NURS 615: ADVANCED PHARMACOTHERAPEUTICS Maryville university exam 4

What is Tiotropium (SPIRIVA) used to treat? - Answer ️️ -Used in the management/ maintenance treatment of chronic obstructive pulmonary disease (COPD) which includes chronic bronchitis and emphysema. What is the drug classification of Tiotropium? - Answer ️️ ->It is a long-acting, 24H anticholinergic-bronchodilator. >It is a muscurinic receptor antagonist, often referred to as an antimuscurinic or anticholinergic agent. What is the mechanism of action of Tiotropium (SPIRIVA) - Answer ️️ -It does not display selectivity for specific muscarinic receptors, when topically applied it acts mainly on M3 muscarinic receptors[8] located on smooth muscle cells and submucosal glands. This leads to a reduction in smooth muscle contraction and mucus secretion and thus produces a bronchodilatory effect. What are the adverse effects with montelukast (Singular) - Answer ️️ -Anxiety, aggression, depression, suicidal thoughts, What patient teaching should accompany the prescription of montelukast (Singulair)? - Answer ️️ -Teach pt regarding adverse effect about aggression , depression suicidal thoughts that could occur