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Olsen Pharm exam 3 > Respiratroy meds > Flashcards

Respiratroy meds Flashcards

1
Q

Antivirals use for prevention and treatment

A

amantadine (Symmetrel) and ramantadine (flumadine)

zanamivir (Relenza) and oseltamivir (Tamiflu)

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2
Q

Antitussive

A

suprpress cough reflex

codeine and dextromethrophan (Benylin)

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3
Q

Adverse effects of antitussive

A

drying effect on mucus membranes, thickening respiratory secretions.

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4
Q

Decongestants action

A

cause local vasoconstriction and decrease production of secretions
Shrink swollen mucus membranes
Promote drainage of secretions

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5
Q

Decongestants

A

Nasal Decongestants
ephedrine (Pretz-D), oxymetazoline (Afrin)
Oral Decongestants
pseudoephedrine (Sudafed)

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6
Q

Adverse effects of decongestants

A

Nasal administration:
Long term use may lead to rebound congestion
Stinging, burning

Oral administration:
Rebound congestion
Anxiety, restlessness, hypertension

Teach pt to look for it in OTC meds and not to use for longer than one week.

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7
Q

Nasal steroid decongestants

A

flunisolide (AeroBid)

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8
Q

Action for flunisolide

A

anti-inflammatory action

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9
Q

Contraindications for flunisolide

A

acute infection

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10
Q

Adverse effects for flunisolide

A

local burning, irritation, HA

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11
Q

Teaching points for flunisolide

A

May take 2 - 3 weeks before effective
Limit use to 3 weeks if no improvement
Monitor for development of acute infection

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12
Q

Antihistamines

A

First generation:
diphenhydramine (Benadryl)
Second generation:
loratadine (Claritin)

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13
Q

Actions of antihistamines

A

block release of histamine
Decrease secretions
Open airways

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14
Q

Contraindications antihistamines

A

pts with widened QRS complexes.

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15
Q

Adverse effects for antihistamines

A

dry skin and mucus membranes,

drowsiness and dizzyness (first generation)

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16
Q

Expectorants

A

guifenesin (Mucinex)

17
Q

Actions for guaifenesin

A

liquefy secretions making it easier to cough up.

18
Q

Adverse effects for guaifenesin

A

GI most common, HA, dizzyness

19
Q

Mucolytics

A

actylcysteine (mucomyst)

arosole is more powerful, smells like rotten eggs.

20
Q

Actions for acetycsteine

A

increase or liquefy secretions to help clear airway.

21
Q

Conra for acetylcysteine

A

use w/ caution in pts w/ bronchospasm, peptic ulcer, esophageal varices.

Olsen Pharm exam 3 (5 decks)

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