respiratory system meds

Question 1

Beta 2 - adrenergic agonists prototype and other drug names

Answer 1

albuterol (Proventil, Ventolin)* short acting
Other: formoterol (Foradil Areolizer) and salmeterol (Serevent)* long acting

Question 2

beta 2 adrenergic agonists EPA

Answer 2

stimulates beta2 adrenergic receptors in the smooth muscle of the bronchi and bronchioles, resulting in bronchodilation

Question 3

beta 2 adrenergic agonists Therapeutic uses

Answer 3

rescue medication used to treat or prevent bronchospasm in people with asthma or other obstructive airway diseases

Question 4

beta 2 adrenergic agonists administration

Answer 4

Inhaled via MDI or nebulizer

Question 5

beta 2 adrenergic agonist ADRs

Answer 5

MDI - fewer systemic effects… higher doses can cause more systemic effects. Chest pain, palpitations, nervousness, restlessness, tremors and agitation

Question 6

beta 2 adrenergic agonist contraindications and interactions

Answer 6

Cardiac tachydysrhythmias
Severe CAD
MAOIs and TCAs increase risk of HTN, tachycardia and angina

Question 7

beta 2 adrenergic agonist RN intervention and client education

Answer 7

Prevention is key…be aware of triggers
Get the flu shot
Asthma attack, only short acting bronchodilators (albuterol) will help, do not use long-acting bronchodilators (formoterol)
- Inhale short acting inhaler first and the long acting steroid inhaler (glucocorticoid)
Common cause of asthma attack is not taking medications correctly
Keep rescue inhaler with you at all times
Drink 2-3quarts of fluids to help thin secretions
Use MDI and spacer correctly
Avoid caffeine
Report chest pain and heart palpitations

Question 8

inhaled anticholinergics prototype

Answer 8

ipratroprium (Atrovent)

Question 9

inhaled anticholinergic EPA

Answer 9

blocks the muscarinic Ach receptors in the smooth muscles of the bronchi in the lungs, inhibiting bronchoconstriction and mucus secretion (very similar to atropine)

Question 10

inhaled anticholinergic therapeutic use

Answer 10

long-term management of asthma or other conditions (COPD) that cause bronchoconstriction and mucus secretion (very similar to atropine)

Question 11

inhaled anticholinergic administration

Answer 11

inhaled via MDI or nebulizer

Question 12

inhaled anticholinergic ADRs

Answer 12

dry mouth, increased intraocular pressure and uniary retention

Question 13

inhaled anticholinergic contraindications and interactions

Answer 13

glaucoma, BPH, and bladder neck obstruction

Question 14

inhaled anticholinergic RN intervention and client education

Answer 14

Dry mouth - encourage water and hard candy to treat
Monitor urinary elimination patterns
Schedule regular eye examinations - monitor for glaucoma
Educate client on how to administer inhaler