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Pharmacology > Week 9: Chapter 21 Study Guide > Flashcards

Week 9: Chapter 21 Study Guide Flashcards

1
Q

beclomethasone (QVAR)

A

Inhaled corticosteroid

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2
Q

albuterol (Proventil)

A

Short-acting beta agonist (SABA)

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3
Q

theophylline (Theo-Dur)

A

Methylxanthine

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4
Q

triamcinolone (Azamacort)

A

Inhaled corticosteroid

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5
Q

salmeterol (Serevent)

A

Long-acting beta agonist (LABA)

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6
Q

fluticasone (Flovent)

A

Inhaled corticosteroid

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7
Q

aminophylline (Truphylline)

A

Methylxanthine

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8
Q

ipratropium (Atrovent)

A

Cholinergic agonist

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9
Q

budesonide (Pulmicort)

A

Inhaled corticosteroid

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10
Q

fomorterol (Foradil)

A

Long-acting beta agonist

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11
Q

terbutaline (Brthine)

A

SABA

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12
Q

coromolyn sodium (Intal)

A

Mast cell stabilizer

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13
Q

tiotropium (Sprivia)

A

Cholinergic antagonist

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14
Q

montelukast sodium (Singulair)

A

Leukotriene inhibitor

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15
Q

nedocromil sodium (Tilade)

A

Mast cell stabilizer

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16
Q

zarfirlukast (Accolate)

A

Leukotriene inhibitor

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17
Q

Air sacs in the lungs where oxygen moves into the blood:

A

Alveoli

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18
Q

Airway obstruction disease caused by constriction and inflammation:

A

Asthma

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19
Q

Sound of air moving through narrowed airways:

A

Wheeze

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20
Q

Drug reduces the thickness of mucus:

A

Mucolytic

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21
Q

Open center of a hollow airway:

A

Lumen

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22
Q

Inflammation of the airways:

A

Bronchitis

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23
Q

Disease where the elasticity of alveoli is greatly reduced:

A

Emphysema

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24
Q

Tightening of pulmonary smooth muscle, resulting in narrowed airways:

A

Bronchoconstriction

25
Q

Drug that relaxes the smooth muscle around the airways, causing the center openings to enlarge:

A

Bronchodilator

26
Q

Involves the airways and the alveoli:

A

COPD

27
Q

Causes reduced oxygenation:

A

COPD & Asthma

28
Q

Is a reversible condition or airway obstruction:

A

Asthma

29
Q

Wheezing:

A

COPD & Asthma

30
Q

Increase size of mucus-producing cells:

A

COPD

31
Q

Caused by a combination of bronchitis and emphysema:

A

COPD

32
Q

Reduces peak expiratory flow rate (PEFR):

A

COPD & Asthma

33
Q

No symptoms present between attacks:

A

Asthma

34
Q

Lumen size reduced:

A

COPD & Asthma

35
Q

Can be caused by constriction of bronchiolar smooth muscle alone:

A

Asthma

36
Q

Airway inflammation:

A

COPD and Asthma

37
Q

Loss of elastic tissue in walls of the alveoli:

A

COPD

38
Q

A common method to measure airway function is____________________ _______________ _______________ _________________ (___________________)

A 
Peak 
Expiratory 
Flow
Rate 
(PEFR)
39
Q

A pt can use a(n) ___________________ ____________________ when about to start an activity that is likely to induce an asthma attack.

A

Rescue Drug / Reliever Drug

40
Q

List 4 systemic effects of bronchodilators:

A
  1. Rapid HR
  2. Increase BP
  3. Tremors
  4. Nervousness
  5. Difficulty sleeping
41
Q

_____________________ or ________________ ______________ can occur if excessive amounts of bronchodilator drugs reach the blood.

A

Angina

Heart Attack

42
Q

A child who take a(n) ____________________ ___________________ ____________________ close to bedtime may have difficulty sleeping.

A

Beta2 Adrenergic Agonist

43
Q

Asthma medication that is used only during an acute episode is known as a(n) _____________________ drug.

A

rescue

44
Q

A pt just took a short-acting inhaler drug. What symptoms of an A/E should be reported immediately to the prescriber?

A
  1. Chest pain
  2. Severe tachycardia
  3. Rapid rise in BP
45
Q

The nurse must ensure that the pt using an oral inhaler knows the proper technique for using it, and for a(n) ______________, if one is ordered.

A

spacer

46
Q

If a pt is taking more than one type of inhaled drug, the ________________ drug should be given at least 5 min before the other drug.

A

bronchodilator

47
Q

A PEFR value that has dropped below 50% indicates what is occurring.

A

The pt has dangerously low airflow into and out of the airways

48
Q

Symptom severity in a pt with asthma or chronic bronchitis is assessed by using which method?

A

PEFR

49
Q

A pt is taking ipratropium (Atrovent) and reports having difficulty emptying his bladder. What should be the nurse’s action?

A

Discuss the pts symptoms with the prescriber

50
Q

Which important point should be included when teaching pts about the use of long-acting beta adrenergic agonists?

A

Take this medication even when symptoms are not present

51
Q

A child with asthma is having difficulty using a rescue aerosol inhaler effectively. What alteration in treatment should be discussed with the provider?

A

Using a nebulized form of the drug with a facemask

52
Q

What are common S/E associated with inhaled anti-inflammatory drugs?

A
  1. Bad taste
  2. Mouth dryness
  3. Oral infection
53
Q

Before administering an inhaled corticosteroid, it is important to take which action?

A

Teach the pt how to use the inhaler or spacer

54
Q

What important instruction should be given to a pt who is taking guaifenesin (Mucinex)?

A

This medication will thin your mucus and make it easier to cough up

55
Q

A pt has just taken a short-acting inhaler drug to treat asthma symptoms. Which best indicated the medication has been effective?

A

An increase of 15% in peak flow

56
Q

A pt has been given instruction on use of a dry-powder inhaler. Which pt action indicates the need for further instructions?

A

The pt exhales deeply into the inhaler after the treatment

57
Q

A pt is using an aerosol inhaler without a spacer. Two puffs are prescribed. How far apart should the puffs be administered?

A

60 seconds

58
Q

Which action by the nurse is most essential during intravenous administration of treprostinil (Orenitram) for a pt with pulmonary hypertension?

A

Utilize strict sterile technique when preparing and administering the drug

59
Q

Which is the most important point to include in pt teaching for a female pt with pulmonary hypertension who will have boesntan (Tracleer) prescribed?

A

Your pregnancy test must be negative before this drug is given

Pharmacology (55 decks)

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