NUR 378 Exam 2 Questions with Verified
Correct Answers
Describe the mechanism of action for proton pump inhibitors.
-inhibit H+/K+ ATPase enzyme system in parietal cells of stomach
-suppresses gastric acid production
Explain the proper way to discontinue glucocorticoids.
-gradually taper off medication to minimize effects of adrenal insufficiency
-alternate-day therapy & glucocorticoid withdrawal
Identify medications to treat acute asthma and their side effects.
-short acting beta2 agonists (SABAs)
>albuterol
*think Albuterol is for Acute Asthma Attacks
-anticholinergics
>ipratropium
>tiotroprium
-glucocorticoids
SIDE EFFECTS:
SABAs
-tachycardia, palpitation, cardiac arrhythmias, HTN, nervousness/anxiety,
insomnia/restlessness, tremors
,anticholinergics
-can't see=blurred vision, dry eyes
-can't spit=dry mouth, no sweat
-can't pee=urinary retention
-can't poop=constipation
glucocorticoids
-adrenal insufficiency
-osteoporosis
-infection
-hyperglycemia
-myopathy
-fluid/electrolyte disturbance
-growth delay
-psychological disturbances
-cataracts/glaucoma
-peptic ulcer disease
-Iatrogenic cushing syndrome
Describe the class of expectorants and their actions and side effects.
MOA:
-stimulates flow of respiratory tract secretions
-thins out mucus making it easier to cough out of lungs and drain out nose/sinuses
(mucolytic)
, SIDE EFFECTS:
-nausea/vomiting
-headache
-drowsiness
-rash
What are the long term effects of steroid use related to asthma? (8S's)
S-sugar (hyperglycemia)
S-soft bones (osteoporosis)
S-sick (↓ immunity/sepsis)
S-sad (depression)
S-salt (water & salt retention-HTN)
S-swollen (water gain=weight gain)
S-sight (risk for cataracts)
S-sex (↓ libido)
Explain the side effects of anticholinergic medications.
can't see=blurred vision, dry eyes
can't spit=dry mouth, no sweat
can't pee=urinary retention
can't poop=constipation
Identify the advantages and disadvantages of opioids as antitussives.
advantages
-suppresses cough reflex
-allows pt relief from nonproductive cough
Correct Answers
Describe the mechanism of action for proton pump inhibitors.
-inhibit H+/K+ ATPase enzyme system in parietal cells of stomach
-suppresses gastric acid production
Explain the proper way to discontinue glucocorticoids.
-gradually taper off medication to minimize effects of adrenal insufficiency
-alternate-day therapy & glucocorticoid withdrawal
Identify medications to treat acute asthma and their side effects.
-short acting beta2 agonists (SABAs)
>albuterol
*think Albuterol is for Acute Asthma Attacks
-anticholinergics
>ipratropium
>tiotroprium
-glucocorticoids
SIDE EFFECTS:
SABAs
-tachycardia, palpitation, cardiac arrhythmias, HTN, nervousness/anxiety,
insomnia/restlessness, tremors
,anticholinergics
-can't see=blurred vision, dry eyes
-can't spit=dry mouth, no sweat
-can't pee=urinary retention
-can't poop=constipation
glucocorticoids
-adrenal insufficiency
-osteoporosis
-infection
-hyperglycemia
-myopathy
-fluid/electrolyte disturbance
-growth delay
-psychological disturbances
-cataracts/glaucoma
-peptic ulcer disease
-Iatrogenic cushing syndrome
Describe the class of expectorants and their actions and side effects.
MOA:
-stimulates flow of respiratory tract secretions
-thins out mucus making it easier to cough out of lungs and drain out nose/sinuses
(mucolytic)
, SIDE EFFECTS:
-nausea/vomiting
-headache
-drowsiness
-rash
What are the long term effects of steroid use related to asthma? (8S's)
S-sugar (hyperglycemia)
S-soft bones (osteoporosis)
S-sick (↓ immunity/sepsis)
S-sad (depression)
S-salt (water & salt retention-HTN)
S-swollen (water gain=weight gain)
S-sight (risk for cataracts)
S-sex (↓ libido)
Explain the side effects of anticholinergic medications.
can't see=blurred vision, dry eyes
can't spit=dry mouth, no sweat
can't pee=urinary retention
can't poop=constipation
Identify the advantages and disadvantages of opioids as antitussives.
advantages
-suppresses cough reflex
-allows pt relief from nonproductive cough
