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Respiratory Drugs AG
Question | Answer |
---|---|
what are the 6 types of drugs to treat airflow dissorders? | beta 2-adrenergic agonists, inhaled anticholenrgics, methylxanthines, glucocordicoids, mast cell stablizers, leukotriene modifiers |
what do beta 2 adrenergic agonists do? | short and long term asthma, prevent EIA, and ongoing asthma exacerbations |
what do inhaled anticholinergic drugs do? | relief of bronchospasms, COPD, allergy and EIA |
what do methylxanthines do? | to managechronic asthma, bronchitis and emphysema |
what do glucocorticoids do? | inhaled are for long term chronic asthma, orla are for short term post exacerbation, treatment, nasally to treat rhinitis |
what do mast cell stabilizers do? | long term allergy related asthma management, phrophylaxis management of exercise induced bronchospasm, phrophilaxis of seasonal alleries and rhinitis |
what do leukotriene modifiers do? | EIB, allergy rhinitis, chronic asthma |
what is the prototype drug for the leukotrien modifier? | Singulair/montelukast |
what is the therapeutic response to Singulair/monteklast? | suppress inflamation |
what are the side effects of Singuliar/monteklast? | headache |
what are the interventions of leukotrienes? | monitor liver function,mild analgesics for head ache |
what is important to do when taking singulair? | give once daily in the evening as PO 2 hours before exercising |
contraindications of singulai are: | liver dysfunction, acute asthma attack |
drug interactions may occur when taking what drugs? | phenobaritol and dilantin |
what are the 6 types of upper respiratory drugs learned in ATI? | sedating antihistamines, nonsedating antihistamines, sympathomimetics, antitussives,expectorants, mucolytics |
what are the two types of antihistamines? | sedating and non sedation antihistamine |
what are the therapeutic affects of sedating anihistamines? | managemnt of allergic reactions, anaphylatic reactions, motion sickness, insomnia |
what is the prototype drug used for sedating antihistamines? | dyphenhyramine Benadryl, |
what are the side effects of dyphenhyramine/Benadryl? | drowsiness, dizziness, dry mouth, urinary hesitancy, toxicity-flushing, |
how does benadyl work? | mild cholenergic blockers, blocks release of histamines. |
what are cholenergigs? | cholenergics have the same effects as the parasympathetic nervous system. |
what interventions should the nurse expect to provide to a pt. taking benadryl? | monitor pt. when ambulating, encourage sipping water/suck on hard candy, encourage high fiber intake, monitor urinary retention |
what should be given to limit or reduce benadryl toxicity | activated charcoal and laxatives |
contraindications of benadryl/dyphenhramine are: | newborns, kids<2 yrs, narrow angle glaucoma, acute asthma exacerbation |
non sedating antihistamines therapeutic uses are: | allergic rhinitis, chronic idiopathic uticaria (rash and hives) |
what drugs are used as non sedating antihistamines? | ceterizine(Zyrtec),Claritin, Allegra, Carinex |
non sedating antihistamines non brand names end in what suffix? | -ine |
what are the side effects of antihistamines? | drowsiness, fatigue, dry mouth nose and throat. |
what are the contraindications of antihistamines? | infants<6mo, breastfeeding, caution with liver and kidney dysfunction pt.'s |
what are the sympathomimetics therapeutic uses? | rhinitis, sinusitus, common cold |
what are the drugs of the sypathomimetic class? | Neo-synepherine/phenylephrine, Sudafed/pseudoephedrine ,Ephedrine |
how does sudafed and other sympathomimetic drugs work? | mimic the actions of the sympathetic nervous system, vasoconstriction of nasal blood vessels which shrink turbinates and open nasal passage |
what are the side effects of sudafed..? | insomnia, palpitations, tachycardia, abuse/addiction, rebound nasal congestion |
what should the nurse reccomend for rebound nasal congestion? | naso glucocorticoid |
what are the contraindications of sudafed? | narrow angle glaucoma, chronic rhinitis, dysrythmias, hypertension |
what drugs interact with sudafed? | MAOI, beta 2 adrenergic agonists |
what do antitussives do? | suppress non productive coughing |
what are the prototype drugs? | opioid: Codeine non opiod: dextromethorphan/Benylin |
what are the side effects of antitussives? | opiod drug: Codeine- drowsiness, nausea, constipation, |
atitussives are contraindicated for whom? | persons with acute asthma, liver disease, acute alcoholism,head trauma |
other drugs that may cause interactions with antitussives are: | st. johns wart, cns depressants, MAOI antidepressants |
expectorants treat what? | colds, bronchitis, upper respiratory infections |
what is the prototype drug for expectorants? | Mucinex, Humibid,/guaifenesin |
what are the side effects of Mucinex? | dizziness, drowsiness, nausea, rash |
what interventions should the nurse do for a patient on mucinex? | increase fluid intake, worsening of cough-notify provider, do not crush extended release tablet |
contraindications of mucinex are: | cough due to heart failure, and ACE inhibitor therapy |
interactions may occur when taking what with mucinex? | heprin |
what are mucolytics? | inhalent drugs to treat CF, bronchopulmonary disease,reverse aceteminophine Tylenol overdose |
what is the prototype drug for mucolytics? | Mucomyst/acetylcystine |
what does Mucomyst do? | decreases the viscosity of mucus |
what are the side effects of mucomyst? | bronchospasm, aspiration of secretions, GI distress, nausea |
what are the contraindications of mucomyst? | risk of GI |
there are no known drug interactions with mucomyst | YAYAYAYAA!!!!!!!!!!!! |