UNIT 8 Glucocorticoid & Beta Agonist CHAPTER 38

Question 1

What is the drug class of Fluticasone Propionate and Salmeterol

A.Glucocorticoid & Beta Agonist
B. Antituberculosis
C. Antitussive
D. Intranasal Glucocorticoids

Answer 1

A.Glucocorticoid & Beta Agonist

Question 2

What is the action of Fluticasone & salmeterol

Answer 2

Fluticasone & salmeterol (Advair)
 For respiratory inhaler use - powder
 Combines a steroid for decreased inflammation
and adrenergic for bronchodilation
 Not a rescue inhaler
 Same side effects as a steroid and adrenergic
but not as severe because of inhalation versus
systemic
 Must rinse mouth after use to prevent oral fungal
infection

Question 3

Is oral care important for this medication - Fluticasone & salmeterol
A. No
B. Yes

Answer 3

yes because its a powder medication (inhaler)

Question 4

Inhaler Teaching

Answer 4

Interventions/teaching
 Monitor VS
 Increase fluids to help with secretions
 Monitor for side effects/adverse reactions
 Teach patient to monitor bp and pulse
 Check with HCp prior to administering cold
medications
 Discuss anxiety reducing measures
 Teach proper use of inhaler (in care plan)
 Patients who use a beta-agonist inhalant should
administer it 5 minutes before using other
inhalers

Question 5

A patient is ordered the following inhalers, a bronchodilator (ipratropium) and a
gluco-corticoid (Beclamethasone). The nurse will
A. administer the bronchodilator 5 minutes before the
glucocorticoid.
B. mix the drugs and administer them together.
C. administer the glucocorticoid 10 minutes before
the bronchodilator.
D. administer the glucocorticoid immediately after the
bronchodilator.

Answer 5

Answer: A
Rationale: When a bronchodilator and a glucocorticoid inhaler are ordered together,
the bronchodilator is administered first. The nurse should then wait for 5 minutes
before administering the glucocorticoid. This allows time for bronchodilation to
occur so the glucocorticoid is deposited deep into the respiratory system.

Question 6

A patient is using a glucocorticoid inhaler. The
patient asks the nurse why he has to rinse his
mouth out after using the glucocorticoid inhaler.
The nurse should inform the patient that rinsing
the mouth is done to
A. avoid mucous membrane breakdown.
B. increase hydration of the oral mucosa.
C. decrease risk of infection.
D. slow the development of cavities.

Answer 6

 Answer: C
 Rationale: Side effects associated with orally inhaled glucocorticoids are generally
local (throat irritation, hoarseness, dry mouth, coughing) rather than systemic.
Oral, laryngeal, and pharyngeal fungal infections have occurred. Oropharyngeal
infections may be prevented by using a spacer with the inhaler to reduce drug
deposits in the oral cavity, rinsing the mouth and throat with water after each dose,
and washing the apparatus daily with warm water.