Respiratory drugs?

Question 1

what are examples of brochodilators?

Answer 1

Xanthines, beta agonists, anticholinergics

Question 2

Xanthines drugs are?

Answer 2

-theophylline
-very powerful
-narrow Therapeutic index (10-20) (don’t give after 20)

Question 3

what are the side effects of Xantines?

like coffee

Answer 3

tachycardia and palpitations (pounding feeling)

Question 4

beta agonists are for?

Answer 4

acute bronhospasm
-short term (SABA) 4hr
-rescue drug

Question 5

what are the S&S of beta agonist?

Answer 5

tachycardia, n/v when inhaled

Question 6

what does SABA/LABA stand for?

Answer 6

short acting beta agonist
long acting beta agonist

Question 7

anticholingerics drug function?

Answer 7

-blocks ACh receptors (blocks parasympathetic nervous system)
-has sympathetic effects

Question 8

what are the S&S of anticholingerics?

Answer 8

dry mouth, urinary retention

Question 9

examples of medications for anticholinergics?

Answer 9

ipratropium, atropine, spiriva, combivent

Question 10

what are some examples of maintenance medication

Answer 10

leukotriene receptor antagonist (LTRA)
Corticosteroids (Glucorticoids)
Mast cell stabilizers

Question 11

who is incharge of the biosynthesis of prostaglandins, thromboxanes, and leukotrienes?

Answer 11

arachidonic acid

Question 12

leukotriene receptor antagonist (LTRA) function?

Answer 12

decrease inflammation by blocking LT

Question 13

Corticosteroids (Glucorticoids) is?

Answer 13

anti-inflammatory drug (has strong adverse effects)
-ex: MDI (is inhaler)

Question 14

if a pt hasa MDI (metered dose inhaler) the nurse should tell the pt to?

Answer 14

rinses mouth (cuz med can cause infection)
—> leads to inflammation–> decreases protection

Question 15

mast cell stabilizers are?

Answer 15

prevent histamine release (stops granulation)
-ex: cromolyn (Intal)

Question 16

mast cells make what important protein?

Answer 16

histamine

Question 17

SABA examples?

Answer 17

albuterol (PO, Parental, inhaler)

Question 18

what do u need assess before giving albuterol?

Answer 18

heart rate increases (med affects heart-beta 1)
-Breath sounds

Question 19

levabuterol affects?

Answer 19

beta 2 (only lungs) does not increase HR
-more commonly used

Question 20

what is the trade name for albuterol and levbuterol?

Answer 20

Proventil
Xopenex

Question 21

LABA example?

Answer 21

salmeterol xinafoate (same as albuterol BUT lasts LONGER)
-has higher death rate

Question 22

salmeterol xinafoate trade name

Answer 22

serevent

Question 23

Methlxanthines example and function?

Answer 23

theophylline
-can cause: increase HR and palpitations
-related to caffine

Question 24

anticholinergics example?

Answer 24

ipratropium bromide (Atrovent)

Question 25

Mast cell stabilizers example?

Answer 25

cromolyn sodium (Intal) -common -ONLY inhaler!

Question 26

corticosteroids examples

Answer 26

can be: PO, IV, Inhaler Prednisone (deltasone)-PO and strong Beclovent (QVAR)- inhaler Flunisolide

Question 27

prednisone side effects?

Answer 27

edema, weight gain, GI bleed, infx

Question 28

Leukotriene receptor antagonists examples?

Answer 28

montelukast (singulair) zafirlukast (accolate) zileuton (Zyflo)

Question 29

LRA MOA?

Answer 29

blocks inflammation and glucotride