Pharmacology chp 26 & 27

  1. Mucolytics work through which of the following mechanisms of action
    Liquefying pulmonary secretions
  2. Which statement by a patient taking Bronchodilators indicates a need for additional teaching?
    Nervousness, tremor, dizziness, confusion and headache are expected side effects so I do not need to call the doctor if they occur.
  3. Cautions for the use of bronchodilators include
    Hyperthyroidism
  4. Narcotic antitussives are becoming more readily available due to codeine being moved to schedule ll instead of schedule lll
    False
  5. Fexofenadine is a second generation antihistamine that is effective as a nonsedating cough suppressant.
    False
  6. All smoking-cessation medications have been shown to help twice as many smokers quit versus quitting cold turkey.
    True
  7. Bronchodilators all generally work by which mechanism of action?
    Relaxing the smooth muscles of the bronchial tree.
  8. Which statement is true regarding antihistamines?
    Antihistamines provide only symptomatic relief of allergic symptoms.
  9. The side effects of decongestants include the following, except
    Sedation
  10. Narcotic antitussives are contraindicated in all of the following, except
    Patients with pleurisy
  11. Decongestants are used for
    Upper airway congestion
  12. Which of the following is an example of a mucolytic?
    Acetylcysteine
  13. Patient teaching regarding the use of an MDI rescue inhaler should include
    Increasingly frequent use indicates deterioration in the control of asthma
  14. Side effects of bronchodilators may include
    Cardiac irregularities, hypertension and hypoglycemia
  15. Inheld corticosteroids are considered a preferred drug therapy in the long term management of persistent asthma.
    True
  16. The mechanism of action utilized by anticholinergics is
    Decreasing the chemical that promotes bronchospasm
  17. Which of the following types of medications would not be used to treat acute asthma?
    Long-acting B2 agonist
  18. Which statement does not apply to oxygen therapy?
    It cannot be delivered in to high concentrations.
  19. Which of the following are true about inhaled and intranasal corticosteroids?
    All of the above
  20. Antitussives are used to treat
    Coughing
  21. Antitussives use which mechanism of action?
    Cough suppression
  22. Expectorants are effective by
    Increasing secretions and reducing their viscosity, although evidence of benefit is lacking.
  23. Carbon dioxide inhalations are used
    To increase both depth and rate of respirations.
  24. Which of the following best describes how absorption is affected in the GI tract?
    Gastric acid production is diminished in the elderly.
  25. Hepatic dysfunction more likely affects
    Metabolism
  26. NSAIDs carry real danger of serious complications.
    True
  27. Medication-related problems may be easily mistaken for a normal consequence of aging or a progression of an existing disease.
    True
  28. Which statement best describes polypharmacy?
    Using multiple drugs for multiple conditions
  29. Excretion is the primary role of which organ/system?
    Renal
  30. Omeprazole and cimetidine should be avoided in some older patients due to which of the following?
    They inhibit liver enzymes from breaking down long acting benzodiazepines.
  31. Many of the Beers list drugs exhibit what type of properties that older adults are more likely to have adverse reactions to?
    Anticholinergic
  32. Distribution in older adults is affected by all of the following, except
    Decreased renal function
  33. Thinning skin associated with the aging process may impair absorption of transdermal medications.
    True
  34. Nonadherence is most common in older adults, for a variety of reasons.
    True
  35. MRPs or medication-related problems may be mistaken for which problem?
    A normal consequence of aging
  36. Metabolism is primarily affected by which organ/system?
    Hepatic
  37. The liver is a major site of drug metabolism.
    True
  38. Impaired distribution of drugs in older adults is most likely related to
    Inadequate circulatory function and decreased muscle mass
  39. Medication Therapy Management (MTM) and Comprehensive Medication Review (CMR) may be compensated to pharmacies by some insurance companies to improve patient safety.
    True
  40. All of the following are bodily processes that affect drugs, except
    Cognition
  41. What aging processes affect the functionality of the liver?
    Decrease in blood flow to the liver
  42. If a patient has taken a drug for many years, the same dose is considered to be safe and effective as he grows older because he will have built a tolerance for it.
    False
  43. Polypharmacy refers to pharmacy shopping by patients.
    False
  44. Which of the following are potential side effects of NSAIDs in older adults?
    Increased cardiovascular risks
  45. Prescribing of medications is the third leading intervention experienced by older adult patients.
    False
  46. Impaired excretion in older adults results from all of the following, except
    Increased kidney size
  47. Hepatic dysfunction
    Slower metabolism
  48. Renal dysfunction, constipation or poor gas exchange in lungs
    Impaired excretion
  49. Lack of or decreased stomach acid production, use of PPI's and antacids
    Relative acholorhydria
  50. Circulatory dysfunction, less muscle mass, and increased fat
    Impaired distribution
  51. Decreased GI motility, decreased fluid intake
    Inadequate absorption
  52. Toxicity due to renal clearance
    Cardiac glycosides (digoxin)
  53. Orthostatic hypotension, tachycardia
    Alpha-blockers
  54. GI bleeding, increased cardiovascular risks
    NSAIDs
  55. Creates an aerosol mist of a drug solution for delivery via inhalation
    Small-volume nebulizer (SVN)
  56. A term incompassing a group of progressive lung diseases including chronic bronchitis and emphysema.
    Chronic obstructive pulmonary disease (COPD)
  57. A drawback to this device is that patients must generate enough inspiratory force to operate it.
    Dry-powder inhaler (DPI)
  58. Most common delivery device for ease of use, efficacy, and portability.
    Metered-dose inhaler (MDI)
  59. Condition of insufficient oxygen supply to tissues.
    Hypoxia
  60. Decreases secretions and liquefies pulmonary secretions
    Mucolytic
  61. Competitively antagonize histamine receptor sites
    Antihistamine
  62. Gas used therapeutically to treat hypoxia.
    Oxygen
  63. Used to decrease inflammation. Inhaled forms carry far less systemic side effects.
    Inhaled corticosteroids
  64. Several classifications of these agents are used to improve breathing by relaxing smooth muscle and decreasing bronchospasm.
    Bronchodilator
Author
MedCodeChix
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341400
Card Set
Pharmacology chp 26 & 27
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Pharmacology chp 26 & 27
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