_____ is a chronic inflammatory disorder of the airways that is intermittent and has reversible airflow obstruction that affects the bronchioles.
What is asthma. Pg 125
100
What is the therapeutic range for theophylline?
What is 5-15 mpg/mL. pg 126
100
A patient comes in the ED with status asthmaticus. What drug can be used to stop this?
What is an IV glucocorticoid such as hydrocortisone or methylprednisone. pg 128
100
What problem would be present for a patient to be prescribed codeine?
What is chronic non productive cough. pg 133
100
What is the pharmacological action of Acetylcysteine, a mucolytic?
What is thin and enhance the flow of secretions. pg 134
200
Asthma medications are often used to treat this disorder because of the inflammatory and bronchoconstriction properties.
What is COPD. pg 125
200
How do inhaled anticholinergics such as ipratropium work pharmacologically?
What is block muscarinic receptors of the bronchi -> bronchodilation. pg 127.
200
Why should prednisone not be used for more than 10 days?
What is suppression of adrenal gland function. pg 128
200
Why could CNS side effects, such as dizziness and respiratory depression, possible with codeine?
What is action - suppresses cough through its action on the CNS to increase cough threshold. pg 133
200
You receive an order for IV acetylcysteine for a patient. What would be the suspected problem for this patient?
What is acetaminophen overdose. pg 134
300
What is the pharmacological action of albuterol?
What is Beta 2 adrenergic agonist. Act by selectively activating the beta 2 adrenergic receptors in the bronchial smooth muscle -> bronchodilator. pg 125
300
What are some expected side effects of taking ipratropium?
What is local anticholinergic effects as it is inhaled. pg 127
300
What are the side effects of prednisone? (3)
What is suppression of adrenal gland function, bone loss, hyperglycemia, myopathy, PUD, infection, and disturbances in F & E. pg 128
300
What are 2 contraindication for the administration of codeine?
What is those with respiratory depression, acute asthma, head trauma, liver and renal dysfunction, and acute alcohol use. pg 133
300
For what problems would phenylephrine be administered?
What is allergic or nonallergic rhinitis and sinusitis as it relieves nasal stuffiness. pg 135
400
A patient calls into the clinic with complaints of chest pain after taking a new prescription for terbutaline orally for the past week. What could cause this to happen?
What is oral agents (such as Terbutaline) can cause tachycardia and angina due to activation of alpha 1 receptors in the heart. pg 125.
400
A patient complains of a bad taste in his mouth after taking tiotropium. What could you educate the patient about?
What is rinse mouth out with water after inhalation. pg 127
400
A patient is prescribed albuterol and budesonide inhalations. What med should be given first?
What is beta 2 agonist (budesonide). pg 129
400
A patient is prescribed dextromethorphan and nonopijoid antitussive and voices concerns about him abusing the medication. What would be an appropriate response to this concern?
What is There is some potential for abuse as you can have an euphoric feeling in high doses. pg 133
400
A patient is prescribed diphenhydramine. What is the expected pharmacological action of this drug?
What is H1 receptor histamine related - blocking of histamine release from small blood vessels and nerves during allergic reactions. pg 136
500
Why would a patient be prescribed theophylline?
What is long term control of asthma or COPD. pg 126
500
A patient has been prescribed oral prednisone for an asthma exacerbation. He asked the nurse why he had an asthma attack after he took the medication that morning. What education is necessary for this patient?
What is does not provide immediate effects. pg 128
500
What is the expected pharmacological action of Montelukast, a leukotriene modifier?
What is suppress the effects of leukotrienes -> decreased inflammation, bronchoconstriction, airway edema, and mucus production. pg 129
500
A patient is prescribed guaifenesin. In your teaching, you advise the patient to drink more water. Why?
What is medication works by liquifying and thinning secretions. which will allow patients to more easily cough up secretions from the lungs. pg 134
500
A patient is prescribed fluticasone, which you immediately know is a nasal glucocorticoid given for seasonal allergic rhinitis. He asks why he continues to have itching and running nose even though he has been taking the medication for a week now. What is your response?
What is make take 7d or more for maximal relief. pg 137