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Quiz: inhaled glucocorticoids Ans: Examples: beclomethasone,
dexamethasone, prednisone, fluticasone, mometasone. Anti-inflammatory
action treats allergic rhinitis. Long term asthma treatment. Rinse mouth after
use to prevent thrush! Side effects: oral candidiasis, sore throat, dry mouth,
hyperglycemia, and fluid retention. *Canada albicans is common infection seen
with this med* Long term use increases risk of osteoporosis.
Quiz: decongestants Ans: Examples: oxymetazoline (Afrin),
pseudoephedrine, phenylephrine. Short term medications that reduce fluid
secretion in the nose and produces nasal vascular constriction.
*Contraindicated in hypertension and CAD* Side effects: *rebound nasal
congestion*
Quiz: biguanides Ans: Example: metformin. Diabetes medication. Increases
binding of insulin and glucose transport. Slowing glucose absorption.
*Metformin should be held 48 hrs before and after procedure of imaging with
contrast* Side effects: decreased absorption of vitamin B12 and folic acid, GI
disturbances, *lactic acidosis*.
Quiz: GLP-1 Ans: Examples: exenatide, liraglutide, dulaglutide. Treatment of
type 2 diabetes and improves beta cell responsiveness. *Should NOT be given
to patients with type 1 diabetes, diabetic ketoacidosis, renal dysfunction, or
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, severe GI disease. Exenatide given by injectable prefilled pens (2x daily).
Liraglutide given SQ (1x daily).
Quiz: benzodiazepines Ans: Examples: promethazine, lorazepam,
chlorpromazine. Medication depresses the CNS and indirectly controls
nausea/vomiting with chemotherapy. *Gradually taper to discontinue*
*Adverse effects: extrapyramidal symptoms or extrapyramidal syndrome,
hypotension.*
Quiz: anticholinergics Ans: Examples: tiotropium, ipratropium. Medications
work as maintenance treatment of bronchospasms associated with COPD.
Educate patient to increase fluids and suck on candy to help with dry mouth!
Adverse effects: dry mouth, GI distress, pharyngitis, sinusitis, headache,
peripheral edema.
Quiz: antacids Ans: Examples: calcium carbonate, aluminum hydroxide.
Medications promote ulcer healing, heartburn/GERD/ indigestion. *Shouldn't
be administered with other oral meds due to many drug interactions* Ideal
dosing 1-3 hours after meals and at bedtime.
Quiz: sympathomimetics Ans: Example: epinephrine. Medication dilates the
bronchioles. Used for acute bronchospasm, asthma, anaphylaxis, and nasal
congestion. *Can be given SQ in anaphylaxis*
Quiz: urinary analgesics Ans: Example: phenazopyridine. Used to relieve
urinary pain, burning sensation, frequency, or urgency. Side effects are contact
lens discoloration, urine discoloration, increased hepatic enzymes, cystitis,
anaphylaxis, bladder discomfort, and spasm.
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