Meds affecting the RESPIRATORY SYSTEM Flashcards

1
Q

what is the diff bw controllers and rescue respiratory meds?

A

controllers are taken daily and not for acute symptoms

rescue meds are taken as needed and have a quick onset

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2
Q

beta blockers that are considered rescue meds

A

albuterol

levalbuterol

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3
Q

beta blockers that are considered controller meds

A

formeterol

salmeterol

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4
Q

which med should a client inhale first: a beta-2 agonist or glucocorticoid? why?

A

administer the beta2 agonist FIRST (wait about 5 min), then glucocorticoid

so the lungs can open up first (bronchodilation), enhancing the absorption of the glucocorticoid

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5
Q

whats an example of an inhaled anticholinergic med?

A

ipatropium (short-acting)

tiotropium (long-acting)

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6
Q

why would an inhaled anticholinergic be helpful to a client with asthma or COPD?

A

inhaled anticholinergics block muscarinic receptors of the bronchi, resulting in BRONCHODILATION

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7
Q

what side effect would you expect with an inhaled anticholinergic?

A

dry mouth, hoarseness

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8
Q

clients should rinse their mouth after taking which kind of inhaled medication? why?

A

inhaled glucocorticoids

beclomethasone, fluticasone

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9
Q

whats the purpose/benefit of using a spacer?

A

increases medication

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10
Q

what conditions does montelukast help treat?

A
  • long-term therapy of asthma in adults and children

- prevent exercise-induced bronchospasm

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11
Q

how does montelukast work?

A

suppresses the effects of leukotrienes, therefore reducing:

  • inflammation
  • bronchoconstriction
  • airway edema
  • mucus production
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12
Q

when should a client take montelukast if he/she is taking it for asthma?

A

once daily at bedtime

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13
Q

when should a client take montelukast if he/she is taking it for exercise-induced bronchospasm?

A

2hr before exercise

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14
Q

what does the word antitussive mean?

A

used to prevent/relieve a cough

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15
Q

why might someone with an upper respiratory infection take an opioid?

A

opioids, like codeine, suppresses cough. to decrease the frequency and intensity

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16
Q

what major side effects are associated with codeine

A
  • respiratory depression, dizziness, drowsiness

- constipation, N/V

17
Q

which meds and substances should a person taking an opioid antitussive avoid?

A

avoid alcohol ad other CNS depressants