NUR 1023 Pharm Exam 6
Which inhaled pharmacological class of Short acting bronchodilators- Stimula-
medication is used for acute attacks and tion of B2 adrenergic receptors (SABA)
status asthmaticus? to produce quick bronchodilation
Why should clients only take albuterol as Overuse can lead to paradoxical bron-
prescribed? chospasm
What common side effect(s) should
clients be made aware of before starting Tachycardia, nervousness, and tremors
albuterol?
When administering inhaled medica-
tions what should a nurse assess before Breath Sounds
and after treatment?
Dry mouth, nasal congestion, urinary re-
You should know and understand anti-
tention
cholinergic side effects / nursing inter-
Increase fluids to decrease viscosity of
ventions before and after administration
secretions and combat dry mouth with
of this classification of medication.
sugar free candy
Long acting anticholinergic- bind to the
What medications are used to prevent an
ACh receptors preventing ACh from bind-
asthma attack?
ing and airways dilate
Increased risk of infection
Oral yeast infection (Thrush)
What are the side effects of inhaled cor-
Dry Mouth
ticosteroids?
Throat irritation
Long term may lead to osteoporosis
Inhaler has less systemic steroid effects
than oral, so will take several weeks
What are the nursing interventions for
Do not suddenly D/C steroids; taper
inhaled corticosteroids?
Rinse mouth and spit out water after use
Monitor for Thrush
Best option for pt's having difficulty
with coordinating inhalers/breathing ef-
Why / How are spacers used? forts as it maximizes the amount of med-
ication received because the med stays
in the spacer until inhaled.
1-2 minutes
1/7
, NUR 1023 Pharm Exam 6
How long do you wait between puffs of
the same medication?
How long do you wait between puffs of a
5 Minutes
different med?
Soap and water then dry. Use washcloth
What is the care of a spacer? to wipe down mouthpiece of inhaler at
least once weekly.
Anyone who has a hard time using in-
What client populations would best be
halers or to deliver a large dose of med-
served by having a nebulizer treatment
ication. Infants, small children, elderly, or
instead of inhaler?
developmentally delayed.
Why should theophylline be given every You need to be between 10-20 mcg/mL
day even if client feels better? to be therapeutic
Tremors
Restlessness
How would you know a client has theo- Agitation
phylline toxicity? Altered mental status
N/V/D and Abdominal cramps
Severe cardiac/seizure like effects
Takes about a week to be effective
What are the nursing interventions/con-
Teach to take every night even if symp-
siderations for administration of mon-
toms improve
telukast?
Monitor Liver function test
We discussed codeine (narcotics) manty
Bad day: N/V, Constipation, itching, uri-
weeks ago. Remember the side effects
nary retention, Euphoria
and apply to use as a antitussive. Which
Life Threat: Respiratory depression and
S/E are a bad day and which are life
CNS Depression
threatening?
What 2 comorbid conditions would re-
Diabetes
quire caution with taking dextromethor-
Alcoholism/Liver Issues
phan?
What should a nurse educate a client
Increase fluid intake to aid in fluid thin-
taking guaifenesin to do to aid in the
ning
effectiveness of this medication?
2/7
Which inhaled pharmacological class of Short acting bronchodilators- Stimula-
medication is used for acute attacks and tion of B2 adrenergic receptors (SABA)
status asthmaticus? to produce quick bronchodilation
Why should clients only take albuterol as Overuse can lead to paradoxical bron-
prescribed? chospasm
What common side effect(s) should
clients be made aware of before starting Tachycardia, nervousness, and tremors
albuterol?
When administering inhaled medica-
tions what should a nurse assess before Breath Sounds
and after treatment?
Dry mouth, nasal congestion, urinary re-
You should know and understand anti-
tention
cholinergic side effects / nursing inter-
Increase fluids to decrease viscosity of
ventions before and after administration
secretions and combat dry mouth with
of this classification of medication.
sugar free candy
Long acting anticholinergic- bind to the
What medications are used to prevent an
ACh receptors preventing ACh from bind-
asthma attack?
ing and airways dilate
Increased risk of infection
Oral yeast infection (Thrush)
What are the side effects of inhaled cor-
Dry Mouth
ticosteroids?
Throat irritation
Long term may lead to osteoporosis
Inhaler has less systemic steroid effects
than oral, so will take several weeks
What are the nursing interventions for
Do not suddenly D/C steroids; taper
inhaled corticosteroids?
Rinse mouth and spit out water after use
Monitor for Thrush
Best option for pt's having difficulty
with coordinating inhalers/breathing ef-
Why / How are spacers used? forts as it maximizes the amount of med-
ication received because the med stays
in the spacer until inhaled.
1-2 minutes
1/7
, NUR 1023 Pharm Exam 6
How long do you wait between puffs of
the same medication?
How long do you wait between puffs of a
5 Minutes
different med?
Soap and water then dry. Use washcloth
What is the care of a spacer? to wipe down mouthpiece of inhaler at
least once weekly.
Anyone who has a hard time using in-
What client populations would best be
halers or to deliver a large dose of med-
served by having a nebulizer treatment
ication. Infants, small children, elderly, or
instead of inhaler?
developmentally delayed.
Why should theophylline be given every You need to be between 10-20 mcg/mL
day even if client feels better? to be therapeutic
Tremors
Restlessness
How would you know a client has theo- Agitation
phylline toxicity? Altered mental status
N/V/D and Abdominal cramps
Severe cardiac/seizure like effects
Takes about a week to be effective
What are the nursing interventions/con-
Teach to take every night even if symp-
siderations for administration of mon-
toms improve
telukast?
Monitor Liver function test
We discussed codeine (narcotics) manty
Bad day: N/V, Constipation, itching, uri-
weeks ago. Remember the side effects
nary retention, Euphoria
and apply to use as a antitussive. Which
Life Threat: Respiratory depression and
S/E are a bad day and which are life
CNS Depression
threatening?
What 2 comorbid conditions would re-
Diabetes
quire caution with taking dextromethor-
Alcoholism/Liver Issues
phan?
What should a nurse educate a client
Increase fluid intake to aid in fluid thin-
taking guaifenesin to do to aid in the
ning
effectiveness of this medication?
2/7
