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NURS 472A > Exam 4 (Week 15) > Flashcards

Exam 4 (Week 15) Flashcards

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1
Q

Pharmacological class of Beclomethasone (QVAR)

A

glucocorticoid

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2
Q

Therapeutic class of Beclomethasone (QVAR)

A

anti-inflammatory

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3
Q

MOA of Beclomethasone (QVAR)

A
  1. decreases synthesis and release of inflammatory mediators–>decreasing infiltration and activity of inflammatory cells.
  2. decreasing edema of the airway mucosa
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4
Q

What does beclomethasone (QVAR) MOA reduce?

A
  1. bronchial hyperactivity

2. airway mucus production

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5
Q

What is beclomethasone (QVAR) used for?

A
  1. prophylaxis of chronic asthma
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6
Q

Inhaled glucocorticoids or beclomethasone (QVAR) is used for?

A
  1. for the management of inflammatory component of asthma
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7
Q

Oral glucocorticoids or beclomethasone (QVAR) may be used for or in?

A
  1. In patients who have moderate to severe persistent asthma
  2. management of acute exacerbations of asthma
  3. COPD
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8
Q

What are ADES of glucocorticoids dependent on?

A

on route and length of administration

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9
Q

What are 3 ADEs of inhaled beclomethasone (QVAR) or glucocorticoids?

A
  1. adrenal suppression
  2. oral candidacies - thrush
  3. dysphonia - hoarseness or difficulty speaking
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10
Q

What are ADEs of oral beclomethasone (QVAR) or glucocorticoids dependent on? What are 4 adverse effects of oral glucocorticoids or beclomethasone (QVAR)?

A

a. prolonged therapy:
1. adrenal suppression
2. osteoporosis
3. peptic ulcer disease
4. growth suppression

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11
Q

1 nursing implication of beclomethasone (QVAR)?

A

educate patients on how to use inhalation devices

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12
Q

Pharmacological class of cromolyn (intal)?

A

mast cell stabilizer

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13
Q

Therapeutic class of cromolyn (intal)?

A

anti-inflammatory

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14
Q

MOA of cromolyn (intal)?

A

suppresses bronchial inflammation

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15
Q

Uses of cromolyn (intal)?

A

prophylaxis for asthma and COPD, rather than acute treatment

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16
Q

Pharmacological class of albuterol (proventil)?

A

Beta2-adrenergic agonist

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17
Q

Therapeutic class of albuterol (proventil)?

A

Short-acting bronchodilator

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18
Q

MOA of albuterol (proventil)?

A

activates beta2 adrenergic receptors in the smooth muscle of the lung.

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19
Q

Uses of bronchodilators?

A

used to provide symptomatic relief in patients who have asthma and COPD, but does not alter the underlying inflammation that is apart of the disease process.

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20
Q

What does the MOA of albuterol (proventil) promote and relieve?

A
  1. promotes bronchodilation

2. relieves bronchospasm

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21
Q

use of albuterol (proventil)?

Study These Flashcards
A

asthma and COPD

22
Q

what is significant about bronchodilators or albuterol (proventil)?

Study These Flashcards
A

route and time course

23
Q

How can bronchodilators such as albuterol (proventil) be given?

Study These Flashcards
A

orally or by inhalation

24
Q

Bronchodilators given orally or for only what?

Study These Flashcards
A

long term control

25
SABAs (Short-acting) are what? used to stop what?
life-saving; use to stop an ongoing attack
26
What are LABAs reserved for? Use for?
reserved for patients who experience frequent attack. Long-term control
27
What is the larger classification of albuterol (proventil)?
inhaled SABA
28
3ADE of albuterol (proventil):
1. tachycardia 2. angina 3. tremor
29
Inhaled LABAs increased the risk for what?
1. severe asthma | 2. asthma related death
30
ADE of oral bronchodilators:
1. cardiac adverse effects - angina pectoris, tachydysrythmias, tremors in skeletal muscle
31
1 nursing implication of albuterol (proventil) or bronchodilators:
these drugs should be taken on a fixed schedule.
32
Pharmacological class of montelukast (singular):
leukotriene antagonist
33
Therapeutic class of montelukast (singular):
immune modulator
34
MOA of montelukast (singular):
suppress the effects of leukotrienes
35
Uses of montelukast (singular):
1. allergic rhinitis 2. cough 3. cold
36
Pharmacological class of dextromethorphan (robitussin):
nonopioid antitussive
37
Therapeutic class of dextromethorphan (robitussin):
Anti-cough
38
MOA of dextromethorphan (robitussin):
1. opioid derivative that acts in the CNS to suppress the cough reflex 2. blocks NMDA receptors in the brain and spinal cord
39
What does blocking NMDA receptors in the brain in spinal cord with dextromethorphan (robitussin) do?
1. decreases pain with cough
40
use of dextromethorphan (robitussin):
1. cough that is nonproductive, creates discomfort, or deprives a pt. of comfort or sleep
41
ADEs of dextromethorphan (robitussin) are what? except at what?
a. rare | b. high doses
42
ADEs of dextromethorphan (robitussin):
1. mild inebriation to a state of mind-body dissociation
43
1 nursing implication of dextromethorphan (robitussin):
take only as prescribed on the label
44
What are 2 routes of administration for respiratory drugs?
1. oral | 2. inhalation
45
Inhaled respiratory drugs have minimal what? Relieve what?
a. systemic effects | b. relieve acute attacks rapidly
46
What is the age that you should avoid use of OTC cold remedies?
younger than 4-6 years old
47
What should the labels say if giving children OTC cold remedies?
only for pediatric use
48
Who should you consult before giving OTC cold remedies to children?
a provider
49
What should you read before dosing OTC cold remedies to children?
labels and product info
50
What should you use to dose OTC cold remedies to children?
the provided measuring device
51
What should you do as the parent if a child's symptoms persist or worsen?
discontinue or seek help
52
What can anti-histamines cause in children?
cause respiratory depression

NURS 472A (9 decks)

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