Respiratory: Nursing Implications

Question 1

Antitussive

Answer 1

Airway clearance - reduce inflammation caused by unproductively (post-viral inf, asthmatics)
Respiratory depression - CNS depressant
Altered sensory perception - CNS depressant, not as cognitvely sharp
Post-op patients must cough (must keep moving)

Question 2

Decongestant: Topical and Oral

Answer 2

Airway clearance - want mucus out
Altered sensory perception - sympathomimetic drug
Increased cardiac output

Question 3

Decongestant: Topical Steroids

Answer 3

Airway clearance
Immune depression
*KNOW HOW TO GIVE/EDUCATE - spray up and not down

Question 4

Antihistamine

Answer 4

Nursing
Airway clearance - block production of excessive mucus
Altered sensory perception
Risk for decreased CO

Question 5

Expectorant

Answer 5

Airway clearance

Altered sensory perception

Question 6

Mucolytic

Answer 6

Airway clearance, bronchoconstriction
Altered sensory perception
Administration (nebulized)

Question 7

Bronchodilators: Sympathomimetic

Answer 7

Airway clearance
Increased cardiac output (bronchi dilate!)
Altered sensory perception
Administration
Agitation

Question 8

Bronchodilators: Anticholinergic

Answer 8

Airway clearance
Altered sensory perception
Administration

Question 9

Bronchodilators: Xanthine

Answer 9

Airway clearance
Oxygenation
Altered sensory perception
Toxicity vs. treatment failure
Decreased cardiac output

Question 10

Anti-Inflammatory: Inhaled Steroids

Answer 10

Airway clearance

Immunosuppression

Question 11

Anti-Inflammatory: Leukotriene Receptor Antagonists

Answer 11

Airway clearance
CNS depression
Pain: myalgia (muscle pain)
Altered sensory perception

Question 12

Anti-Inflammatory: Mast Cell Stabilizer

Answer 12

Airway clearance
Altered sensory perception
Drug interaction with contact lenses

Question 13

Surfactant

Answer 13

Airway clearance
Oxygenation
Decreased cardiac output