Chapter questions - Meds affecting respiratory system
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| A nurse providing teaching to a clt w/asthma about how to use cromolyn (Intal). Which should the nurse include in her teaching? | Take the med 15 min before exercising. Follow a fixed-dosage schedule for long-term control of asthma. (can be used to abort an asthma attack.)
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| What info should the nurse provide to a clt who is starting beclomethasone dipropionate(QVAR) for long-term mgmt of asthma? | Inhaled glucocorticoids are generally safe. Use spacer during admin by MDI. Rinse mouth & gargle after inhaling dose (prevents oropharyngeal condidiasis). Engage in weight-bearing exercises & ensure adequate intake of calcium & vit D. (to avoid bone loss)
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| Which of the following instructions should be given to a clt who has been prescribed albuterol (Proventil) and beclomethasone dipropionate (QVAR) inhalers for the control of asthma? | Use the albuterol inhaler 5 min before using the beclomethasone inhaler. (The beta2-agonist promotes bronchodilation and enhances absorption of the glucocorticoid.)
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| Albuterol (Proventil) is used in the treatment of asthma to | Promote bronchodilation.
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| What statement made by the client indicates that she has understood discharge teaching in the proper use of salmeterol(serevent)? | "I will take this medication regularly every 12 hours." (used for long-term control not to abort an asthma attack.)
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| A clt starting oral prednisone for treatment of chronic asthma should report signs of | weight gain and fluid retention can result from oral glucocorticoid use.
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| Identify the two major classes of medicaitons that are used to treat asthma. | Bronchodilators and anti-inflammatory medications.
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| A client taking triamcinolone acetonide (azmacort) is instructed to use a spacer. What is the rationale for using a spacer w/an MDI? | A spacer is used w/an MDI to decrease the amt of the med that will reach the mouth and throat, and increase the amt of med that will reach its site of action (lung mucosa).
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| Theophylline: action | Clt should avoid caffeine when using this oral medication.
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| Albuterol: action | Advise the client to take this short-acting beta2-agonist to abort an acute asthma attack.
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| Salmeterol: action | Clt can take this inhaled beta2-agonist every 12 hr.
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| Montelukast: action | Advise the clt to take this med once daily at bedtime.
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