Maryville NURS615 Stratham exam 4 review with complete solutions

Maryville NURS615 Stratham exam 4 review with complete solutions What is tiotropium used to treat? - Answer ️️ -tiotropium bromide is a long- acting 24 hour anticholinergic bronchodilator used in the management of COPD. How does tiotropium bromide work? - Answer ️️ -Tiotropium bromide is a muscarinic receptor antagonist that works mainly on the M3 muscarinic receptors located on smooth muscle cells and submucosal glands. This leads to a reduction in smooth muscle contraction and mucous secretion, thus producing a bronchodilatory effect. What are the adverse affects with montelukast (Singulair)? - Answer ️️ -anxiety, aggression, depression and suicidal thoughts. What patient teaching should accompany the prescription of montelukast? - Answer ️️ -teach patients to monitor for psychoactive signs and symptoms such as anxiety, aggression, depression and suicidal thoughts. What patient teaching should be provided when prescribing inhaled corticosteroids? - Answer ️️ -inhaled corticosteroids are used for prevention, not exacerbation and should be taken twice daily. Patients should be instructed to rinse their mouth out after use to prevent thrush. What ethnic background should not be prescribed long-acting beta agonists and why? - Answer ️️ -African-Americans, due to worsening of asthma symptoms. What is the mechanism of action of albuterol? - Answer ️️ -activation of beta adrenergic receptors leads to a relaxation of smooth muscle in the lung and dilatation of the airways. What is the mechanism of action of inhaled corticosteroids? - Answer ️️ -inhaled corticosteroids are highly selective agonists at the glucocorticoid receptor, thereby producing anti-inflammatory and vasoconstrictor effects. A topical effect is produced on the lung without significant systemic effects due to their low systemic bioavailability. When is it appropriate to use a short acting beta agonist? - Answer ️️ -For the immediate relief of acute asthma attacks. When is it appropriate to use long acting beta agonists? - Answer ️️ -long acting beta agonists are used for the prev