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Flashcards in Exam 2 Deck (39):
1

Main conducting airway into the lungs

trachea

2

Action that happens through the conducting airways of the upper respiratory tract

Ventilation- movement of air in and out of the mody

3

Action that happens at the alveoli

Gas exchange or respiration

4

Respiration is controlled by

CNS

5

Stimulates diaphragm to contract and cause inspiration

Vagus nerve

6

Cough and cold meds should not be used for whom?

Children under 2 years

7

Contraindications of antitussives

People who NEED to cough (eg. viral infection or post op patients), anything that suppresses the CNS, head injuries

8

Nursing implications for antitussives

airway clearance, respiratory depression (bc it suppresses the CNS), altered sensory perception, risk for falls

9

Contraindications of decongestants (topical and oral)

rhinitis medicamentosa, things that are exacerbated my sympathetic stimulation, glaucoma, non-intact mucus membranes (for topical)

10

Contraindications for decongestant topical steroids

infection

11

Nursing implications for decongestant topical steroids

Teach proper administration; teach to take in the morning bc it will keep you awake; immune system depression

12

Contraindications of antihistamines

cardiac arrhythmias, low BP, tachycardia, urinary retension

13

Anticholinergic Response

1) Eyes dilate 2) flushed, vasodilation 3) hyperthermia 4) dry skin 5) crazy, sleepy, hallucinating 6) urinary retention 7) tachycardia

14

Contraindications of expectorants

persistent, undiagnosed cough (more than 2 weeks); synergistic effects with analgesics and anything that will suppress the CNS, esp Tylenol, Aspirin, and alcohol

15

Antidote to Tylenol overdose

Acetylcysteine (Mucomyst)

16

Contraindications of mucolytics

bronchospasms

17

Difference between an expectorant and a mucolytic

Expectorant helps you cough it out, mucolytics break it up SO THAT you can cough it out

18

Contraindications of sympathomimetic bronchodilators

conditions aggravated by sympathetic nervous system stimulation; African Americans have high death rate when on Salmeterol

19

Contraindications of anticholinergic bronchodilators

Things aggravated by loss of Ach (myethenia gravis); allergy to soy or peanuts; BPH; glaucoma

20

Therapeutic range of Xanthene drugs

10-20 mcg/mL

21

Contraindications of xanthenes

things that have SNS stimulation

22

Contraindications of inhaled steroid drugs

Not for acute symptoms (takes a long time to work), infection (bc it suppresses the immune system)

23

Nursing indications for inhaled steroid drugs

Takes hours to days to become effective, rinse mouth out after use to avoid thrush, must be weened off to allow adrenal glands to reactivate

24

Side effects of leukotriene receptor antagonists

causes SNC depression and myalgia; blocking WBC production so we're depressing immunity- risk for infection

25

Contraindications of mast cell stabilizers

not for acute symptoms; interferes with some types of contact lenses

26

clinical representation of inflammation

calor (heat)
tumor (swelling)
rubor (redness)
dolor (pain)
loss of function

27

Contraindications of Salycyclates

bleeding disorders, chicken pox and influenza in children, someone who needs to clot, someone about to have surgery

28

Major side effects of salycylates

bleeding, decreased cardiac output, hard on the stomach

29

Special indication for indomethacin

closes PDAs in newborns

30

Contraindications of propionic acids

people with ulcers or GI bleeding

31

Major side effects of propionic acids

stomach pain and bleeding; ulcers with advil

32

Contraindications of acetaminophen

allergy, chronic alcoholism, liver problems

33

Major side effects of acetaminophen

highly liver toxic, suppresses bone marrow in taken long time; if bone marrow is suppressed then it wont make blood cells which won't oxygenate the brain

34

Contraindications of gold compounds

allergy to gold

35

Major side effects of gold compounds

severe upper GI distress, lots of allergic reactions, bone marrow suppression

36

Nursing Dx for gold compounds

Risk for tissue damage r/t hypersensitivity

37

Contraindications to DMARDS

allergy to hampsters

38

Major side effects of DMARDS

severe bone depression, increased risk for infection and increased risk for cancer development

39

Side effects of immune modulator drugs

Makes the pt feel like they have the flu and gives risk for pulmonary edema