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NCLEX-RN® > NCLEX-RN (4) Pharmacology > Respiratory Meds > Flashcards

Respiratory Meds Flashcards

Review all the important respiratory meds: classifications, indications, side effects, adverse reactions, and nursing considerations.

1
Q

Indication:

Short-acting bronchodilator

(rescue inhaler)

A

To treat acute asthma attack or acute COPD exacerbation.

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2
Q

Generic names:

Short-acting bronchodilator

(rescue inhaler)

A

albuterol, levalbuterol

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3
Q

Most common side effects and nursing considerations:

Short-acting bronchodilator

(rescue inhaler)

A

Can cause tremors and tachycardia:

  • ​teach client that these symptoms will subside
  • avoid caffeine
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4
Q

Indication:

Long-acting bronchodilator

(maintenance inhaler)

A

To treat chronic asthma or COPD.

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5
Q

Generic names:

Long-acting bronchodilator

(maintenance inhaler)

A
  • ipratropium, tiotropium
  • formoterol
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6
Q

Side effects and nursing considerations:

Long-acting bronchodilator

(maintenance inhaler)

A

Anticholinergic side effects (use caution if taking other anticholinergic meds):

  • causes blurry vision - implement safety / fall precautions
  • causes urinary retention - monitor intake and output
  • causes dry mouth - give candy or ice chips
  • causes constipation - encourage fluids/fiber/walking

“can’t see, can’t pee, can’t spit, can’t shit”

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7
Q

What are the steps to using an inhaler?

A
  1. Use the bronchodilator first, then the steroid
  2. remove cap and hold inhaler upright
  3. shake inhaler
  4. tilt head back and breathe out
  5. press down on inhaler to release medicine
  6. breathe in slowly for 3-5 seconds
  7. hold breath for 10 seconds
  8. wait 1 minute in between puffs

Click HERE for a video on inhaler use.

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8
Q

Indication:

Steroid inhalers

A

To decrease inflammation in the lungs.

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9
Q

Generic names:

Steroid inhalers

A
  • beclomethasone, fluticasone, mometasone, triamcinolone
  • budesonide
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10
Q

Generic names:

Combination bronchodilator and steroid inhalers

A
  • albuterol/ipratropium
  • budesonide/formoterol
  • fluticasone/salmeterol
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11
Q

Indication:

Antiallergy drugs

A

To treat seasonal allergies or itching.

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12
Q

Generic names:

Antiallergy drugs

A
  • diphenhydramine
  • hydroxyzine
  • loratadine
  • cetirizine, levocetirizine
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13
Q

Side effects and nursing considerations:

Antiallergy drugs

A

Anticholinergic side effects (use caution if taking other anticholinergic meds):

  • causes blurry vision - implement safety / fall precautions
  • causes urinary retention - monitor intake and output
  • causes dry mouth - give candy or ice chips
  • causes constipation - encourage fluids/fiber/walking

“can’t see, can’t pee, can’t spit, can’t shit”

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14
Q

Complete the sentence:

_______ and ______ is a common side effect of antiallergy drugs.

A

Sedation and dizziness

Implement safety and fall precautions.

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15
Q

Generic names:

Antituberculosis drugs

A
  • isoniazid
  • rifampin
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16
Q

Most common side effects and nursing considerations:

Antituberculosis drugs

A
  • nephrotoxic - check BUN, creatinine and urine output
  • ototoxic - check hearing and balance
  • hepatotoxic - check ALT and AST

Hold med and notify HCP if findings are abnormal.

17
Q

Food-med interaction:

Antituberculosis drugs

A

Avoid foods with tyramine in clients taking TB drugs. Avoid “aged foods” such as:

  • aged cheese and meats
  • smoked and processed meats like sausage
  • soy sauce
  • beer and wine

Taking together can cause cardiovascular changes such as flushing, changes in BP and HR and chills.

18
Q

What color do secretions turn when a client is on rifampin?

A

reddish-orange

Inform the client that is not harmful, but can stain clothing.

19
Q

What is the easiest way to quickly master key pharmacology concepts for the NCLEX-RN, including medications and nursing considerations?

A

Brainscape’s NCLEX-RN Pharmacology Flashcards

This collection includes over 3,000 flashcards covering essential pharmacology content, perfectly aligned with the latest NCLEX-RN Test Plan to help you excel in your exam preparation.

NCLEX-RN (4) Pharmacology (12 decks)

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