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upper respiratory
pharm
| Question | Answer |
|---|---|
| antihistamines actions | blocks most of the effects of histamines |
| goals of respiratory drugs | sputem to be clear |
| usues | seasonal allergies allergic reactions uritacria angiodema EPS with parkinsons disease |
| examples | diphenhydramine (bendrol) promethazine (phengran) cetrizine- zrteck fexofenadine allrgra loratadine claritin |
| contridictions | narrow anlge glaucoma (dialates pupuils/mydrosis) cardian/kidney disease lowers drug clearance hyperstension brochial asmtha BPH,COPD pregnancy |
| do not take if u have | asthma/emphasima |
| this drug dries up what & | musoucs membranes constricts breathing |
| adverse reactions | sedation dry mouth/constipation difficulty urinating |
| nursing | avoid CNS depressants (alchol,MAOIS,Phenytoin 10/20) increae fluids avoid irratants eg smoking monitor renal function |
| DECONGESTIONS uses | reduce swelling in nasal passages for sinus drainage this group of meds help with breathing better |
| uses | common cold, hay fever allergic rhinitis, congestion, sinusitus |
| examples | psuedoephedrine, CAFRIN (rebound coongestion) |
| contrindications | glaucoma heart disease diabetes, hyper thryroidism history of sroke (CVA) BPH and asthma |
| this medicine has a | drying effects |
| adverse reactions | anxiety restlessness palpitations blurred vision rebound congestion (nasal spray) dry mouth |
| nursing | use shrt term only increase fluids do not double dose |
| ANTITUSSIVES | Depress cough center in brain |
| examples | opiods, codeine, hydrocodone non opioid bnzonatate (tessalon) chronic hiccup/cancer |
| uses | relief of cough |
| adverse reactions | sedation gi upset constipation liver renal failure |
| nursing | avioid CNS depressents monitor for sedation |
| MUCOLYTICS | reduce vicosit of secretions -thin mucous- |
| uses | cystic fybrosis acetemin overdose |
| examples | acetylysteine - myucomyst- |
| adverse reactions | drowzyness' bronchospasms stomitis hypo tesnsion |
| nursing | monitor vitals watch liver and renal labs track I&O |
| EXPECTORANTS | Increase secreton ad thin mucous |
| uses | productive cough chronic lung disease- COPD,EMPHASIMA,ASTHMA,CHRONIC,BRONCHITIS,PULMONARY FIBROSIS |
| examples | guaifenesin-mucinex |
| adverse reactions | dizziness HA,Nausea/rash |
| nursing | monitor thyroid ad electolytes take as directed |