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Respiratory Drugs 2
Respiratory Drugs 2
29
Nursing
Undergraduate 2
03/21/2012

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Cards

Term
This type of drug prevents the release of histamine from the mast cells?
Definition
Antiallergy Agent
* must be used before histamine is released
Term
An example of an antiallergy agent?
Definition
- Cromolyn sodium
Term
What is a nursing intervention when giving Allegra?
Definition
give with food to decrease GI irritation
Term
Nursing assessment before giving an antiallergy agent?
Definition
- check history
- obtain baseline VS, and lung sounds
- assess for expected effects
- assess for adverse effects
Term
What are some expected effects of an antihistamine?
Definition
- decrease vomiting (antiemetic)
- decrease dizziness and vomiting (motion sickness)
- drowsiness or sleepiness
Term
What are some adverse effects of antihistamines?
Definition
- excess sedation
- paradoxical reaction
- dry mouth, blurred vision, urinary retention, constipation
- nausea and vomiting
- birth defects (teratogenic)
Term
What are some nursing interventions when taking a med that causes sedation?
Definition
- bed in low position
- rails up
- call light in position
Term
Pt teaching for antihistamines?
Definition
- avoid activities that require alertness
- no alcohol
- don't combine with any sedative type drugs
- if taken for motion sickness take 30-60 mins before
Term
This drug relaxes bronchial smooth muscle and dilates the lower respiratory passages?
Definition
Bronchodilators
Term
This is a bronchodilator that mimes the action of the sympathetic nervous system causing bronchdilation?
Definition
Sympathomimetics
Term
Drugs that are bronchodilator?
Definition
- albuterol
- Epinephrine

-Alupent, Maxair, Berthine(OB), Servent
Term
These relax smooth muscle cells in bronchi and blood vessels in the lungs. They act directly on kidneys to produce diuresis?
Definition
Xanthine Derivatives
Term
This is a Xanthine Derivatives that is given when differentiation can't be made between bronchospasm and pulmonary edema?
Definition
Aminophylline

- IV drip
Term
theophylline
Definition
Xanthine Derivatives
Term
Reduce and control the inflammation reaction that occurs in asthma?
Definition
- Corticosteroids
- leukotriene
Term
Cordicosteroids aerosol inhalation
Definition
- Beclovent
- Pulmicort
- Aerobid
- Flovent
- Azmacort
Term
These are substances that cause bronchoconstriction, mucus production, and inflammation?
Definition
Leukotrienes
Term
Drugs that interfere with leukotriene formation?
Definition
- Accolate
- Singular
Term
What should you assess with pt's on aminphylline?
Definition
hydration: may cause dehydration with elderly and children
Term
What is a normal serum plasma theophlline level?
Definition
10 to 20
Term
What is the number 1 early sign of hypoxia
Definition
restlessness
Term
Adverse effects of corticoidsteriods
Definition
- tachycardia
- arrhythmias
- palpitations
- restlessness
- insomnia
- agitation
- tremors
Term
What are late signs of hypoxia?
Definition
- cyanosis
- decrease BP
- decrease pulse
Term
S/S of theophlline toxicity?
Definition
- anorexia
- nausea*
- vomiting
- irritability
- hyperexcitability
- arrhythmias
Term
Pt teaching for pt's with respiratory diseases?
Definition
- avoid inhaling cold air; wear a mask in the winter
- stay in the air conditioning during the summer
- increase fluids for thick secretions
- wait 5 mins between each inhaler puff , always use bronchodilator first
Term
What may cause a false theophlline level?
Definition
caffeine
Term
What is the first drug of choice for acute bronchospasm?
Definition
SC epinephrine
Term
How is theophylline often given?
Definition
PO
Term
How is aminophlline often given?
Definition
IV for more rapid action
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