NR 293 PHARMACOLOGY CORRECT FINAL EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔what is used to treat Xanthine derivative overdose? - ✔✔Activated charchol
✔✔what is the interactions for Xanthine Derivatives? - ✔✔Xanthanine+ allopurinol,
macrolides, quinolones, fluticasone, oral contraceptives, emetidine = increase serum
levels
Xanthane + sympathomimetics -> additive cardiac and CNS stimulant
Rifampin + xanthanine -> increase theophylline metabolism -> decrease serum levels
St.john worts -> increase metabolism of xanthine drugs -> higher doses of theophylline
required
Food/broiled high protein low carbohydrate-> decrease serum levels
✔✔What is the nursing implementation for respiratory drugs? the assessment -
✔✔Allergies
Physical exam of skin, GI/GU
Vital signs
History of respiratory disease
Respiratory distress
Neuro assessment
Baseline ECG
Visual (screen for glaucoma), all current meds, sputum production, smoking, diet
Accessory muscle use
Anxiety,
✔✔What is the nursing implementation for beta-agonist drugs? the assessment -
✔✔Cardiac status
Renal and liver
,Caffine
Stroke risk
MAOI use
✔✔What is the nursing implementation for nonselective adrenergic agonist drugs? the
assessment - ✔✔Allergies
Cardiac status
Obtain confirmation of indication
✔✔What is the nursing implementation for anticholinergics drugs? the assessment -
✔✔History of heart palpitations, DI distress, benign prostate hypertrophy, urinary
retention, and glaucoma
✔✔What is the nursing implementation for xanthine derivatives drugs? the assessment
- ✔✔Cardiovascular assessment
Med history and herbs
Diet and caffine
Bowel patterns
Baseline urinary patterns
Sympathemetrics
Oral contraceptives
✔✔What is the nursing implementation for corticosteroids drugs? the assessment -
✔✔Vitals (BP, heart rate)
Screen for glaucoma
Cardiac vascular disease
Labs for glucose
Prostate exam for inflammation prostate
Neuro
Medication list and street/ETOH/ herbal
✔✔What is the nursing implementation for respiratory drugs? the implementation -
✔✔Inhale medication correctly to obtain 10% of drug in lungs
Emphasis on compliance and prevention of symptoms
✔✔What is the nursing implementation for bronchodilators drugs? the implementation -
✔✔Give as prescribed
Demo proper method and use teach back
follow prescribe dose
Monitor vital signs
Report dizziness, nausea, dysrhymias, GI reflux, headaches, and palpitations
,✔✔What is the nursing implementation for beta-agonist drugs? the implementation -
✔✔Take exactly as prescribed
Overdose is life threatening
Do not chew or crush tablets
Take with food to avoid upset stomach
Reassess respiratory status and breath sounds
before and during , and after
Administer epi-pen according to instructions
✔✔What is the nursing implementation for anticholinergics drugs? the implementation -
✔✔Take as prescribed at bedtime or after meals
Do not take at same time as other meds
Theuropeutic effects may take a few days - several weeks to occur
Take with food
Prevent dry mouth with increase fluids
Rinse mouth
Use spacer and not but make sure it is clean
Allergies to soybeans, peanuts, or other legumes and anticholinergic drugs
✔✔What is the nursing implementation for xanthine derivatives drugs? the
implementation - ✔✔Give exactly as prescribed
Do not give IV too rapidly
-Hypotension and possible syncope, tachycardia, seizures, cardiac arrest
Take oral form with foods to reduce GI upset
Don't crush or chew rime released preparation
Monitor respiratory status
, ✔✔What is the nursing implementation for corticosteroids drugs? the implementation -
✔✔Administer in mornings to match with bodys cortisol secretion
Administer with meals
Keep equipment clean
Rinse mouth after use
Encourage peak flow record
✔✔What is the nursing implementation for respiratory drugs? the evaluation -
✔✔Decrease signs and symptoms
-Wheezing dyspnea
Respiratory patterns return to normal
Improved O2 saturations
Increase activity tolerance
Monitor adverse effects
Monitor blood levels of therophylline for therapeutic effect
Serum theophylline levels: 5-15 mcg/ml
✔✔describe leukotriene receptor antagonists - ✔✔Nonbronchodilating
Newer class of asthma medications
Currently available drugs
-montelukast (Singulair)
-zafirlukast (Accolate)
-zileuton (Zyflo)
✔✔what is the mechanism of action of leukotienes? - ✔✔Leukotrienes are substances
released when a trigger, such as cat hair or dust, starts a series of chemical reactions in
the body.
Leukotrienes cause inflammation, bronchoconstriction, and mucus production.
Result: coughing, wheezing, shortness
of breath
QUESTIONS AND ANSWERS SURE A+
✔✔what is used to treat Xanthine derivative overdose? - ✔✔Activated charchol
✔✔what is the interactions for Xanthine Derivatives? - ✔✔Xanthanine+ allopurinol,
macrolides, quinolones, fluticasone, oral contraceptives, emetidine = increase serum
levels
Xanthane + sympathomimetics -> additive cardiac and CNS stimulant
Rifampin + xanthanine -> increase theophylline metabolism -> decrease serum levels
St.john worts -> increase metabolism of xanthine drugs -> higher doses of theophylline
required
Food/broiled high protein low carbohydrate-> decrease serum levels
✔✔What is the nursing implementation for respiratory drugs? the assessment -
✔✔Allergies
Physical exam of skin, GI/GU
Vital signs
History of respiratory disease
Respiratory distress
Neuro assessment
Baseline ECG
Visual (screen for glaucoma), all current meds, sputum production, smoking, diet
Accessory muscle use
Anxiety,
✔✔What is the nursing implementation for beta-agonist drugs? the assessment -
✔✔Cardiac status
Renal and liver
,Caffine
Stroke risk
MAOI use
✔✔What is the nursing implementation for nonselective adrenergic agonist drugs? the
assessment - ✔✔Allergies
Cardiac status
Obtain confirmation of indication
✔✔What is the nursing implementation for anticholinergics drugs? the assessment -
✔✔History of heart palpitations, DI distress, benign prostate hypertrophy, urinary
retention, and glaucoma
✔✔What is the nursing implementation for xanthine derivatives drugs? the assessment
- ✔✔Cardiovascular assessment
Med history and herbs
Diet and caffine
Bowel patterns
Baseline urinary patterns
Sympathemetrics
Oral contraceptives
✔✔What is the nursing implementation for corticosteroids drugs? the assessment -
✔✔Vitals (BP, heart rate)
Screen for glaucoma
Cardiac vascular disease
Labs for glucose
Prostate exam for inflammation prostate
Neuro
Medication list and street/ETOH/ herbal
✔✔What is the nursing implementation for respiratory drugs? the implementation -
✔✔Inhale medication correctly to obtain 10% of drug in lungs
Emphasis on compliance and prevention of symptoms
✔✔What is the nursing implementation for bronchodilators drugs? the implementation -
✔✔Give as prescribed
Demo proper method and use teach back
follow prescribe dose
Monitor vital signs
Report dizziness, nausea, dysrhymias, GI reflux, headaches, and palpitations
,✔✔What is the nursing implementation for beta-agonist drugs? the implementation -
✔✔Take exactly as prescribed
Overdose is life threatening
Do not chew or crush tablets
Take with food to avoid upset stomach
Reassess respiratory status and breath sounds
before and during , and after
Administer epi-pen according to instructions
✔✔What is the nursing implementation for anticholinergics drugs? the implementation -
✔✔Take as prescribed at bedtime or after meals
Do not take at same time as other meds
Theuropeutic effects may take a few days - several weeks to occur
Take with food
Prevent dry mouth with increase fluids
Rinse mouth
Use spacer and not but make sure it is clean
Allergies to soybeans, peanuts, or other legumes and anticholinergic drugs
✔✔What is the nursing implementation for xanthine derivatives drugs? the
implementation - ✔✔Give exactly as prescribed
Do not give IV too rapidly
-Hypotension and possible syncope, tachycardia, seizures, cardiac arrest
Take oral form with foods to reduce GI upset
Don't crush or chew rime released preparation
Monitor respiratory status
, ✔✔What is the nursing implementation for corticosteroids drugs? the implementation -
✔✔Administer in mornings to match with bodys cortisol secretion
Administer with meals
Keep equipment clean
Rinse mouth after use
Encourage peak flow record
✔✔What is the nursing implementation for respiratory drugs? the evaluation -
✔✔Decrease signs and symptoms
-Wheezing dyspnea
Respiratory patterns return to normal
Improved O2 saturations
Increase activity tolerance
Monitor adverse effects
Monitor blood levels of therophylline for therapeutic effect
Serum theophylline levels: 5-15 mcg/ml
✔✔describe leukotriene receptor antagonists - ✔✔Nonbronchodilating
Newer class of asthma medications
Currently available drugs
-montelukast (Singulair)
-zafirlukast (Accolate)
-zileuton (Zyflo)
✔✔what is the mechanism of action of leukotienes? - ✔✔Leukotrienes are substances
released when a trigger, such as cat hair or dust, starts a series of chemical reactions in
the body.
Leukotrienes cause inflammation, bronchoconstriction, and mucus production.
Result: coughing, wheezing, shortness
of breath
