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Respiratory Drugs
Exam #2 Respiratory/Drugs Ch. 5&6
| Question | Answer |
|---|---|
| (Cetirizine) is a 2nd generation drug. What is the Class name for this drug? | Antihistamines |
| What is the MOA of Cetirizine? | Block histamine at H1 receptors Inhibit smooth muscle constriction in blood vessels and respiratory & GI tracts Decrease capillary permeability, salvation, and tear formation |
| What are some precautions with using Cetirizine? | Contraindicated in patients with hypersensitivity to cetirizine Contraindicated in children under 6 with renal or hepatic impairment |
| What are the indications of Cetirizine? | Used for allergy relief/ cold symptoms |
| What are some interactions that can effect the effectiveness of Cetirizine? | CNS depressants, consuming alcohol, opioid analgesics or sedatives, the effects can severely increase |
| What are some common side effects of Cetirizine? | Dry Mouth Urinary Retention Constipation Blurred Vision Excess of dosage can cause CNS depression/stimulation in children |
| What are some adverse effects of Cetirizine? | Acute generalized exanthematous pustulosis Dry Mouth Dizziness Drowsiness Fatigue |
| What are the actions a nurse must take with patients taking Cetirizine? | Use with caution with clients who have hepatic/renal impairment Avoid other CNS depressants Monitor allergy symptoms Use cautiously with the elderly |
| What are the assessments that a nurse must take? | Assess any allergy symptom Assess lung sounds and character of bronchial secretions Maintains clients fluid intake |
| What would you teach the patient about taking Cetirizine? | Follow recommended dose Avoid any activities regarding alertness Avoid consuming alcohol & CNS depressants Notify HCP if irregular heartbeat occurs |
| Diphenhydramine is a 1st generation drug. What is the class name for this drug? | Antihistamines |
| What is the MOA of Diphenhydramine? | Antagonizes the effects of histamine at H1-receptor sites Does not bind to or inactivate histamine. |
| What are some precautions with using Diphenhydramine ? | Contraindicated in: Hypersensitivity Acute attacks of asthma Known alcohol intolerance |
| What are some interactions that can effect the effectiveness of Diphenhydramine? | MAO inhibitors may intensify and prolong effects Increase of CNS depression may occur with other CNS depressants including alcohol, antidepressants, opioid analgesics and sedative/hypnotics |
| What are the indications of Diphenhydramine? | Relief of allergic symptoms caused by histamine release |
| What are some common side effects of Diphenhydramine? | Headache Nausea Vomiting Dysmenorrhea Fatigue GI upset |
| What are some adverse effects of Diphenhydramine? | Paradoxical excitation Drowsiness Confusion Weight gain Dry mouth Blurred vision Photosensitivity Rash |
| What are the actions a nurse must take with patients taking Diphenhydramine? |