1
An aerosol
What is the difference between 1st generation and 2nd generation antihistamines?
1st are more sedating (diphenhydramine, promethazine, dimenhydrinate)
What is the common prototype of opioid antitussives?
Codeine
How long does albuterol, levalbuterol work?
Lasts only 2-6 hours
How long should you wait in between puffs of an inhaler?
1 minute between puff, 5 minutes between medications
What device is activated by the process of inhalation to deliver fine powder directly to the bronchial tree
Dry powder inhaler
Who should not use antihistamines?
Under 2, cardiac dysrhytmias, liver disease, taking MAOIs
This type of non-opioid antitussive is chemically similar opioids and acts on the CNS to raise the cough threshold.
Dextromethorphan DM
This type of Beta 2-Adrenergic Agonists is for immediate symptom relief of bronchospasm and asthma
Short acting (SABA)
Long term use of corticosteroids leads to what?
Suppression of adrenal gland function
What machine vaporizes a liquid drug into a fine mist that can be inhaled?
Nebulizer
What are the first line drugs for treating nasal congestion/allergic rhinitis?
Intranasal glucocorticoids (mometasone, fluticasone, triamcinolone, budesonide)
This medication has local anesthetic-like effect on stretch receptors in the lung?
Benzonatate (Tessalon)
This type of beta2-Adrenergic Agonists prevents and is long term management for Asthma
Long acting (LABA)
True or false: Take corticosteroid before bronchodilator.
False! B (bronchodilator) before C (corticosteroid)
What drugs are the most effective at relieving nasal congestion?
Sympathomimetics (dopamine, norepinephrine, epinephrine, etc)
True or false: decongestants should be used for no longer than 5-7 days
False. Should not be used longer than 3-5 days and taper down.
What are the nursing considerations regarding expectorants?
Increase fluids, take with full glass of water, report if cough lasts >1 week, check ingredients in other medications
This type of drug smells like rotten eggs
Mucolytics
Theyophylline is what type of drug?
Methylxanthines (long term control of asthma and COPD)
What is the rebound effect?
The opposite occurs or worsening of symptoms
Why is an ID needed to purchase Sudafed?
High potential for abuse
This type of medication is often combined with antitussives or decongestants
Guaifenesin (Mucinex)
This can be given as a 5% oral solution for acetaminophen overdose
Acetylcysteine
What should be avoided with COPD?
Beta blockers and respiratory depressants