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Med-Surg 2 > Unit 3 Meds > Flashcards

Unit 3 Meds Flashcards

1
Q

Beta2 Adrenergic Agonists (bronchodilators)

A

Albuterol
Terbutaline
Levalbuterol

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2
Q

Beta2 Adrenergic Agonists (bronchodilators) Indications

A

Bronchospasms, wheezing, prevent airway obstruction
Short-acting (rescue inhaler)

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3
Q

Beta2 Adrenergic Agonists (bronchodilators) Routes

A

PO, INH

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4
Q

Beta2 Adrenergic Agonists (bronchodilators) Side Effects

A

Nervousness
Tremor
Chest pain
Palpitations
Arrhythmias

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5
Q

Beta2 Adrenergic Agonists (bronchodilators) Nursing Considerations

A

Monitor breath sounds and vital signs
Teach about MDI use
Notify HCP if no improvement
Use with spacer if possible
Use first before steroid inhaler, then wait 5 minutes before using steroid inhaler

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6
Q

Xanthine Bronchodilators “phylline”

A

Aminophylline
Theophylline

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7
Q

Xanthine Bronchodilators Indications

A

Long term control of airway obstruction
Long-acting (prevention)

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8
Q

Xanthine Bronchodilators Routes

A

IV loading dose, then maintenance PO

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9
Q

Xanthine Bronchodilators Side Effects

A

Tachycardia
Anxiety
Insomnia
Restlessness

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10
Q

Xanthine Bronchodilators Nursing Considerations

A

Increase dose for smokers, limit caffeine, assess ECG
Therapeutic level 10-19 mcg/mL, toxicity >20 mcg/mL

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11
Q

Anticholinergic Bronchodilator

A

Ipratropium

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12
Q

Ipratropium Indications

A

Produces bronchodilation by inhibiting cholinergic receptors

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13
Q

Ipratropium Routes

A

INH

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14
Q

Ipratropium Side Effects

A

Dry mouth
Urinary retention
Constipation
Blurred vision

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15
Q

Ipratropium Nursing Considerations

A

INH minimizes systemic effects
Use first before steroid inhaler, then wait 5 minutes before using steroid inhaler
Often combined with albuterol in neb

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16
Q

Glucocorticoids “sone”

A

Beclomethasone
Prednisone
Dexamethasone
Budesonide

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17
Q

Glucocorticoids Indications

A

Inflammation, decreases release of histamine in allergic responses, assists in bronchodilation

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18
Q

Glucocorticoids Routes

A

PO, IV, INH

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19
Q

Glucocorticoids Side Effects

A

Cough
Rhinitis
Dry mouth
Oral fungal infections

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20
Q

Glucocorticoids Nursing Considerations

A

Taper slowly
Monitor weight and electrolytes, FSBS
Should wear medic alert
Suppresses immunity
Rinse mouth to prevent thrush

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21
Q

H1 Receptor Antagonists (antihistamines)

A

Diphenhydramine
Chlorpheniramine
Fexofenadine
Loratadine

22
Q

H1 Receptor Antagonists (antihistamines) Indications

A

Treat allergic rhinitis, allergies, vertigo, cough, sneezing

23
Q

H1 Receptor Antagonists (antihistamines) Routes

A

PO, IV, IM (Diphenhydramine, Chlorpheniramine)
PO (Fexofenadine, Loratadine)

24
Q

H1 Receptor Antagonists (antihistamines) Side Effects

A

Anticholinergic effects (dry mouth, urinary retention, constipation, blurred vision)
Drowsiness (not 2nd gen)
Hypotension

25
Q

H1 Receptor Antagonist Nursing Considerations

A

Use cautiously in CVD, HTN, renal disease
May be given pre-blood to decrease allergic response
Increase fluid intake
(2nd gen: fexofenadine & loratadine)

26
Q

Expectorant

A

Guaifenesin

27
Q

Guaifenesin Indications

A

Thick tenacious secretions
Creates productive cough by increasing production of respiratory tract fluids

28
Q

Guaifenesin Routes

A

PO

29
Q

Guaifenesin Side Effects

A

NVD
Headache
Drowsiness

30
Q

Guaifenesin Nursing Considerations

A

Increase fluid intake
Give with full glass of water
Avoid smoking and alcohol
Assess sputum production before and after giving guaifenesin

31
Q

Antitussive Agents

A

Dextromethorphan (non-opioid)
Codeine (opioid)

32
Q

Antitussive Agents Indications

A

Control of cough

33
Q

Antitussive Agents Routes

A

PO

34
Q

Dextromethorphan Side Effects

A

NV
Mild drowsiness

35
Q

Codeine Side Effects

A

NV
Drowsiness
Constipation
Respiratory depression

36
Q

Antitussive Agents Nursing Considerations

A

Increase fluids
Avoid smoking and alcohol
Opioids may produce dependence
Monitor respirations with opioids

37
Q

Anti-tubercular Agents

A

Isoniazid (INH)
Rifampin (RIF)
Ethambutol (EMB)

38
Q

Anti-tubercular Agents Indications

A

Management of active TB

39
Q

Isoniazid (INH) Routes

A

IM, PO

40
Q

Rifampin (RIF) Routes

A

PO, IV

41
Q

Ethambutol (EMB) Routes

A

PO

42
Q

Isoniazid (INH) Side Effects

A

Hepatotoxicity
NV
Jaundice
Constipation
Peripheral neuropathy

43
Q

Rifampin (RIF) Side Effects

A

Reddish orange fluids: urine, tears, feces, perspiration

44
Q

Ethambutol (EMB) Side Effects

A

Blurred vision
Fever
Joint pain
Skin rash

45
Q

Isoniazid (INH) Nursing Considerations

A

Monitor LFT
No alcohol
Vitamin B supplements to help prevent neuropathy

46
Q

Rifampin (RIF) and Ethambutol (EMB) Nursing Considerations

A

Monitor LFT
No alcohol
Administer on empty stomach if possible

47
Q

Aminoglycoside “mycin” or “micin”

A

Streptomycin

48
Q

Streptomycin Indications

A

Management of active TB and other gram-negative infections (antibiotics)

49
Q

Streptomycin Routes

A

IM

50
Q

Streptomycin Side Effects

A

Rash
Vertigo
Urticaria
Nephrotoxicity
Ototoxicity (tinnitus)

51
Q

Streptomycin Nursing Considerations

A

Monitor renal function
Monitor peak and trough (peak occurs 1 hour after IM dose and assess trough right before next dose)
Administer in large muscle

Med-Surg 2 (4 decks)

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