NURS 615: ADVANCED PHARMACOTHERAPEUTICS Maryville university exam 4 Correct 100%

What is Tiotropium (SPIRIVA) used to treat? -ANSWER Used in the management/ maintenance treatment of chronic obstructive pulmonary disease (COPD) which includes chronic bronchitis and emphysema. What is the drug classification of Tiotropium? -ANSWER It is a long-acting, 24H anticholinergic-bronchodilator. It is a muscurinic receptor antagonist, often referred to as an antimuscurinic or anticholinergic agent. What is the mechanism of action of Tiotropium (SPIRIVA) -ANSWER It does not display selectivity for specific muscarinic receptors, when topically applied it acts mainly on M3 muscarinic receptors[8] located on smooth muscle cells and submucosal glands. This leads to a reduction in smooth muscle contraction and mucus secretion and thus produces a bronchodilatory effect. What are the adverse effects with montelukast (Singular) -ANSWER Anxiety, aggression, depression, suicidal thoughts, What patient teaching should accompany the prescription of montelukast (Singulair)? -ANSWER Teach pt regarding adverse effect about aggression , depression suicidal thoughts that could occur What patient teaching should be provided when prescribing inhaled corticosteroids? -ANSWER They should be taken 2x a day every day for the use of prevention of asthma. Rinse mouth after use to prevent oral thrush. What ethnic background should not be prescribed long-acting beta agonists? -ANSWER African Americans, increased incidence of de