Respiratory system meds Flashcards
G: diphenhydramine
B: Benadryl, others
Classification/Action
antihistamine, 1st generation H1 blocker; for tx of allergy S/S (tissue swelling, itching) antitussive effects
Notes
SE: drowsiness; anticholingergic effects as dry mouth, urinary retention, constipation
G: fexofenadine
B: Allegra
Classification/Action
Antihistamine, 2nd generation H1 blocker, for tx of allergy S/S
Notes
for allergic rhinitis, urticaria; non-sedating; PO dosing
SE: possible drowsiness in some
G: azelastine
B: Astelin
Classification/Action
antihistamine, 2nd generation H1 blocker, for tx of allergy S/S
Notes
for allergic rhinitis, non-sedating; nasal spray
SE: bitter taste; possible drowsiness in some
G: pseudoephedrine
B: Sudafed, others
Classification/Action
decongestant, sympathomimetic; for tx of rhinitis, sinusitis
Notes
PO dosing
SE: restlessness, insomnia; poss drowsiness; palpitations, incr in BP
G: codeine
B:
Classification/Action
antitussive
Notes
most effective antitussive; low abuse potential in antitussive mixtures (schedule V)
SE: resp depression
G: dextromethorphan
B: many
Classification/Action
antitussive; most effective non-opioid cough suppressant
Notes
generally well-tolerated
SE: dizziness, sedation in high doses
G: guaifenesin
B: Mucinex, others
Classification/Action
expectorant; reduces viscosity, stimulates flow of respiratory tract secretions
Notes
give w/full glass of water to decrease viscosity of secretions
SE: dizziness, H/A, nausea
G: albuterol
B: Proventil, Ventolin
Classification/Action
bronchodilator, beta2 agonist, antiasthmatic; “rescue drug” (inhaler)
Notes
short acting inhaler to relieve ongoing attack, prevent exercise induced attack; longer acting Po form
SE: nervousness, palpitations, increased BP
G: salmeterol
B: Serevent
Classification/Action
bronchodilator, beta2 agonist, antiasthmati
Notes
long-acting inhaler (q12h dosing); may be used along w/anti-inflammatory med
SE: H/A, nervousness, palpitations; muscle cramps
G: terbutaline
B: Brethine
Classification/Action
bronchodilator, beta2 agonist, antiasthmatic (also used to decr pre-term labor)
Notes
long-acting PO
SE: H/A, nervousness, palpitations
G: ipratropium
B: Atrovent
Classification/Action
bronchodilator, anticholinergic/muscarinic blocker; antiasthmatic; (also nasal for form for allergic rhinitis tx)
Notes
inhaler; rapid relief; reduces bronchospams; also for COPD management; so based so avoid if peanut allergy; minimal systemic SE
SE: H/A, nervousness, palpitations
G: theophylline
B: Theo-Dur, others
Classification/Action
bronchodilator, xanthine; chronic asthma, COPD management; resp stimulant in premature infant apnea
Notes
PO; monitor blood levels (therapeutic: 10-20 mcg/mL)
SE: N&V, diarrhea, palpitations; toxic levels can cause dysrhytmias; limit caffeine
G: cromolyn sodium
B: Intal
Classification/Action
anti-inflammatory; mast cell stabilizer; antiasthmaitc (also NasalCrom antiallergy for tx of rhinitis)
Notes
Nasal spray for allergic rhinitis, inhaler for asthma prophylaxis; gen well tolerated, may cause caugh; not for acute asthmatic attack
**SE: **
G: montelukast
B: Singulair
Classification/Action
anti-inflammatory leukotriene modifier; antiasthmatic (also anti allergy for tx of rhinitis)
Notes
long-acting PO, once daily dosing
SE: H/A, fatigue, dyspepsia; possible incr in liver enzymes
G: beclomethasone
B: Beconase, Vanceril
Classification/Action
anti-inflammtory corticosteroid; antiasthmatic (also Beconase Aq nasal antiallergy for tx of rhinitis)
Notes
lInhaler
SE: oropharyngeal candidiasis, dys-phonia (have pt gargle after ea use), bone loss
