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Exam (elaborations)

Asthma II – Med Surg 300 Study Guide: Overview and Key Pharmacology

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This Med Surg 300 study guide provides a clear and detailed overview of Asthma with a focus on pathophysiology, triggers, assessment findings, diagnostic studies, and essential pharmacology used in managing acute and chronic asthma. Includes quick-reference medication classes, rescue vs controller drugs, nursing priorities, patient education, and exam-focused highlights. Ideal for nursing students preparing for exams, NCLEX review, or clinical rotations.

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Uploaded on
November 14, 2025
Number of pages
1
Written in
2025/2026
Type
Exam (elaborations)
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Respiratory
Asthma II

Pharmacology

NCLEX TIP




BRONCHOdilators ANTI-INFLAMMATORY Agents

B Albuterol
S Steroids
Beclomethasone


Anticholinergics
L Montelukast



M Methylxanthines
Theophylline
M
Mast Cell Stabilizers
Cromolyn




Bronchodilator - BAM team
Kaplan Question
• B - Beta 2 agonist - albuterol - think buterols for brutal asthma attacks!
It's considered the 1 & only rescue drug for asthma attacks Aminophylline is a bronchodilator
• A - Anticholinergics - Ipratropium - dries out the body, decreasing secretions
& dilating the airways - you cant pee - with a tro-pium
• M - Methylxanthines - Theophylline - very toxic & very fast HR! HESI Question
10 - 20 therapeutic range
Memory Tric k: Phyllines have you feeling toxic & tachycardic

Anti-inflammatory Agents - SLM Team

• S - Steroids “-sone” like Beclomethasone -
Top side effects - 3 Ss for Sone Steroids MEMORY TRICK
• S - Sores in mouth (oral thrush “candida”) so instruct the client to wash AIM for Acute Asthma Attack
out their mouth after every use & inhalers go into the sink, twicer per week.
• S - Sepsis & sickness (increased risk for infection) & increases WBC count A - Albuterol 1st
in the body I - Ipratropium 2nd
• S - Sugars increased (elevated glucose levels) M- Methyl-predniso-lone
(brand: Solu Medrol)
Last 2 - are NOT highly tested here

• L - Leukotriene inhibitors ending in Lukast like Montelukast (Singular) - think Luke likes to sing
• M - Mast cell stabilizers - Cromolyn

Metered Dose Inhaler Teaching

ATI Question
00:10 Patient with severe asthma: Which medication would you give?
seconds after inhaling so that the Select all that apply

• Tachycardia (>120 BPM) 1. Inhaled salmeterol
• Tachypnea (> 30 BPM) 2. Albuterol inhaler
Kaplan Question • O2 sat < 90% on RA 3. Nebulizer Ipratropium
Need for further teaching when
• Peak exp. Flow < 40% 4. IV methamphetamines
client states: predicted or best 5. IV Methylprednisolone
I will be careful not to shake the < 150L/min)
canister before I use it

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