Lower Respiratory Drugs

Question 1

Class action for Albuterol and Salmeterol

Answer 1

Beta 2 Adrenergic Agonist

Question 2

Albuterol… LABA or SABA?

Answer 2

SABA

Question 3

Salmeterol… LABA or SABA

Answer 3

LABA

Question 4

Albuterol Route

Answer 4

inhaler/nebulizer (5-15 min onset)

Question 5

Salmeterol Route

Answer 5

inhaler

Question 6

Rescue inhalor

Answer 6

Albuterol

Question 7

Maintenance Inhalers

Answer 7

Salmeterol, Ipratropium, Fluticasone

Question 8

Albuterol trade name

Answer 8

Pro Air

Question 9

Salmeterol trade name

Answer 9

Severent Diskus

Question 10

Albuterol indications

Answer 10

acute bronchospasm: Asthma Attack, COPD Exacerbation, pneumonia
prevention of exercise induced asthma

Question 11

Salmeterol indications

Answer 11

prevention of Asthma Attack, COPD Exacerbation, and exercise induced asthma

Question 12

Albuterol and Salmeterol MoA

Answer 12

Beta 2 selective adrenergic agonists- BRONCHODILATION

Question 13

Contraindications of Albuterol and Salmeterol

Answer 13

conditions exacerbated by sympomimetic effects
drug drug interactions with beta adrenergic antagonists

Question 14

AE/SE of Albuterol and Salmeterol

Answer 14

sympomimetic stimulation: cardiac arrhythmias, tachycardia, HTN, sweating, tremors, worsened bronchospasm

Question 15

Black Box Warning with Salmeterol

Answer 15

asthma related deaths… use corticosteroid to decrease risk

Question 16

Nursing implications with Albuterol

Answer 16

use to treat symptoms or as scheduled… overuse can cause AE/SE. administer 30-60 min before exercise

Question 17

Nursing implications with Salmeterol

Answer 17

use on schedule

Question 18

Class action for ipratropium

Answer 18

respiratory cholinergic antagonist

Question 19

Trade name for ipratropium

Answer 19

Atrovent

Question 20

Route for Ipratropium

Answer 20

inhaler

Question 21

Indications for ipratropium

Answer 21

prevention of bronchospasm

Question 22

MoA for ipratropium

Answer 22

blocks acetylcholine BRONCHODILATION

Question 23

AE/SE for ipratropium

Answer 23

dry mouth, nasal congestion, heart palpitations, other sympathetic effects are rare

Question 24

Nursing implications for ipratropium

Answer 24

not a rescue inhalor

Question 25

Class action for Fluticasone

Answer 25

inhaled corticosteroid

Question 26

Route for fluticasone

Answer 26

inhaler

Question 27

Trade name for fluticasone

Answer 27

Flovent

Question 28

Indications for fluticasone

Answer 28

prevention and treatment of asthma

Question 29

MoA for fluticasone

Answer 29

decrease inflammatory response in airways

Question 30

AE/SE for fluticasone

Answer 30

sore throat, hoarseness, coughing, dry mouth, pharyngeal and laryngeal infections (oral thrush), rare systemic reaction

Question 31

Nursing implications for fluticasone

Answer 31

assess mucous membranes- fungal infections not a rescue inhaler

Question 32

Patient Education for Fluticasone

Answer 32

rinse mouth after each inhalation

Question 33

Class action for Montelukast

Answer 33

leukotriene

Question 34

Route for Montelukast

Answer 34

oral

Question 35

Trade name for montelukast

Answer 35

Singulair

Question 36

Indication for montelukast

Answer 36

prophylaxis in adults and children

Question 37

MoA of montelukast

Answer 37

selectively blocks Leukotriene production receptors reduces inflammation

Question 38

AE/SE for montelukast

Answer 38

headache, nausea, diarrhea

Question 39

Nursing Implications for montelukast

Answer 39

not a rescue medication can be used for children 1yo and older

Question 40

Class action for Theophylline and Aminophylline

Answer 40

Xanthine Derivatives

Question 41

Route for theophylline

Answer 41

oral

Question 42

route for aminothylline

Answer 42

IV

Question 43

Indications for theophylline

Answer 43

prevention of bronchospasm

Question 44

Indications for aminophylline

Answer 44

reversal of bronchospasm

Question 45

MoA of theophylline and aminophylline

Answer 45

direct effect on smooth muscles on respiratory tract- bronchi and blood vessels metabolized to caffeine

Question 46

Contraindications for theophylline and aminophylline

Answer 46

cardiac disease

Question 47

AE/SE for Aminophylline and theophylline

Answer 47

related to blood vessels: GI Upset, nausea, irritability, tachycardia to seizure, brain damage, death

Question 48

Nursing implications for theophylline and aminphylline

Answer 48

narrow therapeutic window, monitor levels for drug toxicity, smoking increases metabolism (decrease levels)