exam 4 pharm nurs 615
pseudoephedrine
children under 4 should not be prescribed this medication. instead encourage rest, fluids, saline
sprays, nasal bulb for clearing of secreations
coricidin hbp
this medication should be prescribed to pts with htn and c/o of nasal congestion
antihistamines
these medications have ADRs including sedation, dizziness, tinnitus, lassitude, fatigue
headache, irritability
antihistamine contraindications
these populations include narrow-angle glaucoma, lower respiratory tract symptoms (thickened
mucus, impaired cough), stenosing peptic ulcer, symptomatic prostatic hypertrophy, bladder
neck obsruction, ploroduodenal obstruction, and MAOI usage
codeine
this medication acts on the cough center in the medulla to suppress cough
antitussive
benzonatate (tesselon pearles), dextromethorphan, codeine
tiotropium
an anticholinergic medication used in the maintenance of COPD
montelukast (singulair)
ADRs of this medication include headache, GI upset, myalgia, fever serious rxn include suicidal
thoughts, hallucinations, depression, numbness/tingling, aggression, anxiety
montelukast (singulair)
, take this medication even if symptom free, not used for acute asthma episodes instead should
use bronchodilator if needed
long acting beta agonists
african americans should not be prescribed this class of medications due to a black box warning
in deaths from salmeterol, formoterol
inhaled corticosteroids
patients should use spacer for greater percentage of drug delivery. also should rinse with water
and spit to decrease risk for developing oral candidiasis
albuterol
inhaled beta agonists, relaxation of airway smooth muscles by increasing cAMP
inhaled corticosteroids
unknown but thought to inhibit igE and mast cell migrations into bronchial tissue
short acting beta agonists
appropriate for use for bronchospasm r/t asthma, bronchitis, copd. rescue inhale
-albuterol, levalbuterol
inhaled muscarinic receptor antagonists
block muscarinic receptors, decrease formation of cGMP leading to decrease contractility of
smooth muscles of the lung
-ipratropium, tiotropium
inhaled corticosteroids
side effects include oral candidiasis (thrush), hoarseness
-fluticasone, budesonide, beclomethasone dipropionate
antacids
best taken 1-2 hours after meals and at bedtime, chewed thoroughly an taken with a half glass
of water, may have either constipation or diarrhea depending on which type taken
loperamide
pseudoephedrine
children under 4 should not be prescribed this medication. instead encourage rest, fluids, saline
sprays, nasal bulb for clearing of secreations
coricidin hbp
this medication should be prescribed to pts with htn and c/o of nasal congestion
antihistamines
these medications have ADRs including sedation, dizziness, tinnitus, lassitude, fatigue
headache, irritability
antihistamine contraindications
these populations include narrow-angle glaucoma, lower respiratory tract symptoms (thickened
mucus, impaired cough), stenosing peptic ulcer, symptomatic prostatic hypertrophy, bladder
neck obsruction, ploroduodenal obstruction, and MAOI usage
codeine
this medication acts on the cough center in the medulla to suppress cough
antitussive
benzonatate (tesselon pearles), dextromethorphan, codeine
tiotropium
an anticholinergic medication used in the maintenance of COPD
montelukast (singulair)
ADRs of this medication include headache, GI upset, myalgia, fever serious rxn include suicidal
thoughts, hallucinations, depression, numbness/tingling, aggression, anxiety
montelukast (singulair)
, take this medication even if symptom free, not used for acute asthma episodes instead should
use bronchodilator if needed
long acting beta agonists
african americans should not be prescribed this class of medications due to a black box warning
in deaths from salmeterol, formoterol
inhaled corticosteroids
patients should use spacer for greater percentage of drug delivery. also should rinse with water
and spit to decrease risk for developing oral candidiasis
albuterol
inhaled beta agonists, relaxation of airway smooth muscles by increasing cAMP
inhaled corticosteroids
unknown but thought to inhibit igE and mast cell migrations into bronchial tissue
short acting beta agonists
appropriate for use for bronchospasm r/t asthma, bronchitis, copd. rescue inhale
-albuterol, levalbuterol
inhaled muscarinic receptor antagonists
block muscarinic receptors, decrease formation of cGMP leading to decrease contractility of
smooth muscles of the lung
-ipratropium, tiotropium
inhaled corticosteroids
side effects include oral candidiasis (thrush), hoarseness
-fluticasone, budesonide, beclomethasone dipropionate
antacids
best taken 1-2 hours after meals and at bedtime, chewed thoroughly an taken with a half glass
of water, may have either constipation or diarrhea depending on which type taken
loperamide
