Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

pharm 2 > Respi > Flashcards

Respi Flashcards

1
Q

Codeine (opioid) dextromethorphan (nonopioid) Class/Use

A

Antitussive
Suppression of cough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Anittussive Adverse effects

A

CNS depress, dizzy, constipation with opioids
GI disturb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Antitussive Interventions

A

Monitor for CNS issues - respiratory - give narcan if needed
Take with food or milk
May need stool softener - high fiber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Antitussive Admin

A

short term use
use only when needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Antitussive Teaching

A

Change positions slowly
avoid alcohol
don’t drive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Antitussive Contraindications

A

MAO inibi or SSRI
HX of substance abuse
prostatic hypertrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Antitussive Interactions

A

Alcohol other opioids - Ince CNS effect
St Johns wart inc sedation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Albuterol (short acting) Salmeterol (Long acting) Class and Use

A

Beta 2 Adrenergic Agonist
Relief of acute bronchospasm and prevent EIB - broncholdilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which Beta 2 albuterol or salmeterol?

A

depends on on the intended effect - fast relief (rescue inhaler) like for asthma or long term management like for COPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Beta 2 - albuterol/salmeterol Adverse reactions

A

Chest pain, palpitations
* Nervousness, restlessness, tremors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Beta 2 - albuterol/salmeterol Interventions

A

Monitor for adverse reactions - dizzy, palpitations, chest pain tremors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Beta 2 - albuterol/salmeterol Admin

A

Short acting: for acute exacerbation Use long-acting preparations for long-term control.
* Inhale beta2-adrenergic agonists before inhaling glucocorticoids.
* Follow dosage limits and schedules.
* Watch for signs and triggers of impending exacerbations of asthma.
* Keep a log of the frequency and intensity of exacerbations.
* Notify the provider of changes in patterns of exacerbations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Beta 2 - albuterol/salmeterol Teaching

A

avoid caffeine
don’t overuse rescue inhaler
report side effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Beta 2 - albuterol/salmeterol Precautions

A

DM
CVD
HTN
Angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Beta 2 - albuterol/salmeterol Interactions

A

MAOI and tricyclic antidepressant = inc risk of HTN, tacky and angina
Anti-diabetic drugs - require inc dosage because of hyperglycemic effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Guaifenesin Class/use

A

Expectorant - Mucinex
Coughs related to viral upper respiratory infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Guaifenesin Adverse Reaction

A

Dizziness, drowsiness, headache
* Gastrointestinal distress (nausea, diarrhea)
* Allergic reaction (rash)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Guaifenesin Interventions

A

Monitor clients when changing positions or ambulating.
* Give drug with food and/or 8 oz of water.
* Stop drug and recommend alternative therapy.
* Encourage fluid intake of 1,500 to 2,000 mL daily

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Guaifenesin Admin

A

use only when needed
watch for other OTC meds that contain same guaifenesin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Guaifenesin Teaching

A

Do not take before driving or activities requiring mental alertness.
* Sit or lie down if feeling lightheaded.
* Change positions gradually.
* Take the drug with food and/or 8 oz of water.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Guaifenesin Contraindicaitons

A

DM - due to sugar content
PKU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Diphenhydramine (Benadryl) Class and use

A

1st generation antihistamine - sedating
Management of:
* Mild allergic reactions (seasonal allergic rhinitis, cough, urticaria, mild transfusion reaction)
* Anaphylaxis (hypotension, acute laryngeal edema, bronchospasm)
* Motion sickness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Diphenhydramine (Benadryl) Adverse Drug Reaction

A

Drowsiness, dizziness
* Anticholinergic effects (dry mouth, constipation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Diphenhydramine (Benadryl) Interventions

A

Monitor the client when ambulating - Advise against driving or operating machinery requiring mental alertness.
* Encourage sips of water or sucking on hard candy.
* Give with food.
* Encourage high intake of fluids.

  • Monitor for urinary retention.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Diphenhydramine (Benadryl) Admin
Do not crush or chew enteric-coated formulations. * Do not take with alcohol or other CNS depressants.
26
Diphenhydramine (Benadryl) Teaching
Take the drug before or at bedtime. Report difficulty urinating
27
Diphenhydramine (Benadryl) Contraindications
Newborns and children under 2 yr * Breastfeeding women * Narrow-angle glaucoma * Prostatic hypertrophy * Acute asthma exacerbation
28
Diphenhydramine (Benadryl) Interactions
Alcohol and other CNS depressants increase depressant effects of antihistamines.
29
Cetirizine (Zyrtec) Class/Use
2nd Generation non sedating antihistamine Management of: * Allergic rhinitis
30
Cetirizine (Zyrtec) Adverse Reaction
drowsy in high doses anticholinergic effects - not as bas as Benadryl
31
Cetirizine (Zyrtec) Interventions
Monitor the client when ambulating. * Provide water and encourage frequent sips. * Encourage intake of 1,500 to 2,000 mL daily * Provide hard candy to suck on.
32
Cetirizine (Zyrtec) Teaching
Take 1 x per day
33
Cetirizine (Zyrtec) Interactions
Theophylline Other sedatives/alcohol = CNS depress
34
beclomethasone dipropionate (QVAR)/ fluticasone (Flovent) prednisone and Fluticasone (Flonase) class/use
Inhaled Glucocorticoid - QVAR and Flovent Oral Glucocorticoid - Prednisone Nasal Glucocorticoid - Flonase Long-term management of chronic asthma * Short-term management of post-exacerbation symptoms (oral)
35
Glucocorticoid Adverse Reaction
Inhaled = oral candidiasis Oral - suppression of adrenal function Nasal - dry mucus membranes, sore throat All - bone demineralization/muscle wasting Fluid and electrolyte imbalance hyperglycemia infection Headache
36
Glucocorticoid Interventions
Spacer for inhaled Alternate day dosing for oral give with food or meals observe for infection water and hard candy
37
Glucocorticoid Admin
Inhaled: use on reg schedule - not for acute attack Inhaled: use after beta 2 inhaler Oral: taper dose , long term = alternate day dosing Nasal: nasal metered dose device, use nasal decongestant first if blocked
38
Glucocorticoid Teaching
Rinse mouth/gargle after inhaler Never stop abruptly Perform weight bearing exercise
39
Glucocorticoid Contraindicaitons
Recent live vaccines fungal infections oral candidiasis
40
Glucocorticoid Interactions
furosemide (Lasix) increase risk of hypokalemia. * NSAIDs increase risk of gastrointestinal bleeding. * Effects of insulin and oral hypoglycemics are decreased.
41
Ipratropium (Atrovent) Class/Use
Inhaled Anticholinergics Relief of bronchoconstriction in clients who have COPD * Decreases secretions in clients with COPD
42
Ipratropium Adverse Reactions
Dry mouth, irritation of the pharynx * Increased intraocular pressure * Urinary retention
43
Ipratropium Interventions
Provide water and hard candy to client * Schedule routine testing for glaucoma. * Monitor urinary elimination patterns, especially in older adults.
44
Ipratropium Admin
Allow the prescribed time between puffs. * Delay use of other inhalants for 5 minutes. * Do not use as an emergency rescue medication. * Rinse the mouth after use to reduce unpleasant taste.
45
Ipratropium Precautions
Glaucoma * Prostatic hypertrophy * Bladder neck obstruction
46
Montelukast (Singular) Class/Use
Leukotriene Modifier Adjunctive therapy in the treatment of allergic rhinitis, asthma, and exercise induced bronchospasm
47
Montelukast (Singular) Adverse Reaction
Neuropsychiatric effects such as suicidal ideations
48
Montelukast (Singular) Interventions
Observe for behavioral changes
49
Montelukast (Singular) Admin
Take once daily in evening take 2 hrs before exercise for EIP - do not repeat dose for 24 hrs
50
Montelukast (Singular) Contraindications
Acute asthma exacerbations * Status asthmaticus
51
Cromolyn Class/Use
Mast cell stabilizer Long-term treatment of allergy-related asthma * Prophylaxis for exercise-induced bronchospasm * Prophylaxis for seasonal allergy symptoms * Management of allergic rhinitis (intranasally)
52
Cromolyn Admin
Use with a nebulizer or metered-dose inhaler. * Expect several weeks of use for full effects to become apparent. * Administer four times daily on a fixed schedule. * Use the inhaler 15 min before exercising to prevent exercise- induced bronchospasm (EIB) * Do not use to relieve an acute asthma exacerbation.
53
Theophylline Class/Use
Methylxanthines Long-term management of chronic asthma
54
Theophylline Adverse Drug Reaction
Rare at therapeutic levels N/V/D and dysrhymias when levels get high Toxic levels = seizures
55
Theophylline Interventions
Monitor plasma drug levels. * Give activated charcoal to decrease absorption - toxic * Prepare to initiate anticonvulsant therapy and institute seizure precautions. * Monitor heart rate and rhythm. * Give antidysrhythmics to restore heart rate and rhythm.
56
Theophylline Teaching
Reduce or eliminate caffeine intake. * Have periodic laboratory testing of drug levels.
57
Theophylline Contraindications
Clients with impaired metabolism * Tobacco or marijuana use * Caffeine
58
Theophylline Interactions
caffeine increase the risk of toxicity. * Phenobarbital, phenytoin (Dilantin), and nicotine increase metabolism of theophylline.
59
Acetylcysteine Class/Use
Mucolytic Decrease viscosity of mucous secretions * Reverse acetaminophen (Tylenol) overdose
60
Acetylcysteine Adverse Reactions
bronchospasm * Gastrointestinal distress due to rotten-egg smell of drug and ingestion of secretions (nausea, vomiting)
61
Acetylcysteine Interventions
Monitor respiratory status. Administer bronchodilator as needed. * Have suction available. * Administer antiemetic as needed.
62
Acetylcysteine Admin
Give via nebulizer that does not contain metal or rubber parts or direct instillation into tracheostomy tube. * Clear the airway before aerosol administration- * Assess the client’s ability to cough before administration. * Expect a sulfur-like (rotten egg) odor.
63
Acetylcysteine Teaching
lots of water
64
Acetylcysteine Contra and precautions
gastric bleeding asthma or hx of bronchospasm
64
Acetylcysteine Contra and precautions
gastric bleeding asthma or hx of bronchospasm
65
Phenylephrine Class/Use
Sympathomimetics Allergic rhinitis, sinusitis, and the common cold
66
Phenylephrine Adverse Reactions
CNS stimulation with oral agents (agitation, anxiety, insomnia) * Increased blood pressure * Tachycardia/palpitations * Rebound congestion with prolonged use of topical agents
67
Phenylephrine Interventions
Monitor for agitation, anxiety, and insomnia. * Administer a mild hypnotic or sleep aid. * Monitor blood pressure and heart rate.
68
Phenylephrine Admin
Only when needed topical - no more than 3-5 days or rebound congestion
69
Phenylephrine Teaching
* Report prolonged tachycardia or heart palpitations. * Do not use for more than 3 to 5 days. * Taper and discontinue the drug using one nostril at a time.
70
Phenylephrine Contraindications
Chronic rhinitis * Narrow angle glaucoma * Uncontrolled heart disease, dysrhythmia, or hypertension
71
Phenylephrine Interactions
MAOI Beta 2 agonist/ other stimulants = inc HTN
72
Neuromuscular Blocking Agents Meds What do they do?
Rocuronium Vecuronium Pancuronium Nondepolarizing neuromuscular blocking agents block acetylcholine (ACh) at the neuromuscular junction, resulting in muscle relaxation and hypotension. They do not cross the blood-brain barrier, so complete paralysis is achieved without loss of consciousness or decreased pain sensation.
73
Neuromuscular Blocking Agents Meds used
control spontaneous respiratory movements in clients receiving mechanical ventilation. ● Neuromuscular blocking agents are used during endotracheal intubation and endoscopy.
74
Neuromuscular Blocking Agents Meds Complication
Resp arrest
75
Neuromuscular Blocking Agents for pain?
No, not anesthetics and therefore have no effect on hearing, thinking, or ability to feel pain.

pharm 2 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions