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ECC Test 3 Resp.
| Question | Answer |
|---|---|
| Antitussive-Prototype | Dextromethorphan (Think, Orphans cough) |
| Dextromethorphan | PO, Blocks cough reflex in medulla. Control of non-productive cough. Adverse: Respiratory depression. |
| Nasal Decongestant-Prototype | Ephedrine |
| Ephedrine | NS, Sympathomimetic. Used for common cold. Caution with pts with DM, Thyroid and Heart Disease and HTN. Adverse: Rebound Congestion |
| Oral Decongestant-Prototype | Pseudoephedrine(Sudafed) |
| Pseudoephedrine (Sudafed) | PO. Shrink mucous membranes by stimulating alpha-adrenergic receptors. Promote drainage, increase air flow. Caution with DM, Thyroid and Heart Diseases and HTN. Averse: Rebound congestion |
| Topical (Steroid) Decongestant-Prototype | Flunisolide (Think Steroid-Solide) |
| Flunisolide | NS. Block inflammatory response. May take days to weeks to provide relief, not used in emergencies. Do not use if infection is present. May become systemically absorbed if lacerations are in nares. |
| Antihistamine-Prototype | Diphenhydramine (Benadryl) |
| Diphenhydramine | PO,IM,IV. Dilates airways and decrease secretions. Can be used for tx of motion sickness. Allegra can be toxic with Ketoconazole or Erythromycin. Adverse: Cardiac Dysrhythmias. |
| Expectorants-Prototype | Guaifenesin |
| Guaifenesin | PO. Decrease adhesiveness and surface tension of fluids to allow easier movement. Relief of non-productive cough. |
| Mucolytics-Prototype | Acetylcysteine |
| Acetylcysteine | Inhale,PO. Break down of mucous to aid high risk respiratory pt in coughing up secretions. (Post Op pts, ect) Can also be used as tx for acetamenophen toxicity. Adverse: Bronchospasm, Stomatitis) |
| Xanthines-Prototype | Aminophylline |
| Aminophylline | PO,IV. Direct effect on smooth muscles in bronchi and blood vessels. Theophylline levels at 10-20mcg/ml. Adverse:(too much caffine)Life threatening arrhythmias, brain damage, respiratory arrest, death. |
| Sympathomimetic-Prototype | Epinephrine |
| Epinephrine | (Albuterol)SQ,IV,IM,Inhale. Beta-2 selective adrenergic agonist. Dilate bronchi. Adverse:Rebound congestion, cardiac arrythmias, bronchospasm. |
| Anticholinergic Bronchodialators-Prototype | Ipratropium |
| Ipratropium | Inhale. Block Vagus nerves effect on the respiratory tract. Do not give to pt with soy or peanut allergy. Adverse: Worsens Glaucoma, CNS, GI, Cough, Palpitations. |
| Steroids-Protptype | Budesonide (Think steroid-sonide) |
| Budesonide | Inhale. Decrease inflammation in airway. Not used in emergencies or with active infection. Adverse: Possible systemic absorption, local infections, rebound congestion. |
| Leukotrienes-Prototype | Zafirlukast (Singulair) |
| Zafirlukast | PO. Selectively blocks airway edema/mucous production. Not used in emergencies. D2D: Theophylline, Warfarin, ASA. Adverse: Generalized pain, infection, elevated liver enzymes. |
| Surfactant-Prototype | Beractant |
| Beractant | Intratracheal. Given to neonates at risk for or who have developed RDS. Suction before med and hold for 2 hours post med. Adverse: PDA, Pneumothorax, ect. |
| Mast Cell Stabilizers-Prototype | Cromolyn |
| Cromolyn | Inhale. Works at cellular level to inhibt Histamine. Not used in emergencies. D2D; Isoproterenol. Adverse: CNS, Dysuria, Nasal Congestion. |
Created by:
Hughesj29
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