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Pharm F Respiratory
| Question | Answer |
|---|---|
| Beclomethasone education | Not for acute attacks Taper dose Report black, tarry stools Use bronchodilator first Do not use if pt has fungal infection May take several weeks Use spacer device |
| Beclomethasone ADRs | Osteoporosis Hyperglycemia PUD Insomnia Hypokalemia Thrush Dysphonia Cataracts Increased risk for infection |
| Montelukast education | maintenance drug/not rescue PO at night Contraindicated in depression, liver dysfunction NO spacer needed |
| Montelukast ADRs | Psychiatric side effects Liver damage (AST, ALT) For allergic rhinitis and sinusitis |
| Phenylephrine education | Contraindications (chronic rhinitis, HTN, dysrhythmia, glaucoma) Oral = placebo DO NOT take with MAOIs |
| Phenylephrine ADRs | Agitation Insomnia Vasoconstriction Tachycardia HTN Dysrhythmias Rebound congestion |
| Diphenhydramine education | Antihistamine Can take every 4 hours |
| Diphenhydramine ADRs | Sedation Anticholinergic effects GI distress Respiratory depression Toxicity (hallucinations, seizures, fever, ataxia) |
| Albuterol education | Short acting "rescue drug" For (bronchospasms, asthma, emphysema) Avoid stimulants Beta blockers will negate effects Avoid MAOIs and TCAs Hypoglycemic/antidiabetic drugs = increased dosing |
| Albuterol ADRs | Tachycardia Palpitations Angina Anxiety Hyperglycemia |
| Ipratropium education | For COPD, emphysema, chronic bronchitis Maintenance medication Combined with albuterol Caution with glaucoma, peanut allergy, urinary retention |
| Ipratropium ADRs | Dry Mouth Hoarseness Throat irritation |