Respiratory Meds Flashcards by Elizabeth Gausin

Medications that are triggers to asthma

Aspirin , NSAIDS, beta blockers

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Long term control preventative meds

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

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Quick relief rescue meds

To treat symptoms and exacerbations
In attack help immediately

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Corticosteroids

Anti inflammatory

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Mast cell stabilizers asthma

Antihistamine

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Long acting b2 agonist “LABA” ( asthma)

Bronchodilator

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Helox

Status asthmaticus
Decreases airway resistance and helps breathing

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Magnesium sulfate

Potent muscle relaxant
Status asthmatics

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Ketamine

Status asthmaticus
Anesthetic to help relax body

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

Dornase alpha (pulmozyme)

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Fat soluble vitamins that body does not absorb in cystic fibrosis

Vitamin a d e k

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Blow by o2

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

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Nasal cannula

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

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Room air.

21%
Nothing of 21 is bringing in extra o2

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Venturie

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

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Simple

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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Non re breather

10-15 L
Nearly 100% o2

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Caffeine citrate

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

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Artificial surfactant replacement

RDS
Slow process
Turn babies too coat the lungs

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Test for strep throat

Rapid strep antigen test / throat culture

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

Penicillin/erythromycin
You take it for 10 days

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How long can a strep test take to come back

A few days

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

24 hours after taking antibiotics

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What can strep lead to if not treated

Rheumatic fever and glomerular nephritis

Rheumatic fever

From strep or scarlet Inflamed heart blood vessels and joints

What diagnosis tonsillitis

Rapid strep test and or throat culture

Medications you take for tonsillitis

For fever acetaminophen and ib profin Warm saline gargles Surgical options

When do you start IV when preparing for a tonsillectomy

AFTER sedated , then intubated

Post op diet for tonsillectomy

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

Tonsillitis discharge diet

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

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

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

Acute otitis media med admin

Administer antibiotics PO or drops or combo

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

Antibiotics if not resolved on its own or myringotomy

Otoscopic examination of AOM

Purulent discolored effusion Bulging and full Immobile Red Opaque

OME otoscopic examination

Orange discolored Immobile Bubbles in ear of fluid

When are myringotomy placed

Frequent chronic OM or persistent otitis media w effusion

Why are antibiotics necessary after myringotomy

Oral and ear drop Help keep drainage thinner to prevent clogged

Causes of acute epiglottis

Haemophilus influenza hepb

Med admin for acute epiglottis med admin for acute epiglottis

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

What isolation is acute epiglottis on

Droplet (till 24 hours after antibiotics)

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

24 hours

Croup hospital medication

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

Diagnostics test for RSV

Nasopharyngeal secretions RSV antigen detection

What precautions is someone with RSV on

Contact

Med admin for RSV

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

Chest percussion (CPT)

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

Palivizumab (synagis)

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

Intermittent (category for asthm)

Having symptoms less than twice a wk

Mild persistent (asthma category)

Twice a wk not daily

Moderate persistent (asthma category)

Symptoms daily , exacerbations twice a wk

Severe persistent (asthma category)

Frequent exacerbation daily effect quality of life

Pulmonary function test (asthma)

Measures how well the lungs take in and exel air

Peak expiratory flow rate (asthma)

How much air you can push out

CBC of asthma

Increase WBC increase bands (uri)

Albuterol asthma

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

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

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

Med admin for asthma patient care

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

Med admin for status asthmaticus

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

For status asthmaticus how many inhaled nebulized SABA treatmeants are done

3 treatments 20-30 min apart

Sweat chloride test results for CF

Less than 40 normal Greater than 60 positive

What does CF not effect

Brain or nervous system The ability to learn not effected

Respiratory treatments for CF

Chest physiotherapy (vibrating chest) Inhaled meds (bronchodilators) Dornase Alfa pulmozyme) Excercise Antibiotics for infection

Dornase Alfa (pulmozyme for CF)

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

Pancreatic enzymes for CF

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

Gastro intestinal interventions for cf

Pancreatic enzymes Water soluble vitamins Laxatives or stool softeners

What is important to not about a CF pt

Each carry their own bacteria so what one does get sick another may not Isolated ..hard on kids