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respiratory meds usm
nursing, respiratory meds
| Question | Answer |
|---|---|
| Glucocorticoids – Action, suppress histamine and other prostaglandins, inhibit COX-2, suppress phagocytosis & lymphocytes | |
| suppress histamine and other prostaglandins, inhibit COX-2, suppress phagocytosis & lymphocytes | Glucocorticoids – Action |
| Hypersensitivity reaction give what | steroids to suppress the histamine |
| Glucocorticoid drugs | Ex: prednisone, decadron, celeston |
| prednisone, decadron, celeston are used for | severe inflammation; asthma, Ca, arthritis |
| if you have severe inflammation; asthma, Ca, arthritis what will you take | glucocorticoids |
| Side effects seen in Glucocorticoids | adrenal suppression, hyperglycemia, mood changes, cataracts, PUD, electrolyte changes, osteoporosis, wt gain ( cause the sugar) , bruising |
| Asthma patient who is taking glucocorticoids will have | bruising |
| Drugs of coice for long tierm prophylaxis of asthma | inhaled glucocorticoids |
| Inhaled glucocorticoids are taken | daily Systemic side effects rarely observed |
| Oral drugs Glucocorticoids are used for | short-term therapy of severe, acute asthma |
| Oral Glucocorticoid therapy should last | Limit therapy to under 10 days |
| When givien glucocorticoids | Take with food – gi upset ,Watch for infections-Reverse isolation |
| When givien glucocorticoids Monitor for | blood sugar & BP ( make sure its not going up) Cushing’s: moon face, etc |
| When taking glucocorticoids and discontinuing | Don’t abruptly discontinue |
| Glucocorticoids are Contraindicated in those | w/ impaired immune function (hiv – if it outweighs the risk or cancer patient) |
| May impair Growth & Development (short and typically get a pot-belly) | glucocorticoids |
| Intranasal Glucorticoids side effects | Less Ses – right into nasal instead of systemically |
| Intranasal glucorticoids | Flonase, Nasonex |
| allergic rhinitis use what drugs | intranasal glucorticoids |
| Action: decreases local inflammation in nasal passages, thus reducing nasal stuffiness | intranasal glucorticoids |
| Action of intranasal glucorticoids | decreases local inflammation in nasal passages, thus reducing nasal stuffiness |
| When using Intranasal Glucorticoids … | Make sure the nasal mucosa is intact ,Lay back , 1-2 sprays each nostril |
| Blocks H1 receptors | antihistamines |
| Used for allergies | antihistamines |
| First generation antihistamine… | usually have more sedation effects |
| Example of a first generation antihist. | Ex-Benadryl |
| Second generation sedation, side effect…. | usually have very little sedation, can make jittery if you take it too close together from last time that you took the meds. |
| Second generation antihistamine examples : | Ex-Zyrtec, Claritin |
| Antihistamines warn patients of side effects such as : | SEs: drowsiness; occasionally, paradoxical CNS stimulation and excitability ,May cause photosensitivity |
| drowsiness; occasionally, paradoxical CNS stimulation and excitability ,May cause photosensitivity are side effects of | antihistamines |
| Antihistamines have what other effects : Anticholinergic effects: dry mouth, tachycardia, mild hypotension | |
| Tell your patient when taking anithistamines to avoid… | other CNS depressants |
| When should you use antihistamines ? | Adm prior to initiation of symptoms if possible – take when you know you might have allergic reactions. |
| Sympathomimetics are also known as | Decongestants |
| Sympathomimetics action is .. | Action: stimulates alpha-adrenergic receptors in sympathetic nervous system |
| Action: stimulates alpha-adrenergic receptors in sympathetic nervous system | sympathomimetics |
| Decongestants do what ? | Causes arterioles in nasal passages to constrict ; Dries mucous membranes |
| Sympathomimetic drugs are Ex: Afrin, primatene, sudafed | |
| Afrin, Primatene, Sudafed are what .. | decongestants , sympathomimetics |
| Side effect of Afrin | – rebound nasal congestion, |
| Primatene has led to | heart attacks |
| If you have nasal congestion need to use | sympathomimetic / decongestant |
| : rebound congestion is a side effect of | sympathomimetic/ decongestant |
| Mostvpeople like the decongest. Cause | it opens up right away. |
| Sympathomimetics Nursing Implications | Only use for 3-5 days |
| Don’t give sympathomimets to what patients | Don’t give with HTN pts, increase pressure |
| The patient has been prescribed oxymetazoline ( afrin) The nurse understands that … | The most serious side effect is rebound congestion |
| Which group of drugs mimic the SNS | beta agonist bronchodilators |
| Selective beta agonist bronchodilators are | Ex- Albuterol, Xopenex, Serevent, Advair |
| The action of Beta agonist bronchodilators | Action-Stimulates beta2 increasing cAMP causing bronchodilation |
| Action-Stimulates beta2 increasing cAMP causing bronchodilation | beta agonist bronchodilators |
| Which drug would you use for acute issue of asthma | Albuterol – acute issues, I need help now, may be included in maintenance, stimulates beta 2 |
| Which beta agonist bronchodilators comes only as a nebulizer | Xopenex – maintenance, only comes in a nebulizer |
| Beta agonist bronchodilators that are used for maintenance | servernt, advair |
| Nonselective Beta agonist bronchodilators drugs | Epinephrine (short half-life) |
| Beta agonist bronchodilators action | Action-Stimulates beta1 and 2 relaxing smooth muscle and dilates trachea w/t the release of cAMP; more cardiac SE |
| Action-Stimulates beta1 and 2 relaxing smooth muscle and dilates trachea w/t the release of cAMP; more cardiac SE | Beta agonist bronchodilators |
| When giving Beta agonist bronchodilators what effect will happen and what will you have to do | will have cardiac effect, may have to balance out tachycardia – such as injection of a beta blocker, lidocaine, |
| Beta agonist bronchodilators are Contraindicated in patients with | cardiac problems already |
| Beta Agonist Bronchodilators Most effective drugs for relieving | acute bronchospasm |
| bronchial asthma, bronchitis, bronchospasm, and pulmonary diseases you will need | Beta agonist bronchodilators |
| Can be used for both quick relief and long-term control | Beta agonist bronchodilators |
| The patient is using beta agonist for treatment of asthma. The nurse teaches that the action of this drug is : | relaxing bronchiole smooth muscle, thereby causing bronchiodilation |
| Beta Agonist Bronchodilators side effects are | SE-tachycardia, palpitations, HTN, anxiety |
| Do not give Beta agonist bronchodilators w/ … | MAO inhibitors-HTN crisis |
Created by:
ameliarae
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