Respiratory meds part 2

Question 1

cetacaine spray trade name

Answer 1

hurricane spray

Question 2

cetacaine spray class

Answer 2

topical anesthetic

Question 3

cetacaine spray description

Answer 3

benzocaine is an ester, a compound made from the organic acid PABA( para-aminobenzoic acid) and ethanol. Pain is caused by the stimulation of nerve endings. When the nerve endings are stimulated
sodium enters the nerve ending, which causes an electrical signal to build up in the nerve. Once
the electrical signal becomes big enough, it is able to travel to the brain, which then interprets
this as pain.
Esters of PABA work as a chemical barrier, stopping the sodium from being able to enter the
nerve ending.

Question 4

cetacaine spray onset

Answer 4

15-30 seconds

Question 5

cetacaine spray duration

Answer 5

N/A

Question 6

cetacaine spray indications

Answer 6

indicated for the production of anesthesia of all accessible mucous membrane except the eyes and to control pain and gagging

Question 7

cetacaine spray contraindications

Answer 7

known hypersensitivity

Question 8

cetacaine spray adverse reactions

Answer 8

methemoglobinemia has been reported following the use of benzocaine on extremely rare occasions. IV methylene blue is the specific therapy for this condition

Question 9

cetacaine spray adult dose

Answer 9

should be applied for approximately one second or less for normal anesthesia

Question 10

cetacaine spray special considerations

Answer 10

n/a

Question 11

oxymetazoline trade name

Answer 11

afrin

Question 12

oxymetazoline class

Answer 12

decongestant

Question 13

oxymetazoline description

Answer 13

stimulates smooth muscle adrenergic receptors producing vasoconstriction and reducing nasal congestion

Question 14

oxymetazoline onset

Answer 14

10 minutes

Question 15

oxymetazoline duration

Answer 15

up to 12 hours

Question 16

oxymetazoline indications

Answer 16

nasal congestion

Question 17

oxymetazoline contraindications

Answer 17

hypersensitivity
MAO use within 14 days
use with caution in patients with heart issues
hyperthyroidism
DM
prostatic hypertrophy
glaucoma

Question 18

oxymetazoline adverse reactions

Answer 18

slow/fast heart rate
palpitations
dizziness
nausea
headache
mood changes

Question 19

oxymetazoline adult dose

Answer 19

2-3 sprays in each nostril every 10-12 hrs as needed

Question 20

oxymetazoline special considerations

Answer 20

n/a

Question 21

racemic epinephrine trade name

Answer 21

micronefrin

Question 22

racemic epinephrine class

Answer 22

sympathomimetic

Question 23

racemic epinephrine description

Answer 23

As with other forms of epinephrine, racemic epinephrine acts as a bronchodilator that
stimulates beta-2 receptors in the lungs, resulting in relaxation of bronchial smooth muscle.
This alleviates bronchospasm, increases vital capacity, and reduces airway resistance. Racemic
epinephrine is also useful in treating laryngeal edema. It inhibits the release of histamine.

Question 24

racemic epinephrine onset

Answer 24

5 minutes

Question 25

racemic epinephrine duration

Answer 25

1-3 hours

Question 26

racemic epinephrine indications

Answer 26

broncial asthma treatment of bronchospasms croup laryngeal edema

Question 27

racemic epinephrine contraindications

Answer 27

hypertension cardiovascular disease epiglottitis

Question 28

racemic epinephrine adverse reactions

Answer 28

tachycardia dysrhythmias

Question 29

racemic epinephrine adult dose

Answer 29

Dilute 0.5 mL (1% or 2.25%) in 5 mL of saline; administer over 15 minutes

Question 30

racemic epinephrine special considerations

Answer 30

pregnancy safety category C

Question 31

terbutaline trade name

Answer 31

brethine

Question 32

terbutaline class

Answer 32

sympathomemetic

Question 33

terbutaline description

Answer 33

bronchodilator increases heart rate

Question 34

terbutraline onset

Answer 34

5-15 minutes

Question 35

terbutaline duration

Answer 35

1.5-4 hours

Question 36

terbutaline indications

Answer 36

bronchial asthma reversible bronchospasms assoctiate with copd preterm labor

Question 37

terbutaline contraindications

Answer 37

hypersensitivity

Question 38

terbutaline adverse reactions

Answer 38

palpitations tachycardia premature ventricular contractions anxiety tremors headache

Question 39

terbutaline adult dose

Answer 39

SUBQ 0.25 mg

Question 40

terbutaline special considerations

Answer 40

n/a

Question 41

xylocaine gel trade name

Answer 41

n/a

Question 42

xylocaine gel description

Answer 42

inhibits sodium channels, stabilizing cell membranes and inhibiting nerve initiation

Question 43

xylocaine gel onset

Answer 43

within 5 minutes

Question 44

xylocaine gel duration

Answer 44

20-30 minutes

Question 45

xylocaine gel indications

Answer 45

topical anethesia prior to nasal traceal intubation attempt

Question 46

xylocaine gel contraindications

Answer 46

hypersensitivity local infection at site traumatized mucosa teething pain

Question 47

xylocaine gel adverse reactions

Answer 47

anaphylactoid reactions cns stimulation cns depression cardiac arrest seizures arrythmias coma

Question 48

xylocaine gel adult dose

Answer 48

depends on procedure

Question 49

xylocaine gel special considerations

Answer 49

n/a

Question 50

Xylocaine Gel Class

Answer 50

topical anesthetic