Pulmonary Meds

Question 1

Serevent, Spiriva

Answer 1

Beta 2 Sympathomimetics
12 hour acting med for difficult to control/chronic asthmatics.

Question 2

Albuterol

Answer 2

Beta 2 Sympathomimetics
4 hour rescue inhaler for acute attacks. Peaks in 15-30 minutes.

Question 3

Side effects of Beta 2 Sympathomimetics.

Answer 3

Tremor, palpitations, headache, nervousness.

Question 4

Epinephrine - Adrenalin

Answer 4

Non-Selective Sympathomimetics
Short duration - strong effect in blood vessels, moderate effect on bronchial muscles.

Question 5

Ephedrine

Answer 5

Non-Selective Sympathomimetics
Long duration - moderate effect on bronchial muscles

Question 6

Side effects of Non-Selective Sympathomimetics

Answer 6

Same as Beta 2 Sympathomimetics, plus increased myocardial contractility and HR.

Question 7

Side effects of Sympatholytics.

Answer 7

Agitation and tachycardia

Question 8

Atropine

Answer 8

Parasympatholytics
Absorbed quickly, short duration.

Question 9

Atrovent

Answer 9

Parasympatholytics
Inhaled, so not absorbed into the circulation as much. Has less side effects than Atropine.

Question 10

Side effects of Parasympatholytics.

Answer 10

Depression, delirium, and hallucinations.

Question 11

Theophylline

Answer 11

Methylxanthines
For bronchoconstriction

Question 12

Side effects of Methylxanthines.

Answer 12

Agitation, tachycardia

Question 13

Symbicort and Advair

Answer 13

Combination Inhaled Corticosteroid and Bronchodilator.
COPD and chronic asthma

Question 14

Side effects of Combination Inhaled Corticosteroid and Bronchodilator.

Answer 14

Tachycardia, respiratory infections, muscle cramps, and tremors

Question 15

Prednisone and Methylprednisolone

Answer 15

Glucocorticoids
For acute episodes. Given in decreasing dosages over 7-10-day period.

Question 16

Beclovent, Flovent

Answer 16

Glucocorticoids
Inhaled for daily use

Question 17

Side effects of Glucocorticoids.

Answer 17

Cushing’s Syndrome, osteoporosis, immunosuppression, and weakness.

Question 18

Cushing’s Syndrome

Answer 18

Hyperfunction of adrenal cortex. Patient will present with moon face, trunk obesity, thinner skin, and decreased ability for wound healing.

Question 19

Benadryl, Dramamine, and Dimetapp

Answer 19

Antihistamines
Histamine caused inflammatory responses

Question 20

Side effects of Antihistamines

Answer 20

Sedation, fatigue, and dizziness

Question 21

Primatene, Sudafed

Answer 21

Specific Sympathomimetics
Stimulates vasoconstriction by binding with the alpha receptors in the upper airways. They decrease blood flow to those areas so we have decreased inflammation.

Question 22

Side effects of Specific Sympathomimetics

Answer 22

Headache, hypertension, and heart palpitations.

Question 23

Robitussin, Mucinex

Answer 23

Expectorant
Clear secretions and protect airway; increases secretion production.

Question 24

Side effects of Robitussin and Mucinex

Answer 24

Sedation

Question 25

Codeine

Answer 25

Antitussive
Decreases cough

Question 26

Side effects of Codeine

Answer 26

Sedation

Question 27

Mucomyst

Answer 27

Mucolytic
Assist with the mobilization of secretions.

Question 28

Side effects of Mucomyst.

Answer 28

Mucosal irritation, coughing

Question 29

Penicillin

Answer 29

Antibiotic
Can cause allergic shock - anaphylactic shock

Question 30

Amoxicillin, Ampicillin

Answer 30

Antibiotic

Question 31

Gentamicin

Answer 31

Antibiotic
Kidney toxicity

Question 32

Erythromycin

Answer 32

Antibiotic

Question 33

Tetracyclines

Answer 33

Antibiotic

Question 34

Cipro

Answer 34

Antibiotic

Question 35

Cephalosporins

Answer 35

Antibiotic

Question 36

General adverse effects to Antibiotics.

Answer 36

Hypersensitivity
Stomach cramps
Diarrhea
Nausea
Vomiting