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Respiratory
Respiratory Medicaitons
Question | Answer |
---|---|
What do antihistamines do? | open airway and excrete sputum |
what action does antihistamines do? | block most of the effects of histimines |
What is antihistamines used for ? | seasonal allergies, allergic reactions, urticarial, angioedema, motion sickness, sedation, nausea, EPS with Parkinson's disease |
what are examples of antihistamines? | diphenhydramine (Benadryl), promethazine (Phenergan), cetirizine (Zyrtec), fexofenadine (Allegra), loratadine( Claritin) |
What are the contraindications of antihistamines? | narrow angles, glaucoma, cardiac disease, kidney disease, HTN, bronchial asthma, BPH, COPD, pregnancy |
Adverse Reaction to antihistamine is | sedation |
what are the actions of decongestants | reduces swelling of nasal passages, which enhances drainage of the sinuses |
What are the uses of decongestants? | common cold, allergic rhinitis, congestion, sinusitis |
What is an example of pseudoephedrine? | Afrin |
Adverse Reaction to decongestants is | rebound congestion (nasal sprays only) |
what are Antitussives? | cough medications |
what are the actions of antitussives? | depress the cough center |
Examples of antitussives are: | Codeine, Hydrocodone (opioids); Benzonatate (Tessalon) (non-opioid) |
Uses of antitussives are: | relieve cough |
Nursing of antitussive are: | avoid CNS depressants |
what are Mucolytic medications? | thin mucous, snot |
Actions of mucolytic medications are: | reduce the viscosity of respiratory secretions |
What are the uses of mucolytic medications? | cystic fibrosis (thick, sticky secretions), acetaminophen toxicity |
What are examples of mucolytic medications? | Acetylcsteine (mucomyst) |
What are the adverse reactions of mucolytic medications? | drowsiness, bronchospasm, hypotension |
What are expectorant medications? | a type of cough medicine used to help clear mucus (phlegm) from your airway |
what are the actions of expectorant medications? | increase the production of secretions, which decreases the viscosity (becomes thin) |
Uses of expectorants are: | relief cough, relief of chronic pulmonary disease (COPD), Emphysema |
Examples of expectorants? | guaifenesin (Mucinex) |
what are the adverse reactions of expectorants? | dizziness, headache, nausea, rash |
What is the nursing for expectorants? | monitor electrolyte levels |
what are bronchodilators? | open the airways |
Actions of bronchodilators are: | relaxes the smooth muscle which dilates the bronchi |
Uses of bronchodilators are: | bronchospasm associated with acute and chronic asthma, bronchitis |
What are examples of bronchodilators? | Albuterol (most commonly used) |
what are the contraindications of bronchodilators? | uncontrolled hypertension |
what are the adverse reactions of bronchodilators? | tachycardia, palpitations (medication can cause the heart rate to race) |
what are Xanthine derivative medications? | medications used to treat bronchospasm caused by lung conditions such as asthma. |
what are the actions of Xanthine derivative medications? | stimulate the CNS to promote bronchodilation |
what do we use Xanthine derivative medications for? | symptomatic relief or prevention of asthma |
Examples of Xanthine derivative medications are: | theophylline therapeutic level 10-20 |
what are the contraindications of Xanthine derivatives? | uncontrolled cardiac dyshythmias |
Adverse reactions of Xanthine derivatives are: | tachycardia, palpitations |
Nursing to Xanthine derivates are? | theophylline ,monitor for toxicity, monitor therapeutic level, monitor vitals, EKG |
What are the actions of anti-asthma medications? | reduce airway hyper-responsiveness, block reactions to allergens |
what are anti-asthma medications used for? | maintenance treatment of sthma |
what are examples of anti-asthma medication? | fluticasone (Flovent), budesonide ( Pulmicort tubuhaler) most often used; Ipratropium bromide (Atrovent) |
what are the contraindications of anti-asthma medications | sputum tests positive (can mask symptoms); Candida organisms (rinse mouth/devices out after every uses and let air dry) |
nursing for anti-asthma medications: | corticosteroid suppress immune system, rinse mouth after use; use broncho first then steroid second to maintain patency of airway |
what actions does Leukotriene Modifiers medications do? | decrease the formation of leukotriene (cause tightness in the airway, difficult to breathe) |
what are leukotriene modifiers used for? | chronic asthma in adult and children 12 years and older |
Examples of leukotriene modifiers are: | montelukast (singulair) |
Nursing Consideration of leukotriene modifiers? | may take one week for noted improvement |