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1. What is the therapeutic effect expected with ipratropium?
- ANSWER Improved breathing through bronchodilation
2. ____________acts by targeting specific beta-2 adrenergic receptors in the
lungs to relax smooth muscles of the airways.
- ANSWER Albuterol
3. Albuterol is a bronchodilator taken to treat
- ANSWER bronchospasm
4. Albuterol is a _____________ beta agonist, which is an important characteristic
that helps determine when and how it is used.
- ANSWER short acting
5. Short-acting beta agonists cause ________ in the respiratory system and
_____________ in the cardiovascular system.
- ANSWER Dilation
Constriction
6. What is the primary body system that is targeted by selective beta agonist
drugs?
- ANSWER Respiratory
7. Contraindications for beta agonists are
,- ANSWER an allergy to the drug
should be used cautiously in people with uncontrolled hypertension or
dysrhythmias, or for those who have a high risk of a stroke.
10. For adults, the maximum dosage of albuterol is ___ mg per day
- ANSWER 32
11. For pediatrics an albuterol dose, this is _____ mg per day.
- ANSWER 12
12. In the event of an asthma attack, use albuterol first before using other
inhalation medications and allow 5 minutes to elapse before administering other
inhalant medications
- ANSWER true
13. "I should use the albuterol 30 minutes before I exercise."
- ANSWER Understands Education
14. "If I have an asthma attack, I should use my other inhalers before using my
albuterol inhaler."
- ANSWER Needs Additional Education
15. "I should rinse my mouth out after use."
- ANSWER Understands Education
16. "I will notify my healthcare provider if I experience an increase in heart rate
after use."
- ANSWER Needs Additional Education
17. Which adverse effect of albuterol should be reported to the healthcare
provider?
- ANSWER Increased wheezing
,18. Diseases or conditions that have a relative or absolute contraindication with
the use of albuterol include: - ANSWER Hypertension
History of stroke
Dysrhythmias
19. During the administration of an albuterol breathing treatment, the client
reports "feeling shaky." What is the appropriate response by the nurse?
- ANSWER Continue the breathing treatment and inform the client that this is
an expected effect of the medication and it should subside.
20. Which beta adrenergic agonist agent may be used in the treatment of shock?
- ANSWER Epinephrine
21. Which statement is true regarding short-acting and long-acting beta agonists?
- ANSWER Short-acting beta agonists have a shorter onset.
Which statement by the client indicates they understand the proper use of
albuterol?
- ANSWER "I will wait five minutes after I use this inhaler to use my other
inhalers."
Which medication will someone with asthma use when experiencing an acute
asthma attack?
- ANSWER Albuterol
Xanthines are used for the prevention of asthmatic symptoms and COPD, not for
the relief of acute asthma attacks.
- ANSWER true
Theophylline is metabolized into___________in the body.
- ANSWER caffeine
Theophylline is a bronchodilator that is used to treat symptoms of
- ANSWER asthma
bronchitis
, emphysema
other breathing problems.
Caffeine stimulates the central nervous system in the
- ANSWER medulla
Theophylline and antiseizure drugs such as phenytoin can cause a
____________in the seizure threshold.
- ANSWER Decrease
Which statement by someone taking theophylline would indicate the need for
further teaching? - ANSWER "I will be sure to keep my theophylline with me at
all times in case I experience shortness of breath and need some relief."
Respirations increase when someone takes theophylline due to what system
being directly stimulated?
- ANSWER Central nervous system
Theophylline increases urinary output through diuresis by increasing what process
in the kidneys?
- ANSWER Glomerular filtration
What foods should be avoided when taking theophylline?
- ANSWER Chocolate and coffee
What effect does tobacco have on the amount of theophylline in the
bloodstream?
- ANSWER It decreases the amount.
Which of these medications should be used as a rescue treatment for acute
bronchospasm?
- ANSWER Albuterol
Which drug is a long-acting beta agonist?
- ANSWER Salmeterol