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Tera's Pharm

LP7 chapter review

QuestionAnswer
What is the action of mucolytics? decrease the hypersecretion of and liquefy pulmonary secretions
example of a mucolytic? acetylsysteine
what is the action of expectorants? increase secretions, reduce viscosity, and help to expel sputum
example of an expectorant? guaifenesin
what is the action of antitussive? produce cough suppression by acting centrally on the cough center located in the brainstem.
example of an antitussive? benzonatate
what is the action of an antihistamine? antagonize the histamine1 receptor sites. combat the increased capillary permeability and edema, inflammation and itch caused by sudden histamine release.
example of an antihistamine? azelastine
what is the action of a decongestant? constrict blood vessels in the respiratory tract, helping to open nasal airways.
example of a decongestant? phenylephrine
what is the most common side effect when taking antihistamines? drowsiness
what is the difference between maintenance and rescue inhalers? rescue inhaler is used first (saba) to relax the rings of the trachea, then a maintenance inhaler is used (laba), reaching farther into lungs to make sure attack doesn't happen again
what does saba stand for? short acting beta agonist
what does laba stand for? long acting beta agonist
what is bronchitis? inflammation of the mucous membrane in the bronchial tubes, usually causes coughing
what is emphysema? a condition where the air sacs in the lungs are damaged and enlarged, causing breathlessness
what is pulmonary embolism? a blockage in one of the pulmonary arteries in the lungs, mostly caused by blood clots from the legs.
What is TB? an infectious disease caused by mycobacterium tuberculosis, which usually attacks the lungs.
What is asthma? a condition in which airways narrow and swell and produce extra mucous making breathing difficult
what is cystic fibrosis? an inherited disorder that causes severe damage to the lungs and digestive system
what medications are prescribed to treat TB? (2) isoniazid, rifampin
what medications are prescribed to treat asthma? (7) albuterol sulfate, lavalbuterol, arformoterol, formoterol, salmeterol, epinephrine, racepinephrine
what medication is prescribed to treat cystic fibrosis? acetylcysteine (mucomyst)
What is a MDI? metered dose inhaler
how are MDIs mostly recorded? (what kind of units?) Mcg
Is albuterol sulfate (Proair,Proventil, Ventolin) a SABA or LABA? SABA
Is levalbuterol (Xopenex) a SABA or LABA? SABA
what does SABA stand for? short-acting beta2 agonists (bronchodilators)
What does LABA stand for? long-acting beta2 agonists (bronchodilators)
is arformoterol (Brovana) a SABA or LABA? LABA
is formoterol (Foradil Aerolizer, Perforomist) a SABA or LABA? LABA
is salmeterol (Serevent Diskus) a SABA or LABA? LABA
is ipratropium bromide (Atrovent) short acting or long acting bronchodilator? short
is ipratropium/albuterol (Combivent Respimat, DuoNeb) long acting or short acting? short
is tiotropium (Spiriva HandiHaler) long acting or short acting? long
Give some instructions for MDIs -don't purse lips, -expire all air in lungs first, -hold about one inch from mouth, -keep mouth open, take as deep of a breath as possible, -hold for 5 to 10 secs or longer
Spacers for inhalers are used for? making sure that all of the medicine gets to the patient
T or F: spacers for inhalers are used for children only False, they are also for adults
about how long does a nebulizer take to complete? 15 min
what should patients on oxygen therapy be instructed not to do? smoke
T or F: oxygen therapy is useful, but doesn't need to be added to the patient's med list. False
how is oxygen therapy documented? Liters per minute
what disorder does mast cell stabilizers prevent? Asthma
what type of drug is codeine with guaifenesin considered? Antitussive
Give an example of a SABA albuterol sulfate
Give an example of a LABA salmeterol
what should a patient with non-viral bronchitis be instructed to do if they have a lot of fluid build up? drink plenty of fluids to "unplug themselves"
what class of meds treat asthma? bronchodilators
what condition includes a barrel chest? emphysema
what is the goal of oxygen therapy to relieve hypoxia
what are some side effects of bronchodilators? -hypertension (the main one), -coughing, -dry mouth, -tachycardia
what class treats cystic fibrosis? mycolytics
what part of the brain do antitussives act on? the medulla oblongata
what class of meds treat cough? expectorants
what med is given to patients with apnea? caffeine citrate
what class is Sudafed under? decongestant
What is necessary in order to purchase Sudafed? driver's license
what do irritated or injured cells produce? histamines
what class is Benadryl under? antihistamines
what is the medical term for fluids that are coughed up from the lungs? sputum
what percentage is considered hypoxia? under 91-93% O2 saturation
T or F: there must be a written prescription for oxygen True
what are the two teams of respiratory drugs? B.A.M. (bronchodilators) and M.A.L.(anti-inflammatory)
what does B.A.M. stand for? B=beta 2 agonists (albuterol) A=anticholingergic (Atrovent) M=methylxanthines (Theophylline)
What does M.A.L. stand for? M=mast cell stabilizers (Cromolyn) A=anti inflammatory steroids (end in -sone or -cort) L=leukotriene inhibitors (Singulair)
what class of drugs are used as a first line therapy for COPD? anticholinergics (bronchodilators)
what is salmeterol (Serevent) used to treat? COPD
what is terbutaline (Brothine) used to treat? Emphysema
what do corticosteroids do for respiratory issues? -relieve inflammation, reduce swelling, decrease bronchial spasms, suppress symptoms of asthma and COPD, used in conjunction with beta-agonists for asthma
T or F: corticostreroids for respiratory issues can be inhaled or intranasal True
for asthma prophylaxis, leukotriene inhibitors and mast cell stabilizers are used to prevent what? exercised induced bronchoconstriction (also used for chronic asthma)
how long to mast call stabilizers take to work? 2-6 weeks
what conditions are guaifenesin used to treat? upper tract infections, bronchitis, pharyngitis, influenza
antitussives come in ____ and non____ preparations narcotic, nonnarcotic
what is the preferred smoking cessation aid? nicotine replacement therapy
examples of meds for nicotine replacement therapy? NicoDerm, Nicorette, Nicotrol
what is bupropion (Zyban) used to treat? smoking cessation
what is varenicline (Chantix) used for and how does it work? it is a smoking cessation aid, it works by telling the brain that smoking is not pleasurable.
Created by: JenSaw77