Rau’sRespiratoryCarePharmacology
v v v
11thEdition byDouglasGardenhire,
v v v v
AllChapters1to23Covered
v v v v v
, TABLEOFCONTENTS v v
UnitI:BasicConceptsand Principles inPharmacology
v v v v v v v
1.Introduction toRespiratoryCarePharmacology
v v v v v
2.PrinciplesofDrugAction
v v v v
3.AdministrationofAerosolizedAgents
v v v v
4.CalculatingDrugDoses
v v v
5.TheCentralandPeripheral NervousSystems
v v v v v v
UnitII:Drugs Used toTreat theRespiratorySystem
v v v v v v v v
6.Adrenergic(Sympathomimetic)Bronchodilators
v v v
7.Anticholinergic(Parasympatholytic)Bronchodilators
v v v
8.Xanthines
v
9.Mucus-ControllingDrugTherapy
v v v
10.Surfactant Agents
v v
11.CorticosteriodsinRespiratoryCare
v v v v v
12.Nonsteroidal AntiasthmaAgents
v v v
13.AerosolizedAntiinfectiveAgents
v v v v
14.AntimicrobialAgents
v v
15.Cold andCoughAgents
v v v v
16.Selected AgentsofPulmonaryValue
v v v v v
17.NeonatalandPediatricAerosolizedDrugTherapy
v v v v v v
UnitIII:CriticalCare, Cardiovascular, and PolysomnographyAgents
v v v v v v v
18.Skeletal MuscleRelaxants(NeuromuscularBlockingAgents)
v v v v v v
19.DiureticAgents
v v
20.DrugsAffectingtheCentral NervousSystem
v v v v v v
21.Vasopressors,Inotropes,andAntiarrythmicAgents
v v v v v v
22.DrugsAffectingCirculation:Antihypertensives,Antianginals,Antithrombotics
v v v v v v v
23.Sleep andSleepPharmacology
v v v v
,Chapter01:IntroductiontoRespiratoryCarePharmacology Gardenhire:
v v v v v v v
Rau’sRespiratoryCarePharmacology,11thEdition
v v v v v v
MULTIPLE CHOICE v
1. Whatisthename ofthereceptor sitesthat arelocatedintheperipheralvasculature, the heart,
v v v v v v v v v v v v v v v v
vbronchialmuscle, and bronchial blood vessels? v v v v v
a. Beta2receptors c. Alphareceptors
v v v
b. Gammareceptors d. Beta 1receptors v vv v v v
ANS: C v
Alphareceptorsarelocatedintheperipheral vasculature, theheart,bronchial muscle,and
v v v v v v v v v v v v
vbronchial blood vessels. v v
PTS: 1 v v
2. Whichreceptorsiteresults intachycardia,anincreasedpotentialforarrhythmias,andan
v v v v v v v v v v v v
v increased cardiac output? v v
a. Beta1receptor c. Alphareceptor
v v v
b. Beta2receptor d. Delta receptor
v v v v v
ANS: A v
Stimulation ofthe beta-1receptorsresultsintachycardia,anincreased potential for arrhythmias,
v v v v v v v v v v v v
and anincreasedcardiacoutput.Inadministeringdrugs tothepulmonarysystem, stimulationofthe
v v v v v v v v v v v v v v v
beta-1 sites is not desired. However, most respiratory pharmacologic agents havesome beta-1
v v v v v v v v v v v v v
stimulatory effect.
v v
PTS: 1 v v
3. Stimulation ofthebeta2receptorscauses v v v v v v vv
a. peripheralvasoconstrictionandmild bronchoconstriction inthelungs. v v v v v v v
b. tachycardia,anincreased potentialforarrhythmias,andanincreasedcardiacoutput. v v v v v v v v v v
c. bronchodilation.
d. peripheralvasodilation,bradycardia,anddecreasedcardiacoutput. v v v v v v
ANS: C v
Stimulationofthebeta-2receptors inthelungscauses bronchodilation. v v v v v v v v v
PTS: 1 v v
4. Acetylcholinestimulates v v v
a. theVagusnerve. v v
b. theadrenergicreceptors. v v
c. thesympatheticnervoussystem. v v v
d. thecholinergicreceptors. v v
ANS: D v
Acetylcholinestimulatesthecholinergicreceptors. v v v v
PTS: 1 v v
5. Whatimmunoglobulinantibodysensitizes themastcell?
v v v v v v
a. Leukotrienes c. Histamine
, b. IgE d. Prostaglandins
v v
ANS: B v
TheIgE(reagin) antibodies sensitizethemastcell.Repeated exposuretotheantigen causesthe
v v v v v v v v v v v v v v
vdegranulation of themast cell. v v v v
PTS: 1 v v
6. Whichof thefollowingiscaused byhistaminereleasefromthe mast cells?
v v v v v v v v v v v v
I. Bronchodilation
II. Increasedbronchialglandsecretion v v v
III. Increased amountofmucus present intheairways v v v v v v v
a. Iand II only v c. IIIonly v v v
b. IIand IIIonly v d. I, II,III v v vv v v v
ANS: B v
Histamineisalsoapotentbronchoconstrictor.Inadditiontoitsbronchoconstrictiveactivity,histamine
v v v v v v v v v v v v
II)increasesbronchialglandsecretion,causingIII)anincreaseintheamount of mucus
v v v v v v v v v v v v v
vpresent in the airways. Histamine mayalsohave an effect on vascular permeability similar to the
v v v v v v v v v v v v v v v
effect of- SRS-A.
v v v
PTS: 1 v v
7. Asympathomimeticdrugwould cause
v v v v vv
a. bronchodilation. c. Histaminerelease. v
b. bronchoconstriction. d. Vagusnervestimulation.
v v v v
ANS: A v
Asympathomimeticdrugwouldcausebronchodilation. Sympathomimeticagentsarethedrugsmost
v v v v v v v v v v v
vcommonly used to reverse bronchospasm. v v v v
PTS: 1 v v
8. Stimulation ofthesympatheticnervoussystemcauses v v v v v v vv
a. vascularpermeability. c. bronchodilation. v
b. decreasedblood pressure. d. bronchoconstriction. v v v v
ANS: C v
Sympatheticnervoussystemstimulationcausesbronchodilation. v v v v v
PTS: 1 v v
9. Whichofthefollowingwould NOTcauseabronchospasmorbronchoconstriction?
v v v v v v v v v v
a. Leukotrienes c. Histamine
b. Beta1receptors d. Prostaglandins
v v v v
ANS: B v
Beta-1receptorswouldnotcauseabronchospasmorbronchoconstriction. Leukotrienes are
v v v v v v v v v v
oneof many chemical mediators released by the mast cells. Leukotrienes cause a direct, strong
v v v v v v v v v v v v v v v
bronchoconstriction. Histamine is also apotent bronchoconstrictor. Prostaglandins cause a strong
v v v v v v v v v v v
bronchospasm,especially in asthmatic patients.
v v v v v
PTS: 1 v v