click below
click below
Normal Size Small Size show me how
Resp/ GI meds
Respiratory and GI
Question | Answer |
---|---|
BETA ADRENERGIC AGONIST | BRONCHODILATOR |
EXAMPLE OF BETA AGONIST | ALBUTEROL (PROVENTIL), DOPAMINE, TERBUTALINE, EPINEPHRINE |
INDICATION FOR BETA AGONIST | ACUTE ASTHMA |
ADVERSE EFFECTS OF BETA AGONIST | RESTLESSNESS, INSOMNIA, HA, TREMORS, HTN, HYPERGLYCEMIA |
XANTHINE DERIVATIVE | BRONCHODILATOR |
EXAMPLE OF XANTHINE DERIVATIVE | THEOPHYLLINE, AMINOPHYLLINE |
INDICATIONS FOR XANTHINE DERIVATIVES | MILD TO MODERATE ASTHMA |
ADVERSE EFFECTS OF XANTHINE DERIVATIVES | N/V, ANOREXIA, GERD, HEART PALPITATIONS, INCREASED URINATION, TACHYCARDIA, *VTACH |
CONTRAINDICATIONS FOR XANTHINE DERIVATIVES | PUD, GI DISORDERS |
NURSING IMPLICATIONS FOR XANTHINE DERIVATIVES | MONITOR FOR TOXICITY** |
ANTICHOLINERGICS | BRONCHODILATOR |
EXAMPLE OF ANTICHOLINERGIC | IPRATROPIUM, SPIRIVA |
INDICATIONS FOR ANTICHOLINERGIC | COPD |
ADVERSE EFFECTS OF ANTICHOLINERGICS | ALLERGY, HEART PALPITATIONS, INTRAOCULAR PRESSURE |
LEUKOTRIENE RECEPTOR ANTAGONIST | BLOCK LEUKOTRIENES AND BLOCK INFLAMMATION |
EXAMPLES OF LEUKOTRIENE RECEPTOR ANTAGONISTS | SINGULAIR |
INDICATIONS FOR LTRA | PROPHYLAXIS FOR ASTHMATICS |
ADVERSE EFFECTS FOR LTRA | HA, DYSPEPSIA, NAUSEA, DIZZINESS, INSOMNIA, DIARRHEA, **LIVER DYSFXN |
NURSING IMPLICATIONS FOR LTRA | **MONITOR LIVER PANEL FOR LIVER DYSFXN, MANY MANY DRUG INTERACTIONS |
CORTICOSTEROIDS | STABILIZE LEUKOCYTES THAT RELEASE HARMFUL BRONCHOCONSTRICTING SUBSTANCES |
EXAMPLES OF CORTICOSTEROIDS | PREDNISONE, METHYLPREDNISONE |
INDICATIONS FOR CORTICOSTEROIDS | BRONCHOSPASMS NOT CONTROLLED BY CONVENTIONAL METHODS |
ADVERSE EFFECTS OF CORTICOSTEROIDS | LIVER DYSFXN, HIGH BS, WT GAIN, INSOMNIA, SWELLING, ORAL FUNGAL INFECTIONS, DRY MOUTH, COUGH |
NURSING IMPLICATIONS FOR CORTICOSTEROIDS | USE BRONCHODILATOR FIRST IF PRESCRIBED, RINSE MOUTH AFTER USE |
CONTRAINDICATIONS FOR CORTICOSTEROIDS | PSYCHOSIS, FUNGAL INFECTIONS, AIDS, TB |
ANTACIDS | NEUTRALIZE ACID, INACTIVATE PEPSIN, SECRETE MUCUS AND BICARBONATE |
EXAMPLE OF ANTACIDS | AMPHOGEL (ALUMINUM HYDROXIDE) |
INDICATIONS FOR ANTACIDS | PUD, GERD, H. PYLORI |
ADVERSE EFFECTS OF ANTACIDS | IF ALUMINUM BASED- CONSTIPATION IF MAGNESIUM BASED- DIARRHEA |
NURSING INMPLICATIONS FOR ANTACIDS | ASSESS FOR FLUID IMBALANCE, RENAL PROBLEMS, GI OBSTR, HEART FAILURE, PREGNANCY. GIVE OTHER MEDS 1-2 HRS AFTER |
HISTAMINE ANTAGONISTS | REDUCE ACID SECRETION, BLOCK HISTAMINE AT H2 RECEPTORS OF ACID PRODUCING PARIETAL CELLS |
EXAMPLES OF HISTAMINE ANTAGONISTS | FAMOTIDINE, RANITIDINE |
INDICATIONS FOR HISTAMINE ANTAGONISTS | GERD, PUD, H. PYLORI |
ADVERSE EFFECTS OF HISTAMINE ANTAGONISTS | LETHARGY AND CONFUSION IN ELDERLY |
NURSING IMPLICATIONS FOR HISTAMINE ANTAGONISTS | ENCOURAGE NO SMOKING, ASSESS FOR RENAL OR LIVER IMPAIRMENT. TAKE 1 HOUR BEFORE OR AFTER MEDS |
PROTON PUMP INHIBITORS | KEEPS HYDROCHLORIC ACID RELEASE FROM HAPPENING AT ALL |
EXAMPLES OF PROTON PUMP INHIBITORS | OMEPRAZOLE (ALL -ZOLES) |
INDICATIONS FOR PROTON PUMP INHIBITORS | GERD, EROSIVE ESOPHAGITIS, ULCERS, H. PYLORI |
ADVERSE EFFEGTS OF PPI | DECREASED BONE DENSITY LONG TERM |
NURSING IMPLICATIONS FOR PPI | TAKE 30-60M BEFORE MEALS FOR BEST RESULTS |
ANTIFLATULENTS | ALTERS ELASTICITY OF GAS BUBBLES AND MAKES SMALLER |
EXAMPLE OF ANTIFLATULENTS | SIMETHICONE |
INDICATIONS FOR ANTIFLATULENTS | GASTRIC OR INTESTINAL GAS RELIEF |
ANTICHOLINERGIC AS ANTIEMETIC | BINDS TO AND BLOCKS ACH RECEPTORS IN EAR, BLOCKS SIGNAL TO CTZ AND VC |
EXAMPLE OF ANTIEMETIC/ ANTICHOLINERGIC | SCOPOLAMINE |
INDICATIONS FOR ANTICHOLINERGIC AS ANTIEMETIC | MOTION SICKNESS |
ADVERSE EFFECTS OF ANTICHOLINERGIC AS ANTIEMETIC | SEDATION, DRY MOUTH, CONSTIPATION, URINARY RETENTION, DILATED PUPILS |
ANTIHISTAMINE H1 BLOCKERS | INHIBIT ACH BY BINDING TO H2 RECEPTORS, PREVENTS STIMULATION IN EAR |
EXAMPLES OF ANTIHISTAMINE 1 BLOCKERS | MECLIZINE, DRAMAMINE |
INDICATIONS FOR ANTIHISTAMINE 1 BLOCKERS | NAUSEA/ VOMITING, MOTION SICKNESS, NONPROD COUGH, ALLERGY SX, SEDATION |
ADVERSE EFFECTS OF ANTIHISTAMINE H1 BLOCKERS | SEDATION, DRY MOUTH, CONSTIPATION, URINARY RETENTION, DILATED PUPILS |
ANTIDOPAMINERGICS | BLOCK DOPAMINE RECEPTORS ON CTZ |
EXAMPLES OF ANTIDOPAMINERGIC | COMPAZINE, PHENERGAN |
INDICATIONS FOR ANTIDOPAMINERGICS | PSYCHOTIC DISORDERS, HICCUPS, NAUSEA/ VOMITING |
ADVERSE EFFECTS OF ANTIDOPAMINERGICS | SEDATION, HYPOTENSION, TARDIVE DYSKINESIA, DRY MOUTH, CONSTIPATION |
NURSING IMPLICATIONS FOR ANTIDOPAMINERGICS | TAKE 30-60M BEFORE CHEMO OR SURGICAL PROCEDURE |
SERATONIN BLOCKERS | BLOCK SERATONIN IN GI TRACT, CTZ, AND VC |
EXAMPLES OF SERATONIN BLOCKERS | ZOFRAN |
INDICATIONS FOR SERATONIN BLOCKERS | N/V WITH CHEMO, POSTOP N/V |
ADVERSE EFFECTS OF SERATONIN BLOCKERS | HA, DIARRHEA, DIZZINESS, CAN CAUSE FATAL BRONCHOSPASMS |
NURSING IMPLICATIONS FOR SERATONIN BLOCKERS | TAKE 30-60M BEFORE CHEMO |
PROKINETICS | BLOCK DOPAMINE AND SERATONIN RECEPTORS IN CTZ; INCREASE GI MOTILITY |
EXAMPLE OF PROKINETICS | METOCLOPRAMIDE |
INDICATIONS FOR PROKINETICS | POSTOP N/V, CHEMO N/V |
ADVERSE EFFECTS OF PROKINETICS | RESTLESSNESS, ANXIETY, FACE/ NECK SPASMS, SEDATION, DIARRHEA, TARDIVE DYSKINESIA |
TETRAHYDROCANNABINOIDS | INHIBITORY EFFECTS, ALTERS MOOD AND PERCEPTION |
EXAMPLE OF TETRAHYDROCANNABINOIDS | MARINOL |
INDICATIONS FOR TETRAHYDROCANNABINOIDS | N/V WITH CHEMO, ANOREXIA IN AIDS |
ADVERSE EFFECTS OF TETRAHYDROCANNABINOIDS | DYSPHORIA, HYPOTENSION, TACHYCARDIA |
NURSING IMPLICATIONS FOR TETRAHYDROCANNABINOIDS | ETOH CAUSES CNS DEPRESSION, CHANGE POSITIONS SLOWLY |
ADSORBENTS | COATS WALLS OF GI TRACT, BINDS TO BACTERIA AND ELIMINATED WITH STOOL |
EXAMPLE OF ADSORBENTS | PEPTO BISMOL |
INDICATIONS FOR ADSORBENTS | DIARRHEA |
ADVERSE EFFECTS OF ADSORBENTS | INCREASED BLEEDING TIME, CONSTIPATION, CONFUSION IN ELDERLY, TINNITUS |
CONTRAINDICATIONS FOR ADSORBENTS | DO NOT GIVE TO CHILDREN OR TEENS WITH VIRAL SX D/T RISK OF REYES SYNDROME |
OPIATES AS ANTIMOTILITY | DECREASE BOWEL MOTILITY, INCREASE WATER AND ELECTROLYTE ABSORPTION |
EXAMPLES OF OPIATES AS ANTIMOTILITY | IMMODIUM AND LOMOTIL |
INDICATIONS FOR OPIATES AS ANTIMOTILITY | DIARRHEA |
ADVERSE EFFECTS OF OPIATES AS ANTIMOTILITY | SEDATION, DIZZINESS, RESPIRATORY DEPRESSION, HYPOTENSION, URINARY RETENTION, DECREASED ABSORPTION OF OTHER DRUGS |
INTESTINAL FLORA MODIFIER | SUPPLIES BACTERIA TO GI TRACT |
EXAMPLE OF INTESTINAL FLORA MODIFIER | L. ACIDOPHILUS |
BULK FORMING LAXATIVE | ABSORBS WATER TO INCREASE BULK, DISTENDS BOWEL |
EXAMPLE OF BULK FORMING LAXATIVE | PSYLLIUM (METAMUCIL) |
ADVERSE EFFECTS OF BULK FORMING LAXATIVE | IMPACTION, ESOPHAGEAL BLOCKAGE, FLUID OVERLOAD, FLUID IMBALANCE |
EMOLLIENTS (LAXATIVES) | PROMOTE WATER AND FAT IN STOOLS TO LUBRICATE INTESTINAL WALL |
ADVERSE EFFECTS OF EMOLLIENT LAXATIVES | ELECTROLYTE IMBALANCE, LIPID PNEUMONIA |
HYPEROSMOTIC LAXATIVES | INCREASE FECAL WATER CONTENT, BOWEL DISTENTION, INCREASES PERISTALSIS |
ADVERSE EFFECTS OF HYPEROSMOTIC LAXATIVES | BLOATING, ELECTROLYTE IMBALANCE |
SALINE LAXATIVES | INCREASE OSMOTIC PRESSURE AND PERISTALSIS |
EXAMPLES OF SALINE LAXATIVES | MILK OF MAGNESIA, FLEET ENEMA |
ADVERSE EFFECTS OF SALINE LAXATIVES | MAGNESIUM TOXICITY, ELECTROLYTE IMBALANCE |
STIMULANT LAXATIVES | INCREASED PERISTALSIS VIA NERVE STIMULANT |
EXAMPLES OF STIMULANT LAXATIVES | DULCOLAX, BISACODYL |
ADVERSE EFFECTS OF STIMULANT LAXATIVES | ELECTROLYTE IMBALANCE, DISCOLORED URINE |
MOST DEPENDENT OF LAXATIVES | STIMULANT LAXATIVES |
ANTIHISTAMINES FOR RESP. | BLOCKS HISTAMINE ACTION AT H1 RECEPTOR SITES |
EXAMPLES OF ANTIHISTAMINES | BENADRYL, CLARITIN |
ADVERSE EFFECTS OF ANTIHISTAMINES | SEDATION, DRY MOUTH, DIFFICULTY URINATING, CONSTIPATION |
CONTRAINDICATIONS FOR ANTIHISTAMINES | ASTHMA, PNEUMONIA, CARDIAC/ RENAL DISEASE, COPD, HTN, BPH, PUD, PREGNANCY |
ORAL ADRENERGIC MEDS | **DECONGESTANT -SHRINKS BLOOD VESSELS IN NASAL PASSAGES TO RELIEVE STUFFINESS |
EXAMPLE OF ORAL ADRENERGIC MEDS | SUDAFED |
ADVERSE EFFECTS OF ORAL ADRENERGIC MEDS | NERVOUSNESS, DRY MUCOSA, INSOMNIA, PALPITATIONS, TREMORS |
HIGH ABUSE POTENTIAL, CONTROLLED ACCESS | ORAL ADRENERGIC MEDS (SUDAFED) |
CORTICOSTEROID FOR RESP. | DECONGESTANT, ANTI-INFLAMMATORY EFFECT |
EXAMPLE OF CORTICOSTEROID | FLONASE |
ADVERSE EFFECTS OF CORTICOSTEROIDS | NERVIOUSNESS, DRY MUCOSA, INSOMNIA, PALPITATIONS, TREMORS |
HIGH EVIDENCE OF REBOUND CONGESTION | CORTICOSTEROID (FLONASE) |
OPIOID ANTITUSSIVE | ANTITUSSIVE, SUPPRESSES COUGH REFLEX BY DIRECT ACTION ON COUGH CENTER IN MEDULLA |
EXAMPLE OF OPIOID ANTITUSSIVE | ROBITUSSIN A-C |
INDICATIONS FOR OPIOID ANTITUSSIVE | NONPRODUCTIVE COUGH |
ADVERSE EFFECTS OF OPIOID ANTITUSSIVE | SEDATION, DIZZINESS, NAUSEA |
NONOPIOID ANTITUSSIVE | ANTITUSSIVE, NUMBS STRETCH RECEPTORS IN RESPIRATORY TRACT |
EXAMPLE OF NONOPIOID ANTITUSSIVE | BENZONATATE (TESSALON PERLES) |
INDICATIONS FOR NONOPIOID ANTITUSSIVE | NONPRODUCTIVE COUGH |
EXPECTORANT | LOOSENS AND THINS SECRETIONS |
EXAMPLE OF EXPECTORANT | GUAIFENESIN |
ADVERSE EFFECTS OF EXPECTORANTS | NAUSEA, VOMITING, GI IRRITATION |
NURSING IMPLICATIONS OF EXPECTORANTS | WATCH OTC MEDS- MOST CONTAIN GUAIFENESIN |