Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
N126-U3-II COPD #3
Dobrisky-COPD/Respiratory Meds
| Question | Answer |
|---|---|
| In what order should inhalers be given? | adrenergics, anticholinergics, corticosteroids |
| albuterol, metaproterenol and salmeterol are all examples of what type of respiratory med? | beta2 adrenergic agonist |
| albuterol and metaproterenol are short or long acting? | short acting |
| short acting beta2 adrenergic agonists are given in doses | 2 puffs every 4-6 hours |
| long acting b2 adrenergic agonists are given in doses | 2 puffs every 12 hours |
| name the long acting b2? | salmeterol |
| name the two most common short acting b2 adrenergic agonists? | albuterol & metaproterenol |
| what are the nonselective b2 adrenergic agonists? | epi a&b, ephedrine a&b |
| when taken with maois or more of their kind, b2 adrenergic agonists effect is increased and can result in what? | hypertensive crisis |
| what medication is recommended for this type of hypertensive crisis? | beta blockers |
| what should be assessed before administration of beta2? | lungs, pulse, sputum and BP-before & at peak |
| if a patient has received their inhaler(s) and has an acute attack of coughing and wheezing what might they be experiencing? | paradoxical bronchospasm |
| how do you treat paradoxical bronchospasm? | other bronchodilator and/or corticosteroids |
| what type of respiratory meds can cause cp, htn, angina, palpitation, arrhythmias, hyperglycemia, hypokalemia? | beta2 adrenergic agonists |
| MAOIs should be avoided in patients taking which type of respiratory inhaler: salmeterol or Spiriva? | salmeterol |
| paradoxical bronchospasm can be caused by what type of respiratory drugs? | beta2 adrenergic agonists and anticholinergics |
| which anticholinergic, atrovent or spiriva, may cause nasal congestion, palpitations and/or anxiety? | atrovent |
| which type of anticholinergic should be avoided in the pt with bph or glaucoma? | atrovent |
| which respiratory medication has been proven to improve baseline lung function with extended therapy? | atrovent |
| which anticholinergic has a once daily dosing? | spiriva |
| decadron is a | corticosteroid |
| flovent is a | corticosteroid |
| azmacort is a | corticosteroid |
| salmeterol is a | beta2 adrenergic agonist |
| metaproterenol is a | beta2 adrenergic agonist |
| vanceril is a | corticosteroid |
| cutivate is a | corticosteroid |
| anticholinergics block what parasympathetic neurotransmitter? | ACh |
| anticholinergics have what affect on secretions and constriction? | decrease |
| which is more rapid, anticholinergics or beta2 adrenergic agonists? | beta2 adrenergic agonist |
| when switching from oral to inhalation in corticosteroids what should be avoided? | rapid change |
| adrenal failure can occur when changing doses of corticosteroids in this way | oral to inhalation too quickly |
| which type of repiratory medication may cause pharyngeal irritation, coughing, dry mouth | corticosteroids |
| which type of respiratory med may cause fatal dysrhythmias if outside of the therapeutic range? | methylxanthines |
| name two methylxanthines | aminophylline & theophylline |
| transiet hyperglycemia is an adverse side effect of which type of respiratory drug? | methylxanthines |
| hyperglycemia is an adverse side effect of which type of resp drug? | beta2 adrenergic agonist |
| hypokalemia may be caused by this type of respiratory drug | beta2 adrenergic agonist |
| which type of respiratory drug should be avoided if a patient is taking allopurinol, cimetidine, oral contraceptives? | methylxanthine |
| what affect would having the flu vaccine have on methylxanthine? | it would increase the blood level making it toxic |
| what is the therapeutic range for methylxanthine? | 10-20 mcg/ml |
| a patient who has peptic ulcers or has hyperthyroidism should avoid which type of respiratory drug? | methylxanthine |
| which type of respiratory drug has the most incompatibilities with other iv meds? | methyxanthine |
| what are the routes of administration for methylxanthines? | oral/iv/rectal |
| which type of respiratory drug may be administered rectally? | methylxanthine |
| which respiratory drugs may cause ventricular dysrhythmias, theophylline or decadron? | theophylline |
| methylxanthine opens airways in copd patients by increase what level? | cAMP |
| st johns wart and smoking will cause what type of change in the blood level of methylxanthine? | lower blood level, toxic |
| which type of respiratory medication when given in large doses improves blood flow to the kidneys? | methylxanthines |
| methylxanthine may result in what type of tachycardia? | sinus |
| which type of respiratory med is almost always prescribed in moderate-severe disease | corticosteroid |
| alpha-adrenergics are associated with | blood vessels |
| beta1 adrenergics are associated with | heart |
| beta2 adrenergics are associated with | smooth muscles |
Created by:
Lori Dobrisky
Popular Nursing sets