pulmonary medicines, nursing pharmacology
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
---|---|---|---|---|---|
bronchodilators | beta-adrenergic agonists or sympathomimetics, Xanthine or Methylxanthenes,
🗑
|
||||
action of beta adrenergic agonists | stimulates smoothe muscles to cause bronchodilation
🗑
|
||||
beta 2 | receptors in lungs
🗑
|
||||
beta 1 | receptors in heart
🗑
|
||||
rescue inhalers | epinephrine (Primatene mist), terbutaline (Brethine), Albuterol (Provental, Ventolin), Salmeterol (Serevent)
🗑
|
||||
Inhaled drugs | rapid onset, short duration
🗑
|
||||
Oral bronchodilators | not effective in acute attacks
🗑
|
||||
action of Xanthine or Methylxanthenes | smoothe muscle relaxant, inhibits phosphodiesterase
🗑
|
||||
examples of xanthine bronchodilators | theophylline (Theodur or theolair), Aminophylline, caffeine
🗑
|
||||
monitor for these with xanthine drugs | toxicity, blood levels
🗑
|
||||
n/c for xanthines | toxicity, tachycardia, restlessness and insomnia, seizures, anorexia, give with meals
🗑
|
||||
Action of Anticholinergics | blocks parasympathetic input, decreases bronchial constriction, not used for acute attacks!
🗑
|
||||
Examples of Anticholinergics | Ipratropium bromide (Atrovent), and Combivent (albuterol and atrovent)
🗑
|
||||
Anticholinergics | used before surgeries and broncoscopies to prevent vagal stimulation and decrease secretions
🗑
|
||||
n/c of anticholinergics | dry secretions, urinary retention, NOT used in clients with glaucoma or urinary obstructions
🗑
|
||||
Anti-inplammatory agents | corticosteroids
🗑
|
||||
action of corticosteroids | decreases the inflammatory and immune responses
🗑
|
||||
systemic corticosteroids | prednisone and methylprednisone
🗑
|
||||
what to avoid with systemic corticosteroids | never ever stop abruptly, and taper when switching from systemic to inhaled steroids
🗑
|
||||
s/e of corticosteroids | weight gain, electrolyte imbalances(decreased Potassium), hypertension, hyperglycemia from decreased effects of diabetic agents, thin skin, decreased healing, bone loss
🗑
|
||||
inhaled steroids | flovent, aerobid, azmacort, pulmicort, vanceril, advair diskus
🗑
|
||||
action of inhaled steroids | limited to respiratory system
🗑
|
||||
important teaching for inhaled steroids | rinse mouth after use, and wash chamber and mouthpiece!
🗑
|
||||
combo drug inhaled via dry powder | advair diskus (corticosteroid and beta2 receptor agonist)
🗑
|
||||
Advair Diskus | not for children, not for acute attacks, never EXHALE into diskus
🗑
|
||||
Mast cell stabilizers (antiinflammatory agent) | Intal - prevent histamine release Tilade - PREVENTS inflammation from occurring
🗑
|
||||
Monoclonal antibodies (anti-inflammatory agent) | Xolair - prevents allergens from triggering asthmatic attack
🗑
|
||||
Antileukotrinine Agents action | leukotriene modifiers, mast cell stabilizers, decreases airway edema
🗑
|
||||
Antileukotrinine Agent drugs | PO- Accolate and Singulair
🗑
|
||||
Antileukotrinine Agent n/c | not rescue drugs, instruct client to continue even when no symptoms, monitor LFT
🗑
|
||||
S/e of antileukotrinines | n/v, (take one to two hours after meals), headaches, liver dysfunctions (LFT)
🗑
|
||||
Antitussives | cough suppressants
🗑
|
||||
Narcotic Antitussives | codeine, hydrocodone
🗑
|
||||
non-narcotic antitussives | benzonatate (Tessalon), dextramethorphan (Benylin)
🗑
|
||||
Do not use antitussives with.... | productive cough
🗑
|
||||
n/c for antitussives | sedation, dry mouth, constipation, check for adequate hydration
🗑
|
||||
Mucolytics and Expectorants action | thins out and loosens secretions, making them easier to expectorate
🗑
|
||||
Mucolytics and Expectorant drugs | acetylcysteine (Mucomyst)nebulizer, Guaifenesin(Naldecon)oral.
🗑
|
||||
mucolytics not used with | asthma d/t lack of secretions
🗑
|
||||
nursinf diagnosis with impaired respiratory functions | *Impaired Gas exchange, *Activity Intolerance, *Imbalanced Nutrition, *Risk for Infection, *Home Maintenance Management
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Created by:
hong204
Popular Nursing sets