NUR 2407 / NUR2407 Exam 3 :
Pharmacology Exam 3 (Latest 2021/2022) Rasmussen diphenhydramine (Benadryl) - CORRECT ANSWER **Antihistimine** -H1 blocker- prevents histimine response -Decrease nasopharyngeal secretions -ANTICHOLINERGIC side effects (cant see, spit, pee, poop) -Drowziness ^^ CNS depression dextromethorphan hydrobromide (Robitussin, Sucrets) - CORRECT ANSWER **Antitusive**
- Supresses cough
-Reduces secretions
HIGH DOSES CAN CAUSE HALLUCINATIONS
>> SHOULD NOT BE USED FOR PATIENTS WITH A PRODUCTIVE COUGH Treatments of Chronic Asthma - CORRECT ANSWER SABA ICS LABA Fluticasone/Salmeterol(ADVAIR) SABA - CORRECT ANSWER Short acting beta agonist or ALBUTEROL ***Quick relief ONLY *** 1 / 3
ICS - CORRECT ANSWER Inhaled corticosteroid or FLUTICASONE LABA - CORRECT ANSWER Long acting beta agonist or SALEMETEROL what is ADVAIR? - CORRECT ANSWER **Fluticasone (ICS)** decreases inflammation THINK immune suppression can cause thrush rinse mouth with water thoroughly and spit out do not swallow **salemeterol LABA** prophylaxis and maintenance therapy
NOT FOR RESCUE
NOT FOR MONOTHERAPY
can use in COPD ---causes headache & Dizziness Why should an asthma patient never just be on a LABA? - CORRECT ANSWER ^^ Mortality Risk inflammation builds up, LABA masks signs and patient dies from asthma attack albuterol (SABA) - CORRECT ANSWER * short acting beta agonist* causes bronchodialation can ^^ BP and Pulse
RESCUE ONLY
Side effects: nervousness, restlessness, tremor, chest pains, palpitation 2 / 3
what type of side effects would you expect to see after administration of ipratropium bromide? - CORRECT ANSWER ANTICHOLINERGIC montelukast (Singulair) - CORRECT ANSWER **Leukotriene inhibitiors** anti-inflammatory effects used for prophylaxis and maintenance
NOT FOR RESCUE
causes headache, insomnia, irritability, restlessness, tremor, weakness Theophylline - CORRECT ANSWER **Methylxanthine Derivatives** stimulates CNS and respiration dialates coronary and pulmonary vessels causes tachycardia NARROW THERAPUTIC WINDOW- potential for severe adverse reactions your patient has pneumonia and wants to know why the provider won't prescribe codeine or dexomethorphan (robitussin) like she has gotten in the past. What should you teach her? - CORRECT ANSWER cough suppressants are best used for short-term NON productive coughs.patient taking montelukast (Singulair) demonstrates good understandign of the drug when he tells you that he knows it has what effect? - CORRECT ANSWER anti inflammatory and it is only used for prophylactic and maintenance therapy
- / 3