Interactions
Client Education
Evaluation of Medication Effectiveness
Prototypes
Miscellaneous
100
Interaction with Beta2-adrenergic Agonists
What is MAOIs, Tricyclic antidepressants, and other Beta2-adrenergic Agonists
100
Client Education for Beta2-adrenergic Agonists
What is teaching the client to follow manufacturer's instructions for inhaler use, and teaching the client to observe for impending asthma attacks, keep of log of frequency and intensity and to notify provider of any increases in frequency and intensity of asthma attacks 
100
Evaluation of effectiveness for Beta2-adrenergic Agonists

What is effectiveness evident by:

- long-term control of asthma

- prevention of exercise-induced asthma

- resolution of asthma exacerbations as evidence by absence of SOB, clear breath, clear breath sounds, absence of wheezing, and return of respiratory rate to baseline

100
Prototype for inhaled anticholinergics
What is Ipratropium? 
100
Teaching clients about reporting in Beta2-adrenergic antagonists
What is chest, jaw, or arm pain, or palpitations?
200
Interactions with Methylxanthines
What is caffeine, Phenobarbital, Phenytoin, Rifampin, Cimetidine, Ciprofloxacin, and Fluoroquinolone antibiotics
200
Client education for Methylxanthines 
What is teaching the client to take medication as prescribed, not to double dosage after a dose is missed, and teaching the client not to chew or crush sustained release preparations 
200
Evaluation of effectiveness for Methylxanthines
What is effectiveness evident by long-term control of asthma and COPD
200
Prototype of methylxanthines
What is theophylline? 
200
Serum theophylline therapeutic levels
What is 5-15mg/mL?
300
Interactions with inhaled Anticholinergics 
What is no interactions listed for Inhaled Anticholinergics 
300
Client education for Inhaled Anticholinergics 
What is teaching the client to:

- rinse mouth after inhalation to decrease unpleasant taste

- wait appropriate amount of time between puffs

- wait 5min between taking two different inhaled medications

- not to swallow tiotropium capsules because an inhalation device is used for administration of the capsule

300
Evaluation of effectiveness for Inhaled Anticholinergics

What is effectiveness evident by:

 - control of bronchospasm in clients who have COPD

- prevention of allergen-induces and exercise-induced bronchospasm

300
Prototype for Beta2-adrenergic agonists
What is Albuterol? 
300
Teaching for inhaled anticholinergics about dry mouth
What is sipping fluids and sucking on sugar-free hard candies? 
400
Interactions with Glucocorticoids
What is potassium-depleting diuretics, NSAIDs, glucocorticoids, and hypoglycemic agents 
400
Client education for Glucocorticoids
What is teaching the client to

- use Glucocorticoid inhalers on a regular, fixed schedule for long-term therapy of asthma, not to treat an acute episode

- administer using an MDI device, DPI or nebulizer


400
Evaluation of effectiveness for Glucocorticoids
What is effectiveness evidence by:

- long-term control of asthma

- resolution of acute exacerbation as demonstrated by absence of SOB, clear breath sounds, absence of wheezing, and return of respiratory rate to baseline

400
Prototypes for glucocorticoids
What are beclomethasone (inhalation) and prednisone (oral)?
400
Time frame for oral glucocorticoid use in acute asthma exacerbation
What is 3 to 10 days? 
500
Interactions with Leukotriene modifiers
What is Zileuton and Zafirlukast interacting with Warfarin and Theophylline

What is Montelukast interacting with Phenytoin

500
Client education for Leukotriene modifiers
What is teaching the client to:

- take Zileuton 1hr before meals

- avoid taking Zafirlukast with food

- take montolukast once daily at bedtime, 2hrs before exercise for exercise-induced bronchospasm

- not take additional dose for exercise-induced bronchospasm when taking a daily dose of montelukast

500
Evaluation of effectiveness for Leukotriene modifiers 
What is effectiveness is evident by long-term control of asthma
500
Prototype for leukotriene modifiers
What is montelukast? 
500
Nurse should increase glucocorticoids 
What is when endures stress? 
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