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Fundamentals > Meds for Exam 5 > Flashcards

Meds for Exam 5 Flashcards

1
Q

Albuterol

A

beta2-adrenergic agonist

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2
Q

Albuterol: expected pharmacological action

A

relieve bronchospams and reducing airway resistance

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3
Q

Albuterol: therapeutic use

A

long-term mang. of asthma, prevention of excercise induced bronchospasms, and treatment of ongoing asthma exacerbations

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4
Q

Albuterol: complications

A

angina, palpitations, nervousness, tremors, and restlessness

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5
Q

Albuterol: common side effect

A

tachycardia

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6
Q

Albuterol: Med Admin

A

PO

inhale

take before inhaling glucocordicoids

watch fo signs of asthma

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7
Q

Albuterol: Contraindindications/Precautions

A

contrain.: allergy to albuterol and levalbuterol

precautions: Dm, hyperthyroidism, CVD, HTN, angina, tachycardia

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8
Q

albuterol: nursing interventions

A

monitor dizziness, heart palps, angina, and SOB

monitor and report tremors

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9
Q

albuterol: interactions

A

betablockers reduce effectivness

MAOIs and antidepressants increase risk of HTN, chest pain, and tachycardia

hypoglycemic drugs

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10
Q

albuterol: client education

A

take as prescribed
report angina
avoid caffine
report heart palpitations
notify PCP if tremors occur/interfere with ADLs

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11
Q

albuterol: eval of medication effectiveness

A

help prevent bronchospasms and productive treatment for on-going asthma

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12
Q

Atrovent

A

antilinergics

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13
Q

Atrovent: expected pharmacological action

A

antagonizing the action of acetylchoine

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14
Q

atrovent: therapeutic use

A

relief of bronchospasms in clients who have COPD, decrease secretions in clients with COPD

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15
Q

atrovent: complications

A

dry mouth, irritation of the pharynx, increased intracolar pressure, urinary retention

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16
Q

atrovent: med admin

A

PO; inhale

follow on schedule

delay other inhalants for 5 minutes

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17
Q

atrovent: contrainindications/precautions

A

contrain.: hypersensitivity to ipratropium, atropine

precautions: gluacoma, prostatic hypertrophy, bladder neck obstruction

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18
Q

atrovent: interactions

A

Beta2 andrenergic agonists enhance bronchodilation

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19
Q

atrovent: nursing interventions

A

provide water/hard candy to client

schedule routine for glaucoma

monitor urinary elimination patterns, espically in older adults

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20
Q

atrovent: client ed

A

suck on hard candy

sip water freq

regular testing for glaucoma

report any changes in urinary elimination

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21
Q

atrovent: eval of medication admin

A

improving lung functions (bronchospasms) in clients who have COPD

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22
Q

Theophylline

A

methyixanthines

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23
Q

theophylline: expected pharamcological action

A

relax smooth muscles located in the bronchial airways and the pulmonary blood vessels

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24
Q

theophylline: therapeutic use

A

long term mang of chronic asthma

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25
Q

theophylline: complications

A

rare at therapeutic levels

26
Q

theophylline: med admin

A

PO

if does is missed, do NOT double dose

DNC

maintain schedule intervals between doses

27
Q

theophylline: contraindications/precautions

A

contrain: clients with impaired metabolisms, tobacco/marijuana use, caffine

precautions: heart disease, liver dysfunction, acute pulmonary edema

28
Q

theophylline: interactions

A

cimetidine, some fluroquinolones, and caffine increse risk of toxicity

phenobarbital, phenytoin, and nicotine increase metabolism of theophylline

29
Q

theophylline: eval of med admin

A

improvement of Sx of chronic asthma

30
Q

theophylline: nursing interventions

A

monitor plasma levels

discontinue if toxic levels are indicated

monitor HR and rhythm

31
Q

theophylline: client ed

A

reduce/eliminate caffine intake

have periodic lab tests of drug levels

stop taking if seizures occur

32
Q

prednisone

A

Anti-inflammatory (steroidal) agent, Immunosuppressant/ Glucocorticosteroid

33
Q

prednisone: expected pharm action

A

Suppresses inflammation and the normal immune response.

34
Q

prednisone: therapeutic use

A

Systemic and local treatment of a wide variety of inflammatory diseases and conditions. Replacement therapy in adrenal insufficiency.

35
Q

prednisone: complications

A

Depression, euphoria, headache, personality changes, psychoses, restlessness, cataracts, increased ICP, hypertension, acne, decreased wound healing, fragility, adrenal suppression, hyperglycemia, fluid retention, hypokalemia, weight gain, muscle wasting, osteoporosis, aseptic necrosis of joints, muscle pain, increases susceptibility to infection.

36
Q

prednisone: med admin

A

PO

37
Q

prednisone: contrainindications/precautions

A

Hypersensitivity, systemic fungal infection, active tuberculosis

38
Q

prednisone: interactions

A

NSAIDs, live virus vaccines, nobarbital, rifampin, insulin, phenytoin, loop diuretics, digoxin

39
Q

prednisone: eval of med admin

A

Decrease in presenting symptoms with minimal systemic side effects; suppression of the inflammatory and immune response in autoimmune disorders, allergic reactions, and neoplasms

40
Q

prednisone: nursing interventions

A

Give with food to avoid GI upset. Monitor daily weight, edema, lung sounds, serum electrolytes, CBC, and glucose levels.

41
Q

prednisone: client ed

A

Do not stop medication abruptly. Avoid grapefruit juice and limit caffeine intake.

42
Q

cromolyn

A

mast cell stabilizer
antiasthmatics

43
Q

cromolyn: expected pharm action

A

Prevents the release of histamine and slow-reacting substance of anaphylaxis from sensitized mast cells

44
Q

cromolyn: therapeutic use

A

Long-term treatment of allergy-related asthma
Prophylaxis for exercise-induced bronchospasm
Prophylaxis for seasonal allergy symptoms
Management of allergic rhinitis

45
Q

cromolyn: complications

A

Dizziness, headache, rash, nasal irritation, sneezing, coughing, wheezing, nausa, and unpleasant taste

46
Q

cromolyn: contraindications/precautions

A

Renal or Hepatic dysfunction
Bronchiospasm
Acute attacks of asthma

47
Q

cromolyn: med admin

A

Use with a nebulizer or metered-dose inhaler
Expect several weeks of use for full effect to become apparent
Administer four times daily on a fixed schedule
Use the inhaler 15 minutes before exercise to prevent exercise-induced bronchospasm
Do not used to relieve acute asthma exacerbation

48
Q

cromolyn: interactions

A

unknown

49
Q

cromolyn: nursing interventions

A

Administer epinephrine and or antihistamines to reverse anaphylaxis

50
Q

cromolyn: eval of med admin

A

Reduction in symptoms of asthma
Prevention of exercise-induced bronchospasm
Decrease in the symptoms of allergic rhinitis

51
Q

cromolyn: client education

A

Seek medical care immediately for certain rash, swelling of the mouth or throat, or wheezing after use

52
Q

singulair

A

Leukotriene modifiers

53
Q

singulair: expected pharm action

A

Leukotriene modifiers suppress the effects of leukotrienes, thereby reducing inflammation, bronchoconstriction, airway edema, and mucus production.

54
Q

singulair: therapeutic use

A

Long-term therapy of asthma in adults and children, and to prevent exercise-induced bronchospasm - Montelukast is used in children as young as 12 months of age. - Zafirlukast is used in children age 5 years and up. - Zileuton is used in adolescents and adults

55
Q

singulair: complications

A

Depression, suicidal ideation, insomnia, hallucinations, Pulmonary eosinophilia

56
Q

singulair: med admin

A

P.O.
Once daily PM
Or what the provider instructs you to do

57
Q

singulair: contraindications/precautions

A

Montelukast and zafirlukast are Pregnancy Category B. Zileuton is Pregnancy Category C.
- Use cautiously in clients who have liver dysfunction.

58
Q

singulair: nursing interventions

A

Take 2hrs before exercised to prevent excersise-enduced asthma
- No overdose

59
Q

singulair: interactions

A

Montelukast used concurrently with phenytoin can inhibit effects of montelukast

60
Q

singulair: eval of med admin

A

Depending on therapeutic intent, effectiveness is evidenced by long term control of asthma.

61
Q

singulair: client ed

A

Advise clients to take montelukast once daily at bedtime. For exercise-induced bronchospasm, take 2 hr before exercise. Instruct clients taking daily montelukast to not take an additional dose for exercise induced bronchospasm.

Fundamentals (20 decks)

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