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meds 4 asthma & COPD

pn 141 test 2 notes and roach book

QuestionAnswer
bronchodilaters: give an example of short acting and long acting albuterol (proventil); salmeterol (serevent)
bronchodilaters: nursing considerations HR, palpations, resp, lungs, response to tx, when to use (excersice induced), which one first, correct techniques (1-2 minutes between puffs)
bronchodilaters: action when a bronchospasm occurs there is a decrease in the lumen of the bronch, which decreases the amount of air taken into the lungs wiht each breath (results in resp distress), the drug opens the bronchi by relaxing the smooth muscle & allows more air to en
bronchodilaters: albuteral: use asthma COPD
bronchodilaters: albuterol adverse reactins HA, palpitations, tachycardia, tremors, dizziness, skainess, nervousness, hyperactivity
bronchodilaters:salmeterol (serevent) use long term Tx and prevent bronchospasms
bronchodilaters: salmeterol adverse effects tremor, Ha, cough
bronchodilaters:who are they contraindicated in pt with known hypersensitivity, tachycardia, arrhythmias,
bronchodilaters: salmeterol is contraindicated in whom ppl with acute bronchospasms
anticholinergics: what do they do they inhibit the activity of Ach at the parasympathetic nerve synapse, b/c of the wide spread distribution of parasympathetic nerves, some of these drugs affect many parts of the body (resp: it bronchodilates and decreases secretions)
anticholinergics: names atrovent (ipratropium)
anticholinergics: atrovent- sue COPD, emphysema
anticholinergics: atrovent adverse reactions dryness of the oropharynx, nervousness, irritation from the aerosal, dizziness, Ha, GI distress, dry mouth, exacerbation of s/s, N, palpitations
anticholinergics:nursing considerations not emergency agent, cough dry mouth, blurred vision, N, palpatations, use correct technique
mast cell stabilizers: action not fully understood, they stabilize the mast cell membrane, possibly by preventing calcium ions from entering the mast cells, thus preventing the release of inflammatory mediators like histamine and leukotrienes
mast cell stabilizers: nursing considerations takes several weeks to initiatiate, prophylactic, not emergent, begin weaning oral steroids, throat irritation, dry mouth
mast cell stabilizers: use asthma
mast cell stabilizers: name intal (cromolyn)
intal- mast cell stabilizer adverse reactions cough,wheezing, unusual taste, dizziness, Ha, N, dry and irritated throat, rash and joint swelling
mast cell stabilizers: tx for throat irritation gun, candy
corticosteroids: names flovent (fluticasone), Advair (fluticasone/ salmeterol)
corticosteroids: nursing considerations thrush, eduacate about regular use, technique
corticosteroids: why are they used inhaled fo long term control med, for persistant Ashtma
corticosteroids: why is it combined with salmeterol to ease administration of med and preoduce positive outcomes in management of it
corticosteroids: action since they are anti-inflammatory, they reduce airway hyperrespnsiveneess, reduce the number of mast cells in the airwayand block reaction to allergens
corticosteroids: adverse reactions side effects less liekly to occur when given by inhalation: throat irritation, hoarseness, URT infection, fungal infection of mouth and throat
corticosteroids: what do oral and IV do; names for oral inhibit inflammation to; slou medrol, prednisone
leukotriene modifiers and immunomodulators: action attacks are often triggered by allergens or exercise inflamm. substances called leukotrienes (responsible for bronchoconstriction) when it is inhibited bronchodiation occurs
leukotriene modifiers and immunomodulators: use pryphylaxis and Tx of chronic asmtha in adults and older kids
leukotriene modifiers and immunomodulators: names singular
leukotriene modifiers and immunomodulators: side effects Ha, N,
leukotriene modifiers and immunomodulators: nursing care take regualrly, not for acute, empty stomach, report s/s of hepatoxicity
Created by: jmkettel
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