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Pharmacology - Exam 4 Blueprint NURS 3107 Texas Tech University Health Sciences Center | UPDATED Questions with 100% Verified Answers

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Pharmacology - Exam 4 Blueprint NURS 3107 Texas Tech University Health Sciences Center | UPDATED Questions with 100% Verified Answers

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Pharmacology - Exam 4 Blueprint NURS 3107 Texas Tech University
Health Sciences Center | UPDATED Questions with 100% Verified
Answers

Question:
Lower Airflow Disorders

Answer:
1. Asthma - chronic inflammatory disorder of the airway.
Characterized by bronchospasms (tightening of airway in the
lungs)
2. Chronic Obstructive Pulmonary Disease (COPD) - occurs
w time, lungs start retaining too much CO2 making it difficult
to breathe


Question:
Airflow Disorder Medications

Answer:
- Beta-2 Adrenergic Agonists (Albuterol, Formoterol,
Salmeterol)
- Inhaled Anticholinergics (Ipratropium)
- Glucocorticoids Prednisone, Beclomethasone, Budesonide,
Fluticasone, Methylprednisolone
- Leukotriene Modifiers (Montelukast/Zafirlukast)
- Methylxanthines (Theophylline)


Question:
Mechanism of Action for Beta-2 Adrenergic Agonists

Answer:
Includes: Albuterol/Salmeterol/Formoterol
- promote bronchodilation (relaxes the muscle and widens
airway) by activating beta-2- receptors in the bronchial
smooth muscle
- Sympathetic: Fight or flight (react really quick to a
frightening event)

,- concurrent use with beta blockers will negate the effects of
the med


Question:
Results of Beta-2 Adrenergic Agonists

Answer:
bronchospasm is relieved, histamine release is inhibited, and
ciliary motility is increased
- can cause tachycardia (check pulse and report an increase of
greater than 20/30min)


Question:
Two types of bronchodilator medications

Answer:
Short Acting Beta-2 Adrenergic Agonists (SABAs) Long
Acting Beta-2 Adrenergic Agonists (LABAs)


Question:
Short Acting Beta-2 Adrenergic Agonists (SABAs)

Answer:
Includes: Albuterol (THINK RESCUE INHALER!!!!)
- inhaled
- treats bronchospasm by opening up the airway and prevents
exercise induced bronchospasms
- used for acute episodes of bronchospasms Immediate relief,
gives fast results!!!!


Question:
Long Acting Beta-2 Adrenergic Agonists (SABAs)

Answer:
Includes: Salmeterol, Formoterol both inhaled and used for
long term control of asthma

, Question:
Complications of Albuterol/Salmeterol/Formoterol

Answer:
1. tachycardia which can lead to angina(chest pain)
- mild tachycardia is normal but once it gets too high -->
check pulse and report if there is an increase of greater than
20 to 30 bpm
2. tremors (usually resolved w continued med use)


Question:
Effectiveness of Albuterol/Salmeterol/Formoterol

Answer:
- Clear and equal breath sounds
- Absence of wheezing/shortness of breath
- Return of respiratory rate to baseline
- Control of asthma(Salmeterol/Formoterol) and prevention of
exercise induced asthma(albuterol)


Question:
Teaching about SABAs & LABAs

Answer:
- Avoid caffeine
- Report chest pain
- Do not exceed prescribed doses
- If pt is taking for asthma, log frequency and intensity of
asthma exacerbations


Question:
Metered Dose Inhaler Steps

Answer:
1. Remove the mouthpiece cap
2. Shake container vigorously 5 to 6 times (or as instructed)

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