Respiratory Meds Flashcards
Medications that are triggers to asthma
Aspirin , NSAIDS, beta blockers
Long term control preventative meds
To achieve and maintain control of inflammation
Taken every day to maintain
Quick relief rescue meds
To treat symptoms and exacerbations
In attack help immediately
Corticosteroids
Anti inflammatory
Mast cell stabilizers asthma
Antihistamine
Long acting b2 agonist “LABA” ( asthma)
Bronchodilator
K
Helox
Status asthmaticus
Decreases airway resistance and helps breathing
Magnesium sulfate
Potent muscle relaxant
Status asthmatics
Ketamine
Status asthmaticus
Anesthetic to help relax body
What medication for cystic fibrosis helps decrease viscosity or thickness of mucus
Dornase alpha (pulmozyme)
Fat soluble vitamins that body does not absorb in cystic fibrosis
Vitamin a d e k
Blow by o2
30% concentration
Can not control how much o2 depends on how close you hold it to face
Nasal cannula
106L
24-44%
Required over 4L to use humidifier
Room air.
21%
Nothing of 21 is bringing in extra o2
Venturie
4-12L
24-60%
Large holes on side to prevent co2 build up
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
Non re breather
10-15 L
Nearly 100% o2
Caffeine citrate
Methylxan
IV or PO
Loading dose
For apnea
7 days * if HR is above 170 we will not give
Artificial surfactant replacement
RDS
Slow process
Turn babies too coat the lungs
Test for strep throat
Rapid strep antigen test / throat culture
What med do you take with strep and how long do you take it?
Penicillin/erythromycin
You take it for 10 days
How long can a strep test take to come back
A few days
After administration of antibiotics of strep when can the child return to school
24 hours after taking antibiotics
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
L
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
