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Pharamcology Unit 2
Respiratory Drugs
Question | Answer |
---|---|
What is albuterol? | First line of defense against active asthmatic attack |
What is the mechanism of action for pseudoephedrine? | Narrows blood vessels in nose |
What are the side effects for pseudoephedrine? | Abdmoinal pain Palpitations Rash Dizziness N/V Dry mouth |
What are the drug interactions for pseudoephedrine? | Acetaminophen |
What are the indications for pseudoephedrine? | Allergic rhinitis Cold Nasal congestion |
What are the contraindications for pseudoephedrine? | Bronchitis Closed-angle glaucoma MAOI therapy Emphysema |
How is pseudoephedrine administered? | Orally |
What is the name brand of pseudoephedrine? | Pseudofed |
What is the mechanism of action for phenylephrine? | Constricts small blood vessels that supply upper respiratory tract structures |
What are the side effects of phenylephrine ? | Nervousness Local mucousal dryness Insomina Tremors Palpitations |
What are the drug interactions of phenylephrine? | Methyldopa MAOI |
What are the indications of phenylephrine? | Epistaxis Nasal congestion |
What are the contraindications of phenylephrine? | Narrow-angle glaucoma KDA Diabetes BPH Long-standing asthma |
How is phenylephrine administered? | Oral Intranasal IV IM SubQ Rectal |
What are the systemic effects that Salmeterol has on the body? | Angioedema Bronchospasm Headache Tremors Urticarcia |
Robitussin and Tessalon Perals are both considered what? | Antitussives |
What type of drug is hydrocodone? | Opioid |
What is the mechanism of action for hydrocodone? | Suppresses cough reflex by direct action on the cough center in the medulla, also has a drying effect on the mucosa of the respiratory tract |
What are the side effects of hydrocodone? | Sedation N/V Lightheadedness Constipation |
What are the drug interactions of hydrocodone? | Naltrexone Samidorphan |
What are the indications of hydrocodone? | Used in combination with decongestants, antihistamines, and expectorants |
What are the contraindications of hydrocodone? | KNA Opioid dependency Respiratory depression |
What is the brand name of Monelukast? | Singulair |
What are the drug interactions of monelukast? | Dasabuvir Leflunoide Pixantrone Teriflunomide |
What is the mechanism of action for oxymetazoline? | Constrict small blood vessels that supply the upper respiratory stract structures |
What are the side effects of oxymetazoline? | Nervousness Local mucosal dryness Insomnia Tremors |
What are the drug interactions of oxymetazoline? | Methyldopa |
WHat are the indications of oxymetazoline? | Relief of nasal congestion Rhinitis Cold Sinusitis Hay fever Allergies |
What are the contraindications of oxymetazoline? | KDA Narrow-angle glaucoma Hypertension Diabetes CVA/TBI |
What should you avoid when using oxymetazoline? | Caffeine |
What is the mechanism of action for acetylcysteine? | Increase synthesis of glutathione in the liver |
What are the side effects of acetylcysteine? | Bronchospasm Drowsiness Fever Clamminess |
What are the drug interactions of acetylcysteine? | Activated charcoal |
What are the indications of acetylcysteine? | Mucolytic therapy- thinning of mucus |
What kind of drug is guaifenesin? | Expectorant |
What is the name brand of guaifenesin? | Robitussin |
What is the mechanism of action of guaifenesin? | Loosening and thinning of the respiratory tract secretions that occur in response to GI distress ->thinner mucus, easier to move, used to make cough productive |
What are the side effects of guaifenesin? | GI upset Dizziness Irritability |
What are the drug interactions of guaifenesin? | MAOIs Anesthetics CNS depressants ETDH |
What are the indications of guaifenesin? | Common cold Bronchitis Cough Pertusis Flu Nonproductive cough |
What are three bronchodilators? | Beta-adrenergic agonists Anticholinergics Albuterol |
What is the suffix for anticholinergics? | -tropium |
What is the mechanism of action for anticholinergics? | block acetylcholine to affect the PNS, decreases secretions |
What are the side effects of anticholinergics? | Dry mouth Palpitations N/V Urine retention |
What are the indications of anticholinergics? | Prevention of bronchospasm associated with chronic bronchitis or emphysema, NOT for acute s/s |
What are the contraindications for anticholingerics? | KDA, narrow-angle glaucome |
What is the fastest bronchodilator? | Albuterol |
What is the mechanism of action for albuterol? | Activates beta 2 in lungs, dilates bronchi Activates beta 1 in heart, cause rapid HR |
What are the side effects for albuterol? | Tachycardia Palpitations Tremors Insomina |
What are the contraindications of albuterol? | Beta blockers NSAIDS |
What is the suffix for LRAs? | -lukast |
What is the mechanism of action for LRAs? | Reduce inflammation in reponse to leukotrienes |
What are the side effects of LRAs? | Headache Abdominal pain Laryngitis |
What is the black box warning for LRAs? | Serious mood related changes and behaviors |
What are the drug interactions for LRAs? | NSAIDs TB drugs Warfarin Erythromycia |
What are the indications for LRAs? | Long term treatment for inflammation- usually given with albuterol and steroids Prevent or lessen allergies and asthma |
What are the contraindications for LRAs? | Liver disease/toxicity Sleep disorders Kidney disease |
How long is the onset for LRAs? | 1-2 weeks to reach therapeutic range |
What is the suffix for mucolytics? | -steine |
What is the mechanism of action for mucolytics? | Break up and loosen mucus Make productive cough |
What are the side effects of mucolytics? | N/V severe in large doses Runny nose Stomatitis |
What are the indications for mucolytics? | Asthma Cold COPD Pneumonia |
What are the contraindications for mucolytics? | Young children Pregnancy Hypersensitivity |