NU 302 Respiratory Word Scramble
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| Term | Definition |
| Albuterol Drug Class | Beta-2 agonist |
| Albuterol Mechanism of Action | Stimulation of SNS beta-2 receptors Smooth muscle relaxation of bronchioles |
| Albuterol Adverse Effects | Tachycardia, palpitations, restlessness H/A |
| Albuterol Contraindications | Cardiac disease, hyperthyroidism |
| Albuterol Interactions | Beta blockers |
| Albuterol Nursing Indications | Monitor HR, respiratory status Teach regarding rescue inhaler use Use 30-60 minutes before exercise Avoid caffeine |
| Ipratropium Drug Class | Anticholinergic |
| Ipratropium Mechanism of Action | Increased PNS stimulation on CN X Antagonizes muscarinic receptors |
| Ipratropium Adverse Effects | Dry mouth, blurry vision, tachycardia, urinary retention, constipation |
| Ipratropium Contraindications | Narrow angle glaucoma Bladder neck obstruction/BPH Allergy to soy or peanuts (propellant sensitivity) |
| Ipratropium Interactions | Other anticholinergics |
| Ipratropium Nursing Indications | Monitor VS, respiratory status Monitor UOP Teach to void prior to drug administration Lozenges Fiber/fluids |
| Budesonide Drug Class | Corticosteroid |
| Budesonide Mechanism of Action | Inhibition of inflammatory response |
| Budesonide Adverse Effects | Sore throat Xerostomia Oral candidiasis |
| Budesonide Contraindications | Active infections Oral lesions increase systemic absorption |
| Budesonide Nursing Indications | Monitor respiratory status, oral mucosa Taper the dose Rinse mouth after inhalation |
| Drug of choice for rescue inhaler | SABA - albuterol |
| Theophylline Drug Class | Methylxanthines |
| Theophylline Mechanism of Action | Smooth muscle relaxation via mobilization of calcium and activation of prostaglandins Inhibition histamine |
| Theophylline Adverse Effects | Typically only associated with toxicity 20-25 mcg/mL: N/V/D, insomnia, diaphoresis, H/A and irritability >30-35 mcg/mL: hyperglycemia, hypokalemia, hypotension, dysrhythmias, tachycardia, seizures, brain damage and death |
| Theophylline Interactions | Multiple interactions – including caffeine Smoking increases metabolism of theophylline With smoking cessation – toxicity! |
| Theophylline Contraindications | Caution with cardiac disease, hyperthyroidism |
| Theophylline Nursing Indications | Monitor VS, lung sounds Serum drug level Decrease caffeine intake Toxicity treatment Activated charcoal, lidocaine, benzodiazepines |
| Montelukast Drug Class | Leukotriene receptor antagonist |
| Montelukast Mechanism of Action | Decreases: neutrophil, eosinophil migration, aggregation, leukocyte adhesion, capillary permeability, smooth muscle contraction |
| Montelukast Adverse Effects | H/A, dizziness Elevated LFTs Suicidal ideation |
| Montelukast Interactions | Increases toxicity of theophylline, warfarin |
| Montelukast Nursing Indications | Monitor respiratory status Take on empty stomach Taper dose Avoid triggers |
Created by:
mlanpher
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