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a substance that causes a hypersensitive reaction (an allergy). |
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life threatening allergic reaction caused by an allergen. characterized by respiratory difficulty, fainting, itching, and welts on the skin. |
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a chronic respiratory disease, often from allergies, and accompanied by labored breathing, chest constriction and coughing. |
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Inflammation of the bronchial tubes |
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Definition
A condition of the lungs resulting in labored breathing and increased susceptibility to infection. |
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Chronic Obstructive Pulmonary Disease (COPD) and Chronic Obstructive Lung Disease (COLD) |
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Definition
Causes: emphysema, chronic bronchitis, asthma, or a combination of these disorders. symptoms: dyspnea with minimal exertion, productive cough, frequent respiratory infections, barrel chest, severe respiratory failure. treatment: incurable, but condition may improve with breathing exercises, bronchodilators and expectorants. |
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communicable viral disease. |
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A white crystalline compound found in plant and animal tissue which is a stimulator of gastric secretion and is used medicinally as a vasodilator to increase blood supply to the brain. |
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An acute or chornic disease marked by inflammation and infection in the lungs. |
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Definition
inflammation and swelling of the lining of the nose |
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communicable, acute or chronic infection cause by myobacterium tuberculosis. |
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Definition
Action: inhalation of medication triggers the respiratory center of the brain; increases the rate and depth of respiration. use: to treat fainting. Examples: spirits of ammonia (smelling salts). Adverse effect: irritates lining of the nose and nausea. nursing consideration: don't hold the medication too close to the resident's nose. |
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Term
cough medication: Antitussive |
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Definition
Action: depresses the cough by depressing the activity of the cough center in the brain or by local action. use: to treat persistent cough. Example: codeine (controlled substance)-often in combination with an expectorant, dextromethorphan (Benylin-DM). Nursing consideration: after taking cough syrup, the resident should not receive fluids for 15 minutes. |
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Definition
action: clear the respiratory tract by liquefying mucous. use: cause a productive cough. examples: guaifenesin (Robitussin, Humibid, Organidin NR). Adverse effect: gastric irritation, nausea and vomiting. nursing consideration: many over the counter cough and cold preparations contain ammonium chloride and should therefore be taken with water. humidified air may promote expectoration. increase activity may promote movement of mucous and productive cough. |
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Definition
action: relax bronchial muscles and open breathing passages. use: to treat asthma, bronchitis, and chronic lung disease. Example: aminophylline, theophylline (Elixophyllin, Slo-bid, Theo-Dur), trebutaline sulfate (Brethine), metaproterenol sulfate (Alupent), albuterol (Proventil, Ventolin), ipratorpium (Atrovent), epinephrine (Bronkaid Mist). Adverse effect: withdrawl symptoms may occur if medication is discountinued, restlessness, dizziness, palpitations, nausea, hypertension. nursing consideration: resident may become frightened, anxious, manipulative or demanding while taking this medications. resident can become dependent on the use of their inhalers. medication in combination may cause increase adverse effects. notify nurse if the medication is withheld because of nausea. the combination of oral and inhaled may result in increase side effects. |
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Definition
action: combat the effect of histamine, which is released by the body as an allergic reaction. use: treat motion sickness and allergic reation. Example: diphenhydramine (Benadryl), promethazine (Phenergan), loratadine (Claritin), brompheniramine (Dimetapp), fexofenadine(Allegra), budesonide(Pulmicort, Rhinocort), chlorpheniramine(Chlor-Trimeton). Adverse effect: drowsiness (most common), dizziness, loss of appetite, dry mouth, urinary rentention. nursing consideration: use with caution with residents who have cardiac conditions. use with caution with men who have prostate conditions. encourage fluids. the resident can develop a tolerance to the medication. may cause increase drowsiness when combine with other depressant medication and/or alocohol. |
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Definition
action: shrinks mucous membrane and relieves nasal swelling and congestion. use: treat allergies, hay fever and cold symptoms. examples: naphazoline HCL (Privine), oxymetazoline HCL (Afrin), phenylephrine HCL (Neo- Synephrine), pseudoephedrine HCL (Sudafed). Adverse effects: cause irritation, perforate the nasal septum, cause rebound nasal congestion. nursing consideration: resident can develop a tolerance to the medication. |
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Action: preparations containing more than one product to produce more than one effect. use: treat coughs and allergies, to relieve pain. Example: Sinutab (acetaminophen, chlorpheniramine, pseudoephedrine), Actifed(pseudoephedrine, triprolidine), Ornade (phenylpropanolamine, chlorpheniramine) Adverse effect: drowsiness, dry mouth. nursing consideration: may cause elevated blood pressure, over the counter medications are potent; use with caution. rebound symptoms can occur if administration more often then indicated. |
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Definition
action: reduce growth or kill the bacteris the causes TB. use: treat the active disease. examples: rifampin (Rifadin), ethambutol HCL (Myambutol), isoniazid (INH, Laniazid, Nydrazid). Adverse effect: fatigue/drowsiness, numbness in extremities, nausea, confusion, headache, vision problems, anorexia, rash. nursing consideration: can turn urine, feces, sputum, sweat or tears to a harmless red-orange color. administer with caution to residents who have a history of alcoholism and liver disease. monitor for signs of hepatitis (jaundice), monitor resident for weight loss, give with food if the resident c/o of nausea. store medication in a light-resistant container. residents are to be carefully monitored and interviewed regularly. it is important that doses are not missed. medication therapy can continue for 3-6 months, up to 2 years for active tuberculosis and for 12 months for preventative therapy. |
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