Respiratory Disorders & Drug therapy

Question 1

COPD symptoms

Answer 1

cough, dyspnea, underweight, fatigue

Question 2

COPD diagnostics

Answer 2

CXR, ABG, ECG (WBC for infection), spirometry

Question 3

COPD drug therapy

Answer 3

bronchodilators & inhaled corticosteroids
Albuterol (short), Ipratropium (long), fluticasone & budesonide (corticosteroids)

Question 4

Bronchodilators

Answer 4

Albuterol (short acting) & Ipratropium (long acting)

Question 5

Inhaled corticosteroids

Answer 5

Fluticasone & Budesonide

Question 6

Bronchodilator SE

Answer 6

tremors, palpitations, unusual taste

Question 7

Inhaled corticosteroids SE

Answer 7

hoarseness, headaches, decreased bone density, high risk for pneumonia, high risk for thrush

Question 8

Pneumonia symptoms

Answer 8

cough, fever, chills, tachycardia, tachypnea, dyspnea, pleural pain, malaise, diminished breath sounds

Question 9

Pneumonia diagnostics

Answer 9

CXR, CBC (WBC), sputum studies

Question 10

Valley fever symptoms

Answer 10

similar to pneumonia except for SKIN RASH

Question 11

Valley fever diagnostics

Answer 11

biopsy, sputum studies, blood test

Question 12

Valley fever meds

Answer 12

Antifungal: Fluconazole and Amphotericin B

Question 13

Antifungal SE

Answer 13

GI upset

Question 14

Tuberculosis symptoms

Answer 14

severe cough, night sweats, thick sputum, unexplained wt. loss, fatigue, malaise, hemoptysis (in advanced TB)

Question 15

Tuberculosis diagnostics

Answer 15

TB skin test, CXR, sputum studies (3 on 3 different days), interferon release assays

Question 16

Tuberculosis meds
how long is treatment

Answer 16

RIPE, up to 18 weeks

Question 17

RIPE SE

Answer 17

Rifampin: orange discoloration of body fluids
Isoniazid: peripheral neurotoxicity (supp. w vitamin B6)
Pyrazinamide: skin rash
Ethambutol: retrobulbar neuritis (irritation behind eyes)

Question 18

Rhinitis symptoms

Answer 18

sore throat, sneezing, runny/stuffy nose, fatigue, mild cough

Question 19

Influenza symptoms

Answer 19

FEVER, HEADACHE, BODY ACHES, cough, fatigue, sore throat, chills, sneezing, stuffy nose

Question 20

Covid-19 symptoms

Answer 20

SOB, LOSS OF SMELL/TASTE, fever, dry cough, fatigue, sore throat, body aches, headaches, chills, stuffy nose

Question 21

Covid-19 meds

Answer 21

Antiviral: Paxlovid (SE: hypertension)
Remdesivir (SE: nausea, hyperglycemia)

Question 22

Antihistamines meds

Answer 22

Diphenhydramine (1st gen)
Cetirizine, Loratadine, Fexofenadine (2nd gen)

Question 23

Antihistamines SE

Answer 23

drowsiness, n/v/d, fatigue, dizziness, thickened bronchial secretions

Question 24

Antihistamines contraindications
Drug-to-drug interactions

Answer 24

DO NOT USE WITH ASTHMA PTS
No ETOH use

Question 25

Antitussives function

Answer 25

cough suppressant for nonproductive cough

Question 26

Antitussives meds

Answer 26

Dextromethorphan (Robitussin DM)

Question 27

Antitussives contraindications

Answer 27

COPD & asthma

Question 28

Decongestants

Answer 28

vasoconstriction of nasal capillaries; reduces swelling and inflammation of nasal passages

Question 29

Decongestant meds

Answer 29

Pseudoephedrine

Question 30

Decongestant SE

Answer 30

jittery, nervousness, restless, hypertension, hyperglycemia

Question 31

Decongestant contraindications Drug-to-drug interactions

Answer 31

hypertension, hyperthyroidism, cardiac disease, DM Beta blockers

Question 32

Mucolytics

Answer 32

loosens mucous

Question 33

Mucolytics meds

Answer 33

Acetylcysteine

Question 34

Mucolytics SE

Answer 34

severe n/v, bronchospasm

Question 35

Mucolytics med information

Answer 35

malodorous hepatoprotective when PO used for Tylenol OD

Question 36

Expectorants

Answer 36

loosen & thins mucus to make it easier to cough up

Question 37

Expectorants meds

Answer 37

Guaifenesin & Dextromethorphan

Question 38

Expectorant SE

Answer 38

drowsiness, headache, GI upset

Question 39

Asthma

Answer 39

inflamed, narrow, swollen airway

Question 40

Asthma meds

Answer 40

bronchodilators & inhaled corticosteroids albuterol, ipratropium, fluticasone, budesonide

Question 41

Meter dose inhalers

Answer 41

deliver controlled dose of medication with each compression

Question 42

Nasal cannula

Answer 42

1-6L, do not exceed 6L

Question 43

Simple mask

Answer 43

5-8L ; 40-60 % O2

Question 44

Nonrebreather

Answer 44

12-15L ; 80-95% O2

Question 45

Venturi mask

Answer 45

4-10L ; 24-40% O2 monitor FiO2 ; controlled O2 concentrations

Question 46

High flow cannula

Answer 46

60L ; 100% O2 FiO2