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What happens if we give people with pheochromocytoma a beta 2
agonist?
pheochromocytoma is a rare, usually noncancerous benign tumor that
develops in an adrenal gland.
Puts them at risk for a HTN crisis.
Which medication has a black box warning against using it as a singular
agent in persistent asthma?
Salmeterol (beta 2 adrenergic agonsit) should be used cautiously or if
not at all, there is an increased risk of asthma related deaths with long
acting
bronchodilators.
What is Spiriva/tiotropium bromide
a long acting antimuscarinic antagonist (LAMA) used in the treatment for
COPD.
,if you prescribe beclomethasone, how do you teach the patient to use it?
beclomethasone is a corticosteroid and suppresses the actions of
inflammatory cells for the treatment of asthma.
this medication is used everyday, not PRN.
when taking singulair (montelukast), what mental things are we watching
out for?
singulair montelukast is a leukotriene receptor antagonist
anxiety/depression, suicideal ideation, and aggression.
what will benedryl do to an older man? and woman for that matter.
cause urinary retention
, why do we use second generation antihistamines?
they are more selective and less sedating than first generation.
when taking calcium carbonate antacids, chronically, what is the patient
putting themselves at risk for?
kidney stones (nephrolithiasis)
What can people develop when they take PPIs long term?
osteoporosis, iron deficiency, and b12 deficiency
what is Methylnaltrexone used to treat?
opioid associated constipation
elderly patient who takes lactulose chronically for constipation, what
do we need to monitor?
lactulose is a osmotic laxative and an ammonia reducer and can also
treat liver disease.
we need to monitor electrolytes
what does the inappropriate use of antibiotics cause?
creates resistance