Respiratory Drugs: Bronchodilators

Question 0

Minimal side effects. This medication has more localized effects.
What medication has these side effects?

Answer 0

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Question 1

Define Asthma?

Answer 1

Limitation to airflow that is reversible and intermittent.

Question 2

What are both the generic and trade name of two of the bronchodilators a nurse needs to know?

Answer 2

Albuterol / Proventil

Ipratropium Bromide / Atrovent

Question 3

This medication DOES NOT have systemic anti-cholinergic effects
What medication have these pharmacodynamics?

Answer 3

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Question 4

What is Asthma caused by?

Answer 4

Etiology: Cigarette Smoking and Chronic Lung Infections

Question 5

Use of _________ hairspray, deoderant, or lotion in the hospital can cause bronchial constriction in your patients.

Answer 5

Scented

Question 6

Used for the acute treatment of bronchospasm.
Used as a rescue inhaler.
What medication have these therapeutic effects?

Answer 6

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

Question 7

Teaching
Proper self administration
Rinse mouth after use
DO NOT use this medication for an acute asthma attack
What medication have these nursing interventions?

Answer 7

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Question 8

What type of patient takes bronchodilator medications?

Answer 8

Patients with Obstructive Pulmonary Diseases

Ex. Asthma, Emphysema, and COPD

Question 11

Nursing Interventions
Nebulizer or Inhalation Medication administration
What medication have these nursing interventions?

Answer 11

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

Question 12

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator
What does this medication treat?

Answer 12

Bronchial Asthma

Question 13

There are minimal Drug-Lab-Food Interactions but that can be increased when this medication is used with other anti-cholinergics.
What medication has interaction?

Answer 13

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Question 14

What is Asthma caused by?

Answer 14

Etiology: Genetics / Allergies / Pollutants / Stress

Question 15

Administer Beta 2-agonist inhaler (ALBUTEROL) 5 min before giving this medication to open up the airways to allow this medication to penetrate the airways more effectively.
What medication have these nursing interventions?

Answer 15

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Study Tip: This is given secondarily because it has a much longer onset and duration.

Question 16

What is the generic name for Ventolin?

Answer 16

Albuterol

Question 17

What response does an allergen have on the patient with asthma?

Answer 17

Overreaction of the airway to stimulus that is caused by an inflammatory response of the lungs can have various causes between people [Individualized]
There is only minimal damage to pulmonary tissue.

Question 20

Minimal adverse reactions due to low systemic absorption. This medication has more localized effects.
What medication has these adverse effects?

Answer 20

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Question 21

If a Severe asthma Attack give the patient Epinepherine.
Used in COPD: Used to treat both asthma and bronchitis
What medication have these therapeutic effects?

Answer 21

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

Question 22

Define COPD?

Answer 22

Limitation to airflow that is irreversible and chronic. This results in pathophysiological changes to the airway with COPD that is caused by an inflammatory response of the lungs.
-Primarily caused by cigarettes

Question 22

Stimulation of B2 adrenergic receptors in the lungs
Relaxation of bronchial smooth muscle
Results in reduced vasoconstriction and increased vasodilation
What medication have these pharmacodynamics?

Answer 22

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

Question 23

Triggers for ___________ include humidity, air pressure changes, smoke, temperature changes, exhaust fumes, perfumes, stress, emotional upset, exercise, animals, mold, work, dust mites, and foods.

Answer 23

bronchospasm

Question 24

What pathophysiological response does COPD have on the patient?

Answer 24

Increased dyspnea and mucus secretions.

Severe damage done to pulmonary tissue.

Question 24

___________ is characterized by periods of bronchospasms lung tissue is exposed to extrinsic and intrinsic factors that stimulate a bronchoconstrictive response.

Answer 24

Bronchial Asthma

Question 26

What is the Pathophysiology of Bronchial Asthma?

Answer 26

Allergens attach themselves to mast cells and basophils > Resulting in antigen-antibody reaction > stimulating chemical mediators (histamines, prostaglandins, and leukotrienes) which contribute to bronchoconstriction. Inflammmatory response > stimulates mast cells to degranulate releasing the chemical mediators histamine, serotonin, eosinophil, chemotactic factor of anaphylaxis [ECF-A], and leuotrienes which cause bronchoconstriction, bronchial edema, increased bronchial secretions which can close your patients airway if not resolved.

Question 27

Chest pain Tachycardia/Palpitations Cardiac dysrhythmias What medication has these adverse effects?

Answer 27

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

Question 28

What are three medications that can trigger bronchospasm?

Answer 28

NSAIDS Aspirin Ibuprofen

Question 28

What is the generic name for Proventil?

Answer 28

Albuterol

Question 29

Inhibits cholinergic receptors in bronchial smooth muscle causes bronchodilation and prevents bronchoconstriction What medication have these pharmacodynamics?

Answer 29

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Question 30

Stimulates SNS which effects the lungs causing Vasodilation. | What medication have these therapeutic effects?

Answer 30

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

Question 32

This medication is used as adjunctive management of bronchospasm in asthma it is commonly used after Albuterol or for prophylaxis. What medication have these therapeutic effects?

Answer 32

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Question 33

What is the therapeutic classification of Albuterol Proventil/Ventolin?

Answer 33

Beta2 Adrenergic Bronchodilator

Question 34

When using inhalers which do you give first the bronchodilator or the corticosteroid?

Answer 34

Use Albuterol 1st if using many inhalation drugs because it works the fastest to open the airways. Corticosteroid is given later to fully penetrate the dilated airways.

Question 35

Why do you rinse your mouth and the mouthpiece after using an albuterol inhaler vs. a corticosteroid inhaler?

Answer 35

Rinse mouth after dose: Albuterol to prevent dry mouth Corticosteroids to prevent oral infections Rinse mouth piece on the inhaler too because the medication will go from the cap back onto the mouthpiece.

Question 36

Patient Teaching: Self administration of inhaler Correct Inhaler Use Contact Physician if shortness of breath not relieved by medication What medication have these nursing interventions?

Answer 36

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

Question 37

PROPER USE OF INHALER

Answer 37

SEE POWERPOINT

Question 39

How do you measure the amount of medication left in an inhaler?

Answer 39

Put inhaler in a bowl of water to see how much medication is left. When full it will sink. When empty it will float. Another way to measure how much medication you have left is to measure the amount of puffs required per day divided by the number of puff in the canister. Ex. 200 puffs total in canister / 8 puffs per day = 25 days worth of medication Dont want patient ot run out in an emergency and not have any.

Question 39

What is the difference between Ipratropium Bromide and Albuterol?

Answer 39

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator Albuterol Proventil / Ventolin: Beta2 Adrenergic Bronchodilator

Question 39

This medication is Anti PSNS. | This medication causes bronchodilation. What is the name of this medication?

Answer 39

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Question 40

Maintenance therapy for asthma because it is an anti-bronchial constrictor. Albuterol is actually forcing the bronchioles to dilate. What medication have these therapeutic effects?

Answer 40

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator

Question 41

What is the therapeutic classification of Ipratropium Bromide / Atrovent?

Answer 41

Anticholinergic Bronchodilator

Question 42

Combivent is an inhaler with both Albuterol + Atrovent if given as an SVN treatment the medication is called __________.

Answer 42

DUONEB

Question 43

``` Nervousness COMMON Restlessness COMMON Tremor COMMON Dizziness What medication has these side effects? ```

Answer 43

Albuterol Proventil/Ventolin: Beta2 Adrenergic Bronchodilator

Question 43

What is the generic name for the medication Atrovent?

Answer 43

Ipratropium Bromide

Question 43

This medication is NOT for treatment of an acute asthma attack or exacerbation. In these cases administer albuterol. What medication has this nursing intervention?

Answer 43

Ipratropium Bromide / Atrovent: Anticholinergic Bronchodilator Study Tip: This is contraindicated in patients with acute asthma attacks because it takes a long time to reach it's therapeutic effect.

Question 44

Anticholinergics have the same pathophysiological effect on the body as what therapeutic class of medication?

Answer 44

Andrenergics

Question 45

What does Xerostomia mean?

Answer 45

Dry mouth