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What is the mechanism of action (MOA) of anticholinergics like Ipratropium? ------
---CORRECT ANSWER-----------------Anticholinergic bronchodilator causing
relaxation/dilation and reduction of secretions.
What are the indications for anticholinergics? ---------CORRECT ANSWER--------------
---Chronic bronchitis, emphysema, and COPD.
What are common side effects of anticholinergics? ---------CORRECT ANSWER-------
----------Dry mouth, dry throat, nasal congestion, heart palpitations, GI distress,
urinary retention.
What serious reactions can occur with anticholinergics? ---------CORRECT
ANSWER-----------------Paradoxical bronchospasm, anaphylaxis, hypersensitivity
reaction, angle-closure glaucoma.
What are the side effects of Xanthine Derivatives like Theophylline? ---------
CORRECT ANSWER-----------------Cardiac issues (tachycardia, palpitations), seizures,
insomnia.
,What are the therapeutic levels for Theophylline? ---------CORRECT ANSWER--------
---------10-20 mcg/ml.
What is the mechanism of action (MOA) of Leukotriene Receptor Antagonists
(LTRAs)? ---------CORRECT ANSWER-----------------Disrupts the effects of
leukotrienes, promoting smooth muscle dilation and decreasing inflammation.
What are the indications for LTRAs like Montelukast? ---------CORRECT ANSWER----
-------------Prevent or treat asthma, manage seasonal allergies, prevent exercise-
induced bronchoconstriction.
What nursing implications should be considered for LTRAs? ---------CORRECT
ANSWER-----------------For chronic use, not acute attacks; assess liver function; may
contain inactive ingredients.
What is the MOA of inhaled corticosteroids like Fluticasone? ---------CORRECT
ANSWER-----------------Locally acting anti-inflammatory.
What are some side effects of inhaled corticosteroids? ---------CORRECT ANSWER--
---------------Pharyngeal irritation, coughing, dry mouth, fungal infections (Thrush).
, What should be monitored when using inhaled corticosteroids? ---------CORRECT
ANSWER-----------------Monitor for Thrush and steroid mental changes.
What are the adverse effects of oral corticosteroids like Prednisone? ---------
CORRECT ANSWER-----------------Heart failure, hypertension, mood swings, ulcers,
and Cushing's syndrome.
What is the most common oral glucocorticoid used for respiratory illness? ---------
CORRECT ANSWER-----------------Prednisone.
What is a key nursing consideration for Methylprednisolone (Solu-Medrol)? --------
-CORRECT ANSWER-----------------Cannot be given to children under 28 days due to
benzyl alcohol.
What should patients be instructed to do regarding smoking when using
corticosteroids? ---------CORRECT ANSWER-----------------Instruct to stop smoking.
What are the common integumentary side effects of certain medications? ---------
CORRECT ANSWER-----------------Fragile/thin skin, petechiae, ecchymoses, facial
erythema, poor wound healing.