Rasmussen Pharmacology Exam 3 Latest Update Graded A+

Rasmussen Pharmacology Exam 3 Latest Update Graded A+ diphenhydramine (Benadryl) **Antihistimine** -H1 blocker- prevents histimine response -Decrease nasopharyngeal secretions -ANTICHOLINERGIC side effects (cant see, spit, pee, poop) -Drowziness ^^ CNS depression dextromethorphan hydrobromide (Robitussin, Sucrets) **Antitusive** - Supresses cough -Reduces secretions HIGH DOSES CAN CAUSE HALLUCINATIONS >> SHOULD NOT BE USED FOR PATIENTS WITH A PRODUCTIVE COUGH Treatments of Chronic Asthma SABA ICS LABA Fluticasone/Salmeterol(ADVAIR) SABA Short acting beta agonist or ALBUTEROL ***Quick relief ONLY *** ICS Inhaled corticosteroid or FLUTICASONE LABA Long acting beta agonist or SALEMETEROL what is ADVAIR? **Fluticasone (ICS)** decreases inflammation THINK immune suppression can cause thrush rinse mouth with water thoroughly and spit out do not swallow **salemeterol LABA** prophylaxis and maintenance therapy NOT FOR RESCUE NOT FOR MONOTHERAPY can use in COPD ---causes headache & Dizziness Why should an asthma patient never just be on a LABA? ^^ Mortality Risk inflammation builds up, LABA masks signs and patient dies from asthma attack albuterol (SABA) * short acting beta agonist* causes bronchodialation can ^^ BP and Pulse RESCUE ONLY Side effects: nervousness, restlessness, tremor, chest pains, palpitation what type of side effects would you expect to see after administration of ipratropium bromide? ANTICHOLINERGIC montelukast (Singulair) **Leukotriene inhibitiors** anti-inflammatory effects used for prophylaxis and maintenance NOT FOR RESCUE causes headache, insomnia, irritability, restlessness, tremor, weakness Theophylline **Methylxanthine Derivatives** stimulates CNS and respiration dialates coronary and pulmonary vessels causes tachycardia NARROW THERAPUTIC WINDOW- potential for severe adverse reactions your patient has pneumonia and wants to know why the provider won't prescribe codeine or dexomethorphan (robitussin) like she has gotten in the past. What should you teach her? cough suppressants are best used for short-term NON