Respiratory Meds Flashcards Preview

NCLEX-RN (4) Pharmacology > Respiratory Meds > Flashcards

Flashcards in Respiratory Meds Deck (21)
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1
Indication:

Short-acting bronchodilator

(rescue inhaler)

To treat acute asthma attack or acute COPD exacerbation

2
Generic names:

Short-acting bronchodilator

(rescue inhaler)

albuterol, levalbuterol

3
Most common side effects and nursing considerations:

Short-acting bronchodilator

(rescue inhaler)

Can cause tremors and tachycardia:

  • ​teach client that these symptoms will subside
  • avoid caffeine

4
Indication:

Long-acting bronchodilator

(maintenance inhaler)

To treat chronic asthma or COPD

5
Generic names:

Long-acting bronchodilator

(maintenance inhaler)

  • ipratropium, tiotropium
  • formoterol

6
Side effects and nursing considerations:

Long-acting bronchodilator

(maintenance inhaler)

Anticholinergic side effects (use caution if taking other anticholinergic meds):

  • causes blurry vision - implement safety / fall precautions
  • causes urinary retention - monitor intake and output
  • causes dry mouth - give candy or ice chips
  • causes constipation - encourage fluids/fiber/walking

"can't see, can't pee, can't spit, can't shit"

7

What are the steps to using an inhaler?  

Steps to using an inhaler:

  1. Use the bronchodilator first, then the steroid
  2. remove cap and hold inhaler upright
  3. shake inhaler
  4. tilt head back and breathe out
  5. press down on inhaler to release medicine
  6. breath in slowly for 3-5 seconds
  7. hold breath for 10 seconds
  8. wait 1 minute in between puffs

Click HERE for a video on inhaler use.

8
Indication:

Steroid inhalers

To decrease inflammation in the lungs

9
Generic names:

Steroid inhalers

  • beclomethasone, fluticasone, mometasone, triamcinolone
  • budesonide

10
Generic names:

Combination bronchodilator and steroid inhalers

  • albuterol/ipratropium
  • budesonide/formoterol
  • fluticasone/salmeterol

11
Indication:

theophylline

2nd choice bronchodilator

12
Most common side effects and nursing considerations:

theophylline

  1. assess for toxicity
    • nausea/vomiting/diarrhea
    • restlessness and insomnia
  2. avoid caffeine and smoking
    • can increase risk of toxicity

13
Therapeutic drug level:

theophylline

theophylline therapeutic level: 10 - 20

14
Indication:

Antiallergy drugs

To treat seasonal allergies or itching

15
Generic names:

Antiallergy drugs

  • diphenhydramine
  • hydroxyzine
  • loratadine
  • cetirizine, levocetirizine

16
Side effects and nursing considerations:

Antiallergy drugs

Anticholinergic side effects (use caution if taking other anticholinergic meds):

  • causes blurry vision - implement safety / fall precautions
  • causes urinary retention - monitor intake and output
  • causes dry mouth - give candy or ice chips
  • causes constipation - encourage fluids/fiber/walking

"can't see, can't pee, can't spit, can't shit"

 

17
Complete the sentence

_______ and  ______ is a common side effect of antiallergy drugs.

Sedation and dizziness is a common side effect of antiallergy drugs.

Implement safety and fall precautions.

18
Generic names:

Antituberculosis drugs

  • isoniazid
  • rifampin

19
Most common side effects and nursing considerations:

Antituberculosis drugs

  • nephrotoxic - check BUN, creatinine and urine output
  • ototoxic - check hearing and balance
  • hepatotoxic - check ALT and AST

Hold med and notify HCP if findings are abnormal.

20
Food-med interaction:

Antituberculosis drugs

Avoid foods with tyramine in clients taking TB drugs

Avoid "aged foods" such as:

  • aged cheese and meats
  • smoked and processed meats like sausage
  • soy sauce
  • beer and wine

Taking together can cause cardiovascular changes such as flushing, changes in BP and HR and chills.

 

21

What color do secretions turn when a client is on rifampin?

  • Secretions can be reddish-orange
  • Inform the client that is not harmful, but can stain clothing