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TL Broncho/Cortico

Brochodilators and Corticosteroids for Respiratory Disorders

QuestionAnswer
Name 8 adrenergic/sympathomemetic bronchodilators (AP, E, IB, II, MA, LX, SS, TB). Albuterol (Proventil), Epinenphrine, Isoetharine (Bronuometer), Isoproterenol (Isuprel), Metaproteronol-inhaled (Alupent),Levabuterol (Xopenex), Salmeterol (Serevent), Terbutaline (Brethine)
Name several adverse reactions associated with adrengergic/sympathomemetic bronchodilators. anxiety, increased heart rate, N&V, urinary retention
Name 2 methylxanthine bronchodilators. Aminophylline (IV) and Theophylline (PO)
Name 4 adverse reactions associated with methylxanthine bronchodilators (GSHD). GI distress, sleeplessness, cardiac dysrhythmias, hyperactivity
How should oral methylxanthines be administered in regards to food? What foods should be avoided? with food; avoid caffeine
What should the nurse be aware of in regards to methylxanthines and maternity? crosses the placenta
Name 2 things the nurse should monitor for the patient taking methylxanthines. heart rate and therapeutic range
What is the therapeutic range for methlyxanthines? 10-20mg/mL
What is the proper way to use an inhaler? Shake the inhaler. Uncap. Exhale completely. Place inhaler between teeth -lips closed around it. Press the top once while taking slow deep breath, pulling the aerosol deep into the lungs. Hold breath 10 seconds.
Which goes first corticosteroid or bronchodilator? bronchodilator
Name 6 corticosteroids used for respiratory disorders(P, S, BV, BP, FF, TA, FA). Prednisone (PO), Solu-Medrol (IV) Inhaled: Beclomethasone (Vanceril),Budesonide (Pulmicort), Fluticasone (Flovent), Triamcinolone (Azmacort), Flunisolide (AeroBid)
What is an adverse effect that can occur with long term use of corticosteroids? cardiac dysrhythmias
Name an anticholinergic used as a bronchodilator and to control rhinorrhea. Ipratropium (Atrovent)
Name 3 common side effects associated with Ipratropium (Atrovent) (BCD). Dyr mouth, blurred vision, cough
What are the dosing rules in 24 hours for Ipratropium (Atrovent)? do not excced 12 doses in 24 hours
What two drugs make up Advair? Fluticasone and Salmeterol
What drug combination is Combivent? Ipratropium and albuterol
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