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Resp/ GI meds
Respiratory and GI
| Question | Answer |
|---|---|
| BETA ADRENERGIC AGONIST | BRONCHODILATOR |
| EXAMPLE OF BETA AGONIST | ALBUTEROL (PROVENTIL), DOPAMINE, TERBUTALINE, EPINEPHRINE |
| INDICATION FOR BETA AGONIST | ACUTE ASTHMA |
| ADVERSE EFFECTS OF BETA AGONIST | RESTLESSNESS, INSOMNIA, HA, TREMORS, HTN, HYPERGLYCEMIA |
| XANTHINE DERIVATIVE | BRONCHODILATOR |
| EXAMPLE OF XANTHINE DERIVATIVE | THEOPHYLLINE, AMINOPHYLLINE |
| INDICATIONS FOR XANTHINE DERIVATIVES | MILD TO MODERATE ASTHMA |
| ADVERSE EFFECTS OF XANTHINE DERIVATIVES | N/V, ANOREXIA, GERD, HEART PALPITATIONS, INCREASED URINATION, TACHYCARDIA, *VTACH |
| CONTRAINDICATIONS FOR XANTHINE DERIVATIVES | PUD, GI DISORDERS |
| NURSING IMPLICATIONS FOR XANTHINE DERIVATIVES | MONITOR FOR TOXICITY** |
| ANTICHOLINERGICS | BRONCHODILATOR |
| EXAMPLE OF ANTICHOLINERGIC | IPRATROPIUM, SPIRIVA |
| INDICATIONS FOR ANTICHOLINERGIC | COPD |
| ADVERSE EFFECTS OF ANTICHOLINERGICS | ALLERGY, HEART PALPITATIONS, INTRAOCULAR PRESSURE |
| LEUKOTRIENE RECEPTOR ANTAGONIST | BLOCK LEUKOTRIENES AND BLOCK INFLAMMATION |
| EXAMPLES OF LEUKOTRIENE RECEPTOR ANTAGONISTS | SINGULAIR |
| INDICATIONS FOR LTRA | PROPHYLAXIS FOR ASTHMATICS |
| ADVERSE EFFECTS FOR LTRA | HA, DYSPEPSIA, NAUSEA, DIZZINESS, INSOMNIA, DIARRHEA, **LIVER DYSFXN |
| NURSING IMPLICATIONS FOR LTRA | **MONITOR LIVER PANEL FOR LIVER DYSFXN, MANY MANY DRUG INTERACTIONS |
| CORTICOSTEROIDS | STABILIZE LEUKOCYTES THAT RELEASE HARMFUL BRONCHOCONSTRICTING SUBSTANCES |
| EXAMPLES OF CORTICOSTEROIDS | PREDNISONE, METHYLPREDNISONE |
| INDICATIONS FOR CORTICOSTEROIDS | BRONCHOSPASMS NOT CONTROLLED BY CONVENTIONAL METHODS |
| ADVERSE EFFECTS OF CORTICOSTEROIDS | LIVER DYSFXN, HIGH BS, WT GAIN, INSOMNIA, SWELLING, ORAL FUNGAL INFECTIONS, DRY MOUTH, COUGH |
| NURSING IMPLICATIONS FOR CORTICOSTEROIDS | USE BRONCHODILATOR FIRST IF PRESCRIBED, RINSE MOUTH AFTER USE |
| CONTRAINDICATIONS FOR CORTICOSTEROIDS | PSYCHOSIS, FUNGAL INFECTIONS, AIDS, TB |
| ANTACIDS | NEUTRALIZE ACID, INACTIVATE PEPSIN, SECRETE MUCUS AND BICARBONATE |
| EXAMPLE OF ANTACIDS | AMPHOGEL (ALUMINUM HYDROXIDE) |
| INDICATIONS FOR ANTACIDS | PUD, GERD, H. PYLORI |
| ADVERSE EFFECTS OF ANTACIDS | IF ALUMINUM BASED- CONSTIPATION IF MAGNESIUM BASED- DIARRHEA |
| NURSING INMPLICATIONS FOR ANTACIDS | ASSESS FOR FLUID IMBALANCE, RENAL PROBLEMS, GI OBSTR, HEART FAILURE, PREGNANCY. GIVE OTHER MEDS 1-2 HRS AFTER |
| HISTAMINE ANTAGONISTS | REDUCE ACID SECRETION, BLOCK HISTAMINE AT H2 RECEPTORS OF ACID PRODUCING PARIETAL CELLS |
| EXAMPLES OF HISTAMINE ANTAGONISTS | FAMOTIDINE, RANITIDINE |
| INDICATIONS FOR HISTAMINE ANTAGONISTS | GERD, PUD, H. PYLORI |
| ADVERSE EFFECTS OF HISTAMINE ANTAGONISTS | LETHARGY AND CONFUSION IN ELDERLY |
| NURSING IMPLICATIONS FOR HISTAMINE ANTAGONISTS | ENCOURAGE NO SMOKING, ASSESS FOR RENAL OR LIVER IMPAIRMENT. TAKE 1 HOUR BEFORE OR AFTER MEDS |
| PROTON PUMP INHIBITORS | KEEPS HYDROCHLORIC ACID RELEASE FROM HAPPENING AT ALL |
| EXAMPLES OF PROTON PUMP INHIBITORS | OMEPRAZOLE (ALL -ZOLES) |
| INDICATIONS FOR PROTON PUMP INHIBITORS | GERD, EROSIVE ESOPHAGITIS, ULCERS, H. PYLORI |
| ADVERSE EFFEGTS OF PPI | DECREASED BONE DENSITY LONG TERM |
| NURSING IMPLICATIONS FOR PPI | TAKE 30-60M BEFORE MEALS FOR BEST RESULTS |
| ANTIFLATULENTS | ALTERS ELASTICITY OF GAS BUBBLES AND MAKES SMALLER |
| EXAMPLE OF ANTIFLATULENTS | SIMETHICONE |
| INDICATIONS FOR ANTIFLATULENTS | GASTRIC OR INTESTINAL GAS RELIEF |
| ANTICHOLINERGIC AS ANTIEMETIC | BINDS TO AND BLOCKS ACH RECEPTORS IN EAR, BLOCKS SIGNAL TO CTZ AND VC |
| EXAMPLE OF ANTIEMETIC/ ANTICHOLINERGIC | SCOPOLAMINE |
| INDICATIONS FOR ANTICHOLINERGIC AS ANTIEMETIC | MOTION SICKNESS |
| ADVERSE EFFECTS OF ANTICHOLINERGIC AS ANTIEMETIC | SEDATION, DRY MOUTH, CONSTIPATION, URINARY RETENTION, DILATED PUPILS |
| ANTIHISTAMINE H1 BLOCKERS | INHIBIT ACH BY BINDING TO H2 RECEPTORS, PREVENTS STIMULATION IN EAR |
| EXAMPLES OF ANTIHISTAMINE 1 BLOCKERS | MECLIZINE, DRAMAMINE |
| INDICATIONS FOR ANTIHISTAMINE 1 BLOCKERS | NAUSEA/ VOMITING, MOTION SICKNESS, NONPROD COUGH, ALLERGY SX, SEDATION |
| ADVERSE EFFECTS OF ANTIHISTAMINE H1 BLOCKERS | SEDATION, DRY MOUTH, CONSTIPATION, URINARY RETENTION, DILATED PUPILS |
| ANTIDOPAMINERGICS | BLOCK DOPAMINE RECEPTORS ON CTZ |
| EXAMPLES OF ANTIDOPAMINERGIC | COMPAZINE, PHENERGAN |
| INDICATIONS FOR ANTIDOPAMINERGICS | PSYCHOTIC DISORDERS, HICCUPS, NAUSEA/ VOMITING |
| ADVERSE EFFECTS OF ANTIDOPAMINERGICS | SEDATION, HYPOTENSION, TARDIVE DYSKINESIA, DRY MOUTH, CONSTIPATION |
| NURSING IMPLICATIONS FOR ANTIDOPAMINERGICS | TAKE 30-60M BEFORE CHEMO OR SURGICAL PROCEDURE |
| SERATONIN BLOCKERS | BLOCK SERATONIN IN GI TRACT, CTZ, AND VC |
| EXAMPLES OF SERATONIN BLOCKERS | ZOFRAN |
| INDICATIONS FOR SERATONIN BLOCKERS | N/V WITH CHEMO, POSTOP N/V |
| ADVERSE EFFECTS OF SERATONIN BLOCKERS | HA, DIARRHEA, DIZZINESS, CAN CAUSE FATAL BRONCHOSPASMS |
| NURSING IMPLICATIONS FOR SERATONIN BLOCKERS | TAKE 30-60M BEFORE CHEMO |
| PROKINETICS | BLOCK DOPAMINE AND SERATONIN RECEPTORS IN CTZ; INCREASE GI MOTILITY |
| EXAMPLE OF PROKINETICS | METOCLOPRAMIDE |
| INDICATIONS FOR PROKINETICS | POSTOP N/V, CHEMO N/V |
| ADVERSE EFFECTS OF PROKINETICS | RESTLESSNESS, ANXIETY, FACE/ NECK SPASMS, SEDATION, DIARRHEA, TARDIVE DYSKINESIA |
| TETRAHYDROCANNABINOIDS | INHIBITORY EFFECTS, ALTERS MOOD AND PERCEPTION |
| EXAMPLE OF TETRAHYDROCANNABINOIDS | MARINOL |
| INDICATIONS FOR TETRAHYDROCANNABINOIDS | N/V WITH CHEMO, ANOREXIA IN AIDS |
| ADVERSE EFFECTS OF TETRAHYDROCANNABINOIDS | DYSPHORIA, HYPOTENSION, TACHYCARDIA |
| NURSING IMPLICATIONS FOR TETRAHYDROCANNABINOIDS | ETOH CAUSES CNS DEPRESSION, CHANGE POSITIONS SLOWLY |
| ADSORBENTS | COATS WALLS OF GI TRACT, BINDS TO BACTERIA AND ELIMINATED WITH STOOL |
| EXAMPLE OF ADSORBENTS | PEPTO BISMOL |
| INDICATIONS FOR ADSORBENTS | DIARRHEA |
| ADVERSE EFFECTS OF ADSORBENTS | INCREASED BLEEDING TIME, CONSTIPATION, CONFUSION IN ELDERLY, TINNITUS |
| CONTRAINDICATIONS FOR ADSORBENTS | DO NOT GIVE TO CHILDREN OR TEENS WITH VIRAL SX D/T RISK OF REYES SYNDROME |
| OPIATES AS ANTIMOTILITY | DECREASE BOWEL MOTILITY, INCREASE WATER AND ELECTROLYTE ABSORPTION |
| EXAMPLES OF OPIATES AS ANTIMOTILITY | IMMODIUM AND LOMOTIL |
| INDICATIONS FOR OPIATES AS ANTIMOTILITY | DIARRHEA |
| ADVERSE EFFECTS OF OPIATES AS ANTIMOTILITY | SEDATION, DIZZINESS, RESPIRATORY DEPRESSION, HYPOTENSION, URINARY RETENTION, DECREASED ABSORPTION OF OTHER DRUGS |
| INTESTINAL FLORA MODIFIER | SUPPLIES BACTERIA TO GI TRACT |
| EXAMPLE OF INTESTINAL FLORA MODIFIER | L. ACIDOPHILUS |
| BULK FORMING LAXATIVE | ABSORBS WATER TO INCREASE BULK, DISTENDS BOWEL |
| EXAMPLE OF BULK FORMING LAXATIVE | PSYLLIUM (METAMUCIL) |
| ADVERSE EFFECTS OF BULK FORMING LAXATIVE | IMPACTION, ESOPHAGEAL BLOCKAGE, FLUID OVERLOAD, FLUID IMBALANCE |
| EMOLLIENTS (LAXATIVES) | PROMOTE WATER AND FAT IN STOOLS TO LUBRICATE INTESTINAL WALL |
| ADVERSE EFFECTS OF EMOLLIENT LAXATIVES | ELECTROLYTE IMBALANCE, LIPID PNEUMONIA |
| HYPEROSMOTIC LAXATIVES | INCREASE FECAL WATER CONTENT, BOWEL DISTENTION, INCREASES PERISTALSIS |
| ADVERSE EFFECTS OF HYPEROSMOTIC LAXATIVES | BLOATING, ELECTROLYTE IMBALANCE |
| SALINE LAXATIVES | INCREASE OSMOTIC PRESSURE AND PERISTALSIS |
| EXAMPLES OF SALINE LAXATIVES | MILK OF MAGNESIA, FLEET ENEMA |
| ADVERSE EFFECTS OF SALINE LAXATIVES | MAGNESIUM TOXICITY, ELECTROLYTE IMBALANCE |
| STIMULANT LAXATIVES | INCREASED PERISTALSIS VIA NERVE STIMULANT |
| EXAMPLES OF STIMULANT LAXATIVES | DULCOLAX, BISACODYL |
| ADVERSE EFFECTS OF STIMULANT LAXATIVES | ELECTROLYTE IMBALANCE, DISCOLORED URINE |
| MOST DEPENDENT OF LAXATIVES | STIMULANT LAXATIVES |
| ANTIHISTAMINES FOR RESP. | BLOCKS HISTAMINE ACTION AT H1 RECEPTOR SITES |
| EXAMPLES OF ANTIHISTAMINES | BENADRYL, CLARITIN |
| ADVERSE EFFECTS OF ANTIHISTAMINES | SEDATION, DRY MOUTH, DIFFICULTY URINATING, CONSTIPATION |
| CONTRAINDICATIONS FOR ANTIHISTAMINES | ASTHMA, PNEUMONIA, CARDIAC/ RENAL DISEASE, COPD, HTN, BPH, PUD, PREGNANCY |
| ORAL ADRENERGIC MEDS | **DECONGESTANT -SHRINKS BLOOD VESSELS IN NASAL PASSAGES TO RELIEVE STUFFINESS |
| EXAMPLE OF ORAL ADRENERGIC MEDS | SUDAFED |
| ADVERSE EFFECTS OF ORAL ADRENERGIC MEDS | NERVOUSNESS, DRY MUCOSA, INSOMNIA, PALPITATIONS, TREMORS |
| HIGH ABUSE POTENTIAL, CONTROLLED ACCESS | ORAL ADRENERGIC MEDS (SUDAFED) |
| CORTICOSTEROID FOR RESP. | DECONGESTANT, ANTI-INFLAMMATORY EFFECT |
| EXAMPLE OF CORTICOSTEROID | FLONASE |
| ADVERSE EFFECTS OF CORTICOSTEROIDS | NERVIOUSNESS, DRY MUCOSA, INSOMNIA, PALPITATIONS, TREMORS |
| HIGH EVIDENCE OF REBOUND CONGESTION | CORTICOSTEROID (FLONASE) |
| OPIOID ANTITUSSIVE | ANTITUSSIVE, SUPPRESSES COUGH REFLEX BY DIRECT ACTION ON COUGH CENTER IN MEDULLA |
| EXAMPLE OF OPIOID ANTITUSSIVE | ROBITUSSIN A-C |
| INDICATIONS FOR OPIOID ANTITUSSIVE | NONPRODUCTIVE COUGH |
| ADVERSE EFFECTS OF OPIOID ANTITUSSIVE | SEDATION, DIZZINESS, NAUSEA |
| NONOPIOID ANTITUSSIVE | ANTITUSSIVE, NUMBS STRETCH RECEPTORS IN RESPIRATORY TRACT |
| EXAMPLE OF NONOPIOID ANTITUSSIVE | BENZONATATE (TESSALON PERLES) |
| INDICATIONS FOR NONOPIOID ANTITUSSIVE | NONPRODUCTIVE COUGH |
| EXPECTORANT | LOOSENS AND THINS SECRETIONS |
| EXAMPLE OF EXPECTORANT | GUAIFENESIN |
| ADVERSE EFFECTS OF EXPECTORANTS | NAUSEA, VOMITING, GI IRRITATION |
| NURSING IMPLICATIONS OF EXPECTORANTS | WATCH OTC MEDS- MOST CONTAIN GUAIFENESIN |
Created by:
pevrs309
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