air

55
Q

Peak expiratory flow rate (asthma)

A

How much air you can push out

56
Q

CBC of asthma

A

Increase WBC
increase bands (uri)

57
Q

Albuterol asthma

A

Quick relief
Short acting exacerbation
Used in conjunction w long term
INH most common
Nebulizer for younger kids w face mask

58
Q

What prophylactic quick relief is given with someone with excercise induced bronchospasms

A

Albuterol
Or SABA
In school before sports or PE have to see school nurse

59
Q

Med admin for asthma patient care

A

SABA or alberterol in nebulizer or inhaler
Anticholinergic (antrovent)
Corticosteroids

60
Q

Med admin for status asthmaticus

A

Inhaled nebulized SABA
Anticholinergic (w nebulizer solution)
Corticcosteriods
Magnesium sulfate
Heliox
Ketamine

61
Q

For status asthmaticus how many inhaled nebulized SABA treatmeants are done

A

3 treatments 20-30 min apart

62
Q

Sweat chloride test results for CF

A

Less than 40 normal
Greater than 60 positive

63
Q

What does CF not effect

A

Brain or nervous system
The ability to learn not effected

64
Q

Respiratory treatments for CF

A

Chest physiotherapy (vibrating chest)

Inhaled meds (bronchodilators)
Dornase Alfa pulmozyme)
Excercise
Antibiotics for infection

65
Q

Dornase Alfa (pulmozyme for CF)

A

Taken 1x. Day
Helps decrease viscosity or thickness of mucous

66
Q

Pancreatic enzymes for CF

A

To ensure digestive enzymes are mixed w food and they will need them to be able to absorb
More fat the more enzymes you takes

1-5 capsules a day

67
Q

Gastro intestinal interventions for cf

A

Pancreatic enzymes
Water soluble vitamins
Laxatives or stool softeners

68
Q

What is important to not about a CF pt

A

Each carry their own bacteria so what one does get sick another may not

Isolated ..hard on kids

Module 5 (39 decks)

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