F
G
H
I
J
100
You would check these 2 values before giving colony stimulating factors
What is a hgb and platelet count. call MDfor hgb is 12 or more and platelet count is 50K or more. will probably put on hold
100
this is a common way to measure airway function
What is peak expiratory rate flow
100
a decrease in PERF of 15-20% occurs when
What is narrowing of the airways
100
this happens when the PERF is below 50% of the normal range.
What is dangerously low airflow in an out of airways.
100
this respiratory disorder is a combination of chronic bronchitis and emphysema
What is COPD?
200
this is a squeaky snorelike sound made when air moves through narrowed arways
What is a wheeze
200
these can be called rescue drugs because they provide rapid but short-term relief. example albuteral
What ae short acting beta2 adrenergic agonists-SABAs.
200
these are used to prevent an asthma attack because effects last longer but not used as a rescue. taken daily. example salmeterol
What are LABAs? long acting beta2 adrenergic agonists
200
blood levels of these drugs mist be monitored closely for side effects since the level that causes dangerous side effects is not much higher then level to open the bronchioles.
What is methylxanthines. 10-20 mcg/mL
200
the most dangerous side effect of mexylxanthines will have s/s of elevated temp, tremors, restlessness and tachycardia
What is cardiac and CNS overstimulation
300
the loading dose of this drug is 5-7 mg/Kg Iv as a loading dose and maintenance is o.4-0.7 mg/kg/hr
What is aminophylline
300
using an inhaler too often allows it to enter the blood stream causing these kind of effects
What is systemic effects? absorbed through the mucus membranes of the mouththroat or respiratory linings. systemic effects include fast heart rate, elevated blood pressure, a feeling of nervousness, and difficulty sleeping. that is also why a pill is not given because of causing these effects.
300
patients need to do this if they develop a rash, have chest pain or dizziness shortly after using an inhaler
What is notify physician.
300
you must do this before and after giving a bronchodilator inhaler
What is check lung sound to look for improvement
300
must always do this since an adverse effect of mexylxanthines is increased CNS activity with possible seizures
What is temperature and mental status? check hands for tremors. must use iv controller or pump to give IV
400
should never wash or place this in water since it will clump
What is a dry powder inhaler
400
pt should always carry this type agent such as Maxaire or brethine in case they feel breathless
What is a short acting beta agonist-SABA? see drugs on p. 332
400
arthritis can make this difficult for older patients who need to use a dry powder inhaler
What is arthritis
400
this mast cell stabilizer is a LABA not a SABA
What is cromolyn? p. 338
400
when used excessively, inhaled corticosteroids can cause adrenal gland suppression just as oral ones can. this causes a local immune response of having this type of oral infection
What is yeast infection? document and notify MD to get med for yeast infection. do not stop the inhaler
500
monitor a patient for taking this type drug for decreased liver function, including constant fatigue, itchy skin, and jaundice
What are leukotriene inhibitors? know LFTs and values
500
once a person has begun taking benzodiazepines such as Klonopin, this will happen if they suddenly stop taking them
What is withdrawal symptoms such as nervousness restlessness tremulousness weakness and seizures? may feel like they are in a fog when taking. will need to take in lower dosages and not stop them.
500
this category of antianxiety drugs should not be used in pregnancy or if planning on becoming pregnant since it is a category D/X
What are benzodiazepines? such as valium and librium
500
you can prevent this by increasing fluid intake, increasing fiber and getting plenty of exercise
What is constipation
500
the signs of this includes black tarry stools, diarrrhea, abdomen pain, or persistent headaches
What is bleeding and possible hypovolemia? p. 367