what are the therapeutic measures for respiratory distress?
oxygen
respiratory stimulants
bronchodilators
corticosteroids
mucolytics
expectorants
antitussives
______ is used therapeutically for hypoxia and to decrease the workload of the heart and respiratory system, especially during distress
oxygen
how can oxygen be administered?
endotracheal intubation, nasal cannula, various masks, tents, and hoods
what are some SIDE EFFECTS of oxygen delivered too high or too long
hypoventilation
confusion
blindness in infants
changes in the alveoli of the lungs
oxygen CAUTIONS include
COPD patients
fire
and electrical equipment
true or false
oxygen is flammable
HELL NO
oxygen supports __________
combustion
caffeine citrate and theophylline are examples of _________
respiratory stimulants
calcium citrate is a type of treatment for
neonatal apnea
Theophylline administration routes
IV and orally
_______ is administered to stimulate respiration in infants and patients with cheyne-stokes respiration
theophylline
_______ act by relaxing the smooth muscles of the bronchial tree, thereby relieving bronchospasms and decreasing the work of breathing
bronchodilators
classifications of bronchodilators
sympathomimetic
anticholinergic
xanthine derivatives
bronchodilators are used in treatment in
asthma
and many forms of COPD
how do adrenergics work on the smooth muscles of the lungs
it relaxes
epinephrine has been largely replaced as a bronchodilator in the treatment of asthma by ________ medication
albuterol
this option of an inhaler is helpful for patients who are unable to coordinate inspiration with actuation of a conventional MDI
breath actuated inhalers
_______ creates an aerosol of mist of a drug solution that can be inhaled into the lungs through a mouthpiece or mask usually created with compressed air or oxygen gas
small volume nebulizers
an example of a common short acting beta2 agonist drug
albuterol
_______ should be available for rescue treatment for acute attacks
albuterol
______ block the PNS and can cause drying of pulmonary secretions
anticholinergics
______ should be encouraged to avoid mucus plugging
hydration
a distinct trait for anticholinergics would be
a metallic taste
spiriva and atrovent are administered daily in a
dry powdered inhaler
patients taking bronchodilators should be instructed regarding:
a.) following written package directions for
technique and use
b.) drink adequate fluids to prevent mucous plugging
c.) watch for cardiac irregularities
d.) all of the above
D. all of the above
synthetic ______ are used to relieve inflammation, reduce swelling, and suppress symptoms in acute and chronic reactive airway disease.
corticosteroids
how are corticosteroids administered
oral and injectable forms
true or false
inhaled corticosteroids have a greater systemic effect than oral or injectable administration
false
inhaled corticosteroids have a less effect
______ corticosteroids are increasingly considered first line of therapy for most noninfectious types of rhinitis
nasal (think rhinitis = nose)
some side effects of inhaled corticosteroids
throat irritation
dry mouth
hoarseness
coughing
oral fungal infections
increased susceptibility to pneumonia
viral, bacterial, or fungal infections
hypertension or CHF
diabetes
hypothyroidism or cirrhosis
renal failure
are all contraindications for ________
corticosteroids
term for measures that prevent the spread of disease
prophylaxis
an action of two drugs in which one decreases or cancels out the effect of the other
antagonist
_______ _________ _________ primarily help to control the inflammatory process of asthma caused by leukotriene production, thus helping to prevent asthma symptoms and acute attacks
leukotriene receptor antagonists
a distinct side effect for singular would be
respiratory infections and fever
a prophylactic for asthma that was one of the first mast cell stabilizer
cromolyn
these are side effects of _______
throat irritation
cough
bronchospasm
nose burning, stinging, sneezing
nausea
headache
cromolyn
when bronchodilators and corticosteroids are administered at the same time which should be given first
bronchodilators
________ decrease the hypersecretion of and liquify pulmonary secretions
mucolytics
an example of a mucolytic
acetylcysteine
acetylcysteine =
mucolytic
_______ increase secretions, reduce viscosity, and help to expel sputum, but offer no clinical benefit and is not recommended for patients with obstructive lung disease
expectorants
an example of an expectorant
guaifenesin (robitussin, mucinex)
guaifenesin =
expectorant
normal fluid volume
euvolemia
side effects of expectorants
NVD
runny nose
drowsiness, dizziness, headache
contraindications with expectorants
persistant chronic cough
CVD
hypertension
pregnancy
some asthmatics
_____ was of great concern for reports of severe adverse reactions in the death of infants and children
OTC cough and cold preparations
_______ medications are used to prevent coughing in patients not requiring a productive cough
antitussive
a reflex mechanism that helps eliminate secretions from the respiratory tract
coughing
an example of a narcotic antitussive that is widely used as a cough suppressant due to its reduce incidence of side effects
codeine
a narcotic cough suppressant that is slightly compared to codeine, but with a more sedating action
hydrocodone
_____ are used more frequently as an antitussive because they do not depress respirations, do not cause dependance, and have few side effects
nonnarcotic antitussives
a first generation antihistamine that is also used as a cough suppressant
Diphenhydramine (benadryl)
true or false
combination formulations such as combining an antitussive with expectorant or decongestant etc. should be used regardless if the symptom is present
false
combinations should only be used if the corresponding symptom is present
side effects of antitussives
respiratory depression
constipation
urinary depression
sedation
dizziness
nausea
vomiting
patients with URI should not use cough suppressants because of their limited efficacy. what could they use instead?
a first generation antihistamine and a decongestant to treat cough
______ are used to treat the symptoms of allergies
antihistamine
true or false
antihistamines are curatives
false
they only provide symptomatic relief of allergic symptoms
patients taking first generation antihistamines should be instructed to:
-NOT use antihist. to sedate children
-avoid prolonged use
-no self medicating, consult dr. first
-caution operating machinery bc of sedative effect
-no alcohol
2nd generation antihistamine examples
allegra (fexofenadine)
claritin (loratidine)
if you want a less sedative effect for an antihistamine what type should be prescribed?
a 2nd generation antihistamine
true or false
2nd generation antihistamines are not effective for cough treatment
true
2nd generation antirust side effects
headache, dizziness, fatigue, drowsiness
dry mouth, pharyngitis
which popular OTC drug was the primary target to be banned by the combat methamphetamine act in 2006
pseudoephedrine
_______ are drugs that constrict blood vessels in the respiratory tract, resulting in shrinkage of swollen mucous membranes and helping to open nasal airway passages
decongestants
two common examples of adrenergic decongestants
Pseudoephedrine (sudafed)
phenylephrine (neo-synephrine)
these are side effects of __________
anxiety, nervousness, tremors, seizures
palpitations, hypertension, headache, cerebral hemorrhage, reduced cardiac and renal output, burning, stinging, sneezing, and dryness with nasal preparations
decongestants
patients taking decongestants should be instructed to:
use only for a few days to avoid rebound congestion
avoid when cardiac, thyroid, or diabetes are present
discontinue with side effects
the leading cause of preventable disease and death in the united states
cigarette smoking
which is more effective when quitting smoking? quitting cold turkey or using smoking cessation medication.
use a smoking cessation medication ROXAN and IMELDA ; )
what do smoking cessation aids do for the body?
lower the level of nicotine in the body
______ is an oral antidepressant that is also prescribed as a smoking cessation aid, and is also marketed as zyban
wellbutrin (bupropion)
side effects for smoking aids
mechanical problems
cardiac irritability
lightheadedness, heartburn, mouth and throat irritation
cautions for smoking aids
overdosage
overdependance
dental problems
_______ is a prescription only partial nicotine receptor agonist antagonist given orally and indicated for adults as an aid in smoking cessation
chantix
Author
carolyn
ID
70195
Card Set
26 respiratory system drugs and antihistamines
Description
chapter 26 respiratory system drugs and antihistamines