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What is an adverse reaction to an antitussive medication?
Dizziness may develop when you stand up
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Who would not be an appropriate candidate for an antihistamine?
72 y/o male with hx of mental confusion
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What is the highest priority intervention for someone being treated with cromolyn?
Return to see dr 2 weeks after the first dose of the medication. (Bronchodilator administered first, then cromolyn)
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What are contraindicators of a bronchodilator?
Digitalis and an antidepressant� notify physician of the information
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Pt is on enteric-coated zanthine medication and doesn�t feel he is receiving the full therapeutic effect. What do you do?
Ask what time of day pt is taking medication
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Pt is being treated with an expectorant medication. The patient�s mucus should be
Thick in consistency prior to receiving the medication
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What may happen if pt is on Isuprel-Medihaler?
Pink tinged saliva and decrease in BP
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The LPN is caring for a pt who is being treated with Beconase for 6 weeks. What is a priority nursing intervention?
Discuss with physician that pt has been on it for 6 weeks. Maximal response should be seen within 3 wks.
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A drug for frequent episodes of sneezing would be
Chlor-Trimeton (chlorpheniramine); experiencing seasonal rhinitis
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Side effects of promethazine (Phenergan)?
CNS
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A pt with asthma is having difficulty breathing. He is wheezing and �pursed-lip� breathing. What med should be administered immediately?
Albuterol (Proventil)
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What does albuterol do?
Sympathomimetic drug that relaxes smooth muscle of the bronchi by stimulating beta-2 adrenergic receptors. It also stimulates alpha receptors, producing vasoconstriction response throughout body that contracts blood vessels in the bronchial mucos.
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Albuterol is used during�
an acute asthma attack
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Albuterol has been administered to a pt who has not received this before. Pt states he feels worse and thinks he is having a heart attack. What do you do?
Reassure pt and continue to assess; increased heart rate is normal
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A pt has been prescribed theophylline, a xanthine derivative bronchodilator. She has a history of heart failure and is currently being prescribed furosemide. These together can cause what?
An increase in the serum level of theophylline
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What nasal decongestant is appropriate for a 4 year old son?
Tetrahydrozoline
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How do expectorants work?
Increase the amount of fluid in the respiratory tract
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What instructions should be included when pt teaching Echinacea?
Do not use longer than 10 days
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Adverse reactions to antihistamines?
Hypertension, Dizziness, Urticaria, Constipation
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What are adverse reactions to cromolyn or nedocromil?
Headache, Dizziness, Rash, Watery eyes
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Which side effects are expected when taking a narcotic antitussive?
Nausea, Lightheadedness, Constipation
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What are contraindications to xanthine derivates?
Anticoagulant therapy, diuretics, digitalis glycosides
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