Rasmussen Pharm Exam #2 Questions & Answers
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This type of medication Sympathomimetics (Sudafed)
reduces nasal congestion
by activating alpha1
receptors on nasal blood
vessels which causes
vasoconstriction which in
turn causes shrinkage of
the swollen membrane
followed by nasal
drainage
What does Beta1 and beta2 (increase heart rate and BP)
sympathomimetics affect?
1. Rebound congestion
What are 4 adverse
2. CNS stimulation
effects of
3. Cardiovascular effects and stroke
sympathomimetics?
4. Abuse potential
What're antihistamines for? Allergic rhinitis
(Benadryl)
What happens when It dilates small blood vessels and increase capillary
histamine is released? permeability
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What doesn't Nasal congestion
antihistamines reduce?
Antihistamines are most -Taken regularly
effective when? -Take even when symptoms are absent
Second generation -Zyrtec
antihistamine is known as -Sedation
what? What AE does it not
cause?
Anticholinergic (drying) effects, most common
Dry mouth
Difficulty urinating
Antihistamines: Adverse
Constipation
Effects
Changes in vision
Drowsiness
Mild drowsiness to deep sleep
Intranasal antihistamines Allergic rhinits
are indicated for what in
adults and children 12yo
and older?
-Nose bleeds
AE of intranasal
-Anticholinergic effects
antihistamines (azelastine
-Unpleasant taste
and olopatadin)
-Sedation
Opioid antitussives -codeine and hydrocodone
include:
-dextromethorphan
Non-opioid antitussives
-diphenhydramine
include:
-benzonatate
What is the most common For the suppression of a non-productive cough
use of cough associated with the common cold and other upper
medications? respiratory infections
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This medication acts on Dextromethorphan (tessalon perles)
cough center in the
medulla and it decreases
sensitivity of cough
receptors and interrupts
cough impulse
transmission
Nausea, vomiting, constipation, sedation, drowsiness,
AE of dextromethorphan
confusion, dizzy and nervousness
This non-narcotic Benzonatate
antitussive actually
provides low local
anesthetic effects on the
anesthetized stretch,
receptors in the
respiratory passage and
lungs
When you think tessalon Anesthetic
perles, think of what?
What is the first choice Intranasal glucocorticoids
and most effective
treatment prevention of
rhinitis?
AE of intranasal Drying of nasal mucosa, Burning or itching sensation,
glucocorticoids Sore throat, Epistaxis, Headache
What do you give Congestion, rhinorrhea, sneezing and nasal itching
intranasal glucocorticoids
for?
This is a rare but serious Adrenal suppression and slowing of linear pediatric
AE that can occur from growth
glucocorticoids
What is adrenal -Disorder when the adrenal glands don't produce
suppression? enough hormones
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