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Flashcards in Respiratory Drugs Deck (46):
1

Adrenergic medications SE

tachycardia, anxiety, hypertension, insomnia

2

Examples of adrenergic medications (OTC)

ephedrine
pseudoephedrine (sudafed)
phenylephrine
oxymetazoline (afrin)

3

watch for rebound congestion in this drug

oxymetazole (afrin)

4

route adrenergic medications are delivered

benefit?

nasal spray
directly into sinus and internal tissue

(delivered directly to site)
LOWER DOSES
LESS SIDE EFFECTS

5

Patients sinus membranes become addicted to

Afrin

6

When the pt stops using afrin what happens to the mucus membranes

complete closure of the mucus membranes

7

signs of meth exposure

jitterness
tachycardia
anxiety
insomnia

8

signs of meth exposure in kids

hyperactive

9

Antihistamines are used for which diseases

Sinusitis inflammation of the sinus
Allergic Rhinitis - runny nose-allergies
Anaphylaxis- severe allergic reax

10

in the case where sinusitis/allergic reactions what would we use to calm down the response

H 1 histamine blockers

11

H1 receptor antagonists 1st generation versus second

"class"

1st sedating
2nd non sedating

antihistamine

12

benadryl "class"

first gen antihistamine

13

vistaril "class"

first gen antihistamine

14

Patient education 1st generation antihistamine

do not smoke in bed
dont mix with alcohol or sedatives

15

Zyrtec

2nd generation

16

Clarinex

2nd generation

17

Patient education 2nd generation antihistamine

they say they are non sedating, but people get sedative effect from them

18

function of bronchodialators

constrict blood vessels, dilate the bronchi and alveoli

19

Bronchodialators are used for which diseases

asthma
COPD
bronchitis
others that result in deoxygenation

20

Adrenergic bronchodialators function
Name of drug

Perscription or OTC

vasoconstrict blood vessels but vasodialate the bronchi and alveoli

Primatene mist
Epipen

OTC

21

Which drugs aren't recommended and why?

adrenergic bronchidialators- OTC
adrenergic beta 2 agonists are recommended- Perscibed

Reason: pt is masking underlying condition
risk: stroke MI hypertension.
They are not getting better!

22

Epi-pen- drug name
route
function

Epinehrine
IV or sub Q

23

Adrenergic Beta 2 Agonists function

prescription or OTC

recommended

Stimulate beta2 receptor in lungs and cause dilation

prescription

24

long acting adrenergic beta 2 agonists

servant

only long one, rest are short acting

25

short acting adrenergic beta 2 agonists

albuterol
xopenex

26

which adrenergic beta 2 agonists are good for kids and adults

albuterol
xopenex

b/c available in liquid/oral form

27

a drug given orally generalized SE

higher dose so more side effects

28

long action inhalers versus short

prevention an asthma attack
taken at regular intervals

short aka rescue inhalers are taken when theres an attack (even if someone is already on serevent)

29

Spacers are recommended for

children and adults since it req hand-eye coordination

30

promotes bronchodialation via CNS stimulant

methylaxnthines - theophylline and aminophylline

31

while on methylaxnthines watch for

toxicity
avoid caffeine (because CNS stimulant)

32

Reduces theophylline levels

PPR cat purring and is calm PPR

Phenobarbital
Phenytoin
Rifampin

33

increases theophylline levels

Fluoroquinone antibiotics
cimetidine

34

people who take servant also need

rescue inhaler
inhaled coricosteriod - when they get really sick

35

glucocorticoids watch for

immunosuppression- steriods are immune suppressants
adrenal supression
(inhaler) watch for local immunosupresion - thrush

36

thrush aka

oral mycosis

37

how to use an inhaler

take 2 puffs
wait 1-5 minutes for second puff
rinse mouth after

this allows dialation of the alveoli

38

when stressed, advised patients to

supplement inhaled steriods with oral dosing (more potent)

39

route: accolate leukotrine modifier

oral dont give w/ food

40

Benylin

Nonnarcotic
used for colds
metabolizes into opioids in the body

41

expoectorants examples
pt education

robitussin
mucinex

"you are going to cough up phelgm" so they dont think they are getting sicker

42

Example of mucolytics

mucomyst- nebulizer

43

herb that is useful for reducing symtoms of the common cold

echinacea

44

cold medications should not be given to children under

2

45

main drug used to treat TB

INH

46

whhat do we treat viral infections with

antibiotics and antivirals! we do treat a virus with antibiotics