Week 9: Chapter 21 Study Guide Flashcards
beclomethasone (QVAR)
Inhaled corticosteroid
albuterol (Proventil)
Short-acting beta agonist (SABA)
theophylline (Theo-Dur)
Methylxanthine
triamcinolone (Azamacort)
Inhaled corticosteroid
salmeterol (Serevent)
Long-acting beta agonist (LABA)
fluticasone (Flovent)
Inhaled corticosteroid
aminophylline (Truphylline)
Methylxanthine
ipratropium (Atrovent)
Cholinergic agonist
budesonide (Pulmicort)
Inhaled corticosteroid
fomorterol (Foradil)
Long-acting beta agonist
terbutaline (Brthine)
SABA
coromolyn sodium (Intal)
Mast cell stabilizer
tiotropium (Sprivia)
Cholinergic antagonist
montelukast sodium (Singulair)
Leukotriene inhibitor
nedocromil sodium (Tilade)
Mast cell stabilizer
zarfirlukast (Accolate)
Leukotriene inhibitor
Air sacs in the lungs where oxygen moves into the blood:
Alveoli
Airway obstruction disease caused by constriction and inflammation:
Asthma
Sound of air moving through narrowed airways:
Wheeze
Drug reduces the thickness of mucus:
Mucolytic
Open center of a hollow airway:
Lumen
Inflammation of the airways:
Bronchitis
Disease where the elasticity of alveoli is greatly reduced:
Emphysema
Tightening of pulmonary smooth muscle, resulting in narrowed airways:
Bronchoconstriction
Drug that relaxes the smooth muscle around the airways, causing the center openings to enlarge:
Bronchodilator
Involves the airways and the alveoli:
COPD
Causes reduced oxygenation:
COPD & Asthma
Is a reversible condition or airway obstruction:
Asthma
Wheezing:
COPD & Asthma
Increase size of mucus-producing cells:
COPD
Caused by a combination of bronchitis and emphysema:
COPD
Reduces peak expiratory flow rate (PEFR):
COPD & Asthma
No symptoms present between attacks:
Asthma
Lumen size reduced:
COPD & Asthma
Can be caused by constriction of bronchiolar smooth muscle alone:
Asthma
Airway inflammation:
COPD and Asthma
Loss of elastic tissue in walls of the alveoli:
COPD
A common method to measure airway function is____________________ _______________ _______________ _________________ (___________________)
Peak Expiratory Flow Rate (PEFR)
A pt can use a(n) ___________________ ____________________ when about to start an activity that is likely to induce an asthma attack.
Rescue Drug / Reliever Drug
List 4 systemic effects of bronchodilators:
- Rapid HR
- Increase BP
- Tremors
- Nervousness
- Difficulty sleeping
_____________________ or ________________ ______________ can occur if excessive amounts of bronchodilator drugs reach the blood.
Angina
Heart Attack
A child who take a(n) ____________________ ___________________ ____________________ close to bedtime may have difficulty sleeping.
Beta2 Adrenergic Agonist
Asthma medication that is used only during an acute episode is known as a(n) _____________________ drug.
rescue
A pt just took a short-acting inhaler drug. What symptoms of an A/E should be reported immediately to the prescriber?
- Chest pain
- Severe tachycardia
- Rapid rise in BP
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.
spacer
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.
bronchodilator
A PEFR value that has dropped below 50% indicates what is occurring.
The pt has dangerously low airflow into and out of the airways
Symptom severity in a pt with asthma or chronic bronchitis is assessed by using which method?
PEFR
A pt is taking ipratropium (Atrovent) and reports having difficulty emptying his bladder. What should be the nurse’s action?
Discuss the pts symptoms with the prescriber
Which important point should be included when teaching pts about the use of long-acting beta adrenergic agonists?
Take this medication even when symptoms are not present
A child with asthma is having difficulty using a rescue aerosol inhaler effectively. What alteration in treatment should be discussed with the provider?
Using a nebulized form of the drug with a facemask
What are common S/E associated with inhaled anti-inflammatory drugs?
- Bad taste
- Mouth dryness
- Oral infection
Before administering an inhaled corticosteroid, it is important to take which action?
Teach the pt how to use the inhaler or spacer
What important instruction should be given to a pt who is taking guaifenesin (Mucinex)?
This medication will thin your mucus and make it easier to cough up
A pt has just taken a short-acting inhaler drug to treat asthma symptoms. Which best indicated the medication has been effective?
An increase of 15% in peak flow
A pt has been given instruction on use of a dry-powder inhaler. Which pt action indicates the need for further instructions?
The pt exhales deeply into the inhaler after the treatment
A pt is using an aerosol inhaler without a spacer. Two puffs are prescribed. How far apart should the puffs be administered?
60 seconds
Which action by the nurse is most essential during intravenous administration of treprostinil (Orenitram) for a pt with pulmonary hypertension?
Utilize strict sterile technique when preparing and administering the drug
Which is the most important point to include in pt teaching for a female pt with pulmonary hypertension who will have boesntan (Tracleer) prescribed?
Your pregnancy test must be negative before this drug is given
