Oxygenation

Question 1

Need to Knows

Answer 1

• Given bronchodilator, wait 5 mins, then give corticosteroid
• Corticosteroids are long term usage, not for acute attacks
• Ensure good oral hygiene for Phenytoin. Thrush can form and dry mouth.

Question 2

Methylpredinosolone (Medrol)

Answer 2

• Corticosteroid
• Used for severe inflammation, shock, adrenal insufficiency, Multiple Sclerosis
• Side effects: Depression, HTN, tachycardia, Acne, Increase appetite

Question 3

Intranasal Corticosteroids

Answer 3

• Used for Chronic Asthma Prevention, Nasal Symptoms during seasonal allergies
• Meds: Fluticasone (Flonase), Budesonide, Beclomethasone
  
  • “sone” or “sonide” endings -
• Side Effects: UR Infection, Cough, Dry Eyes, Headache, Dizziness

Question 4

Prednisone (Deltasone)

Answer 4

• Corticosteroid
• Used for severe inflammation, neoplasms, multiple sclerosis, dermatologic disorders, asthma
• Side effects: Depression, mood changes, HTN, inc appetite, fluid retention, acne

Question 5

Albuterol (Ventolin)

Answer 5

• bronchodilator (opens airways for better airflow)
• used for acute asthma
• side effects: tremor, tachycardia

Question 6

Montelukast (singulair)

Answer 6

• Bronchodilator
• Used to open airways; for chronic asthma (not for acute attacks)
• side effects: dizziness, fatigue, abdominal pain, cough

Question 7

Sympathomimetic Decongestants

Answer 7

• Used to decrease nasal swelling
• Meds: “-zoline” “-ephrine”
  
  • Oxymetazoline, Xylometazoline, Synephrine, Phenylephrine

s/e: nervousness, insomnia, irritability, headache, palpitations, tachycardia
adv: dizziness, nervousness, or trouble sleeping.

NI:

• Reinforce Client Education
• Ensure Client is taking full course of medication

Client Edu:

• Stop taking medicine if adverse effects occur.
• This medication will make you dizzy
• Avoid Alcohol and marijuana, it will increase the dizziness
• Take missed dose as soon as possible but skip if it’s time for the next dose. DO NOT DOUBLE DOSE.

Question 8

Antihistamines

Answer 8

• Used to relieve allergy symptoms
• s/e: Drowsiness, tiredness, and dry mouth
• adv: hives, rashes, difficulty urinating, weakness

NI:

• Ensure client education is reinforced
• Be Aware of diabetic clients (Sugar)
• Monitor BS and Vitals
• Alert the doctor if adv effects occur

Client Edu:

• Stop taking medicine if adverse effects occur.
• This medication will make you dizzy
• Avoid Alcohol and marijuana, it will increase the dizziness
• Be advise if you are diabetic, medicine contains sugar
• Contact your HCP if adv effects occur.

-Meds: Azelastine, Cetirizine, Chlorpheniramine, Diphenhydramine (Benadryl), Levocetirizine, Loratadine

Question 9

Expectorants

Answer 9

• Used to treat cough and congestion causing by common cold, bronchitis, and other breathing illnesses.
• meds: Guaifenesin (Mucinex)
• s/e: Dizziness, Drowsiness, Decreased uric acid levels, Stomach pain, Nausea/Vomiting, Headache, Rash
• adv: Allergic Reaction, hypersensitivity

NI: