NURS 309 - Respiratory Drugs UPDATED ACTUAL Questions
and CORRECT Answers
)
anittussives: dextromethorphan, codeine acts in the medulla to suppress the cough → acts in the CNS, not the respiratory
tract
anittussives: dextromethorphan, codeine indicated for a chronic nonproductive cough
*we want patients with a productive cough to continue
coughing. a productive cough helps clear mucus
(sputum) and foreign material from the airways
anittussives: dextromethorphan, codeine contraindicated with chronic coughs caused by emphysema or asthma
anittussive: codeine has a very common adverse effect of an itchy nose
not an allergic reaction
anittussives: dextromethorphan, codeine interacts with grapefruit or orange juice: may increase the concentration of the
drug
anittussives: dextromethorphan, codeine do not take with orange juice or grapefruit juice
decongestants: pseudoephedrine, phenylephrine nasal vasoconstrictors to relieve nasal congestion
decongestants: pseudoephedrine, phenylephrine contraindicated in hypertension: can raise blood pressure
decongestants: pseudoephedrine, phenylephrine contraindicated in diabetes: can raise blood glucose
decongestants: pseudoephedrine, phenylephrine causes rebound nasal congestion
decongestants: pseudoephedrine has been used to make methamphetamine, therefore there is potential for abuse;
the amount that may be purchased is regulated
not on the shelf or available behind the pharmacy counter without a prescription
hydration - avoidance of irritants - humidifier nonpharmacologic measures to relieve nasal congestion:
decongestants: pseudoephedrine, phenylephrine limit use to only 3-5 days
notify provider if symptoms worsen or do not resolve in 10-14 days with
medication !!
antihistamines: loratadine, diphenhydramine indicated for relief of upper respiratory allergy symptoms
antihistamines: loratadine, diphenhydramine indicated for urticaria and atopic dermatitis (eczema)
, antihistamines: loratadine, diphenhydramine adverse effects (nausea, vomiting, dysmenorrhea, drowsiness, dyspepsia, fatigue
and viral infections) usually diminish after 3 days of treatment
antihistamines: loratadine, diphenhydramine fruit juices and rifampin decreases absorption
antihistamines: loratadine, diphenhydramine avoid fruit juice 1 hour before administration to 2 hours after
antihistamines: loratadine, diphenhydramine take daily during times of allergen exposure, or PRN: do not take when unneeded
antihistamines: loratadine for seasonal allergies, begin prior to the season and take daily for the duration of
the season
*only loratadine – diphenhydramine should never be
taken every day
expectorant: guaifenesin indicated to liquify and loosen secretions so they are easier to cough up
- administer with a full glass of water (water is needed to how to administer guaifenesin:
thin out secretions)
- maintain hydration
- give with food (decreases the GI effects)
- avoid alcohol (alcohol may increase drowsiness)
expectorant: guaifenesin contact provider if symptoms persist > 1 week after starting medication
bronchodilators: albuterol, salmeterol indicated for relief and prevention of bronchospasm by dilating the bronchioles
bronchodilator: albuterol a short-acting beta 2 adrenergic agonist and is indicated for relief of acute
bronchospasm (acute asthma attack)
*SABA
bronchodilator: salmeterol a long-acting beta 2 adrenergic agonist and is indicated for prevention of
bronchospasm and maintenance of bronchodilation
*LABA
bronchodilators: albuterol, salmeterol use caution with cardiac disease: causes tachycardia, palpitations, and elevated
blood pressure
LIMIT CAFFEINE
bronchodilators: albuterol, salmeterol causes rebound bronchospasm with overuse
albuterol: 2 inhalations, 1 minute apart for an acute asthma attack, administer _____
*have albuterol readily available
salmeterol BID for an maintenance therapy of asthma, administer _____
*use maintenance/controller drug daily, regardless of
symptoms
and CORRECT Answers
)
anittussives: dextromethorphan, codeine acts in the medulla to suppress the cough → acts in the CNS, not the respiratory
tract
anittussives: dextromethorphan, codeine indicated for a chronic nonproductive cough
*we want patients with a productive cough to continue
coughing. a productive cough helps clear mucus
(sputum) and foreign material from the airways
anittussives: dextromethorphan, codeine contraindicated with chronic coughs caused by emphysema or asthma
anittussive: codeine has a very common adverse effect of an itchy nose
not an allergic reaction
anittussives: dextromethorphan, codeine interacts with grapefruit or orange juice: may increase the concentration of the
drug
anittussives: dextromethorphan, codeine do not take with orange juice or grapefruit juice
decongestants: pseudoephedrine, phenylephrine nasal vasoconstrictors to relieve nasal congestion
decongestants: pseudoephedrine, phenylephrine contraindicated in hypertension: can raise blood pressure
decongestants: pseudoephedrine, phenylephrine contraindicated in diabetes: can raise blood glucose
decongestants: pseudoephedrine, phenylephrine causes rebound nasal congestion
decongestants: pseudoephedrine has been used to make methamphetamine, therefore there is potential for abuse;
the amount that may be purchased is regulated
not on the shelf or available behind the pharmacy counter without a prescription
hydration - avoidance of irritants - humidifier nonpharmacologic measures to relieve nasal congestion:
decongestants: pseudoephedrine, phenylephrine limit use to only 3-5 days
notify provider if symptoms worsen or do not resolve in 10-14 days with
medication !!
antihistamines: loratadine, diphenhydramine indicated for relief of upper respiratory allergy symptoms
antihistamines: loratadine, diphenhydramine indicated for urticaria and atopic dermatitis (eczema)
, antihistamines: loratadine, diphenhydramine adverse effects (nausea, vomiting, dysmenorrhea, drowsiness, dyspepsia, fatigue
and viral infections) usually diminish after 3 days of treatment
antihistamines: loratadine, diphenhydramine fruit juices and rifampin decreases absorption
antihistamines: loratadine, diphenhydramine avoid fruit juice 1 hour before administration to 2 hours after
antihistamines: loratadine, diphenhydramine take daily during times of allergen exposure, or PRN: do not take when unneeded
antihistamines: loratadine for seasonal allergies, begin prior to the season and take daily for the duration of
the season
*only loratadine – diphenhydramine should never be
taken every day
expectorant: guaifenesin indicated to liquify and loosen secretions so they are easier to cough up
- administer with a full glass of water (water is needed to how to administer guaifenesin:
thin out secretions)
- maintain hydration
- give with food (decreases the GI effects)
- avoid alcohol (alcohol may increase drowsiness)
expectorant: guaifenesin contact provider if symptoms persist > 1 week after starting medication
bronchodilators: albuterol, salmeterol indicated for relief and prevention of bronchospasm by dilating the bronchioles
bronchodilator: albuterol a short-acting beta 2 adrenergic agonist and is indicated for relief of acute
bronchospasm (acute asthma attack)
*SABA
bronchodilator: salmeterol a long-acting beta 2 adrenergic agonist and is indicated for prevention of
bronchospasm and maintenance of bronchodilation
*LABA
bronchodilators: albuterol, salmeterol use caution with cardiac disease: causes tachycardia, palpitations, and elevated
blood pressure
LIMIT CAFFEINE
bronchodilators: albuterol, salmeterol causes rebound bronchospasm with overuse
albuterol: 2 inhalations, 1 minute apart for an acute asthma attack, administer _____
*have albuterol readily available
salmeterol BID for an maintenance therapy of asthma, administer _____
*use maintenance/controller drug daily, regardless of
symptoms
