NURS 615 EXAM 4 | COMPLETE QUESTIONS & ANSWERS
(100% VERIFIED SOLUTIONS) LATEST UPDATE
Inhaled Corticosteroids - CORRECT ANSWER -fluticasone (Flovent
budesonide (Pulmicort)
beclomethasone (QVAR)
Long term management of Asthma. Decrease mucosal airway inflammation.
Patient Teaching with Inhaled Corticosteroids - CORRECT ANSWER -Rinse mouth out after use
as thrush can develop.
Inhaled Beta Agonists - CORRECT ANSWER -Short Acting - Albuterol (rescue)
Long Acting - Salmeterol (Advair) or formoterol; long term management
Used in treatment of bronchospasm in COPD, bronchitis and asthma
Patient Teaching with Inhaled Beta Agonists - CORRECT ANSWER -May experience tremors
and tachycardia initially
Contraindication for LABAs - CORRECT ANSWER -African Americans; at risk for decreased
air flow and worsening asthma control
Mast Cell Stabilizers - CORRECT ANSWER -Cromolyn and nedocromil
Alter function of chloride channels, inhibiting cough and mast cells/eosinophils into the airway.
Prophylactic; not used much anymore; used on daily basis
, Xanthine Derivatives - CORRECT ANSWER -Theophylline and Aminophylline
Increase cAMP, leading to bronchial smooth muscle and vessel relaxation
COPD treatment; 90% converted to caffeine in the liver; rarely used
Side Effects of Theophylline - CORRECT ANSWER -Shakiness and tachycardia (caffeine-like
symptoms)
Anticholingerics - CORRECT ANSWER -Ipratropium (Atrovent)
Tiotropium (Spiriva)
Maintenance therapy of COPD; block muscarinic receptors by decreasing cyclic GMP; decreases
contractility of smooth muscle in lungs
Tiotropium slightly better absorbed than Ipratropium
Side Effects of Anticholingerics - CORRECT ANSWER -Headache and nervousness
Xolair - CORRECT ANSWER -Use in treatment of Asthma
Monoclonal antibody; limits the binding of IgE to receptors on the surface of mast cells and
basophils; SubQ injection
Expensive, requires Prior Auth but can be effective for those unaffected by other medications
(100% VERIFIED SOLUTIONS) LATEST UPDATE
Inhaled Corticosteroids - CORRECT ANSWER -fluticasone (Flovent
budesonide (Pulmicort)
beclomethasone (QVAR)
Long term management of Asthma. Decrease mucosal airway inflammation.
Patient Teaching with Inhaled Corticosteroids - CORRECT ANSWER -Rinse mouth out after use
as thrush can develop.
Inhaled Beta Agonists - CORRECT ANSWER -Short Acting - Albuterol (rescue)
Long Acting - Salmeterol (Advair) or formoterol; long term management
Used in treatment of bronchospasm in COPD, bronchitis and asthma
Patient Teaching with Inhaled Beta Agonists - CORRECT ANSWER -May experience tremors
and tachycardia initially
Contraindication for LABAs - CORRECT ANSWER -African Americans; at risk for decreased
air flow and worsening asthma control
Mast Cell Stabilizers - CORRECT ANSWER -Cromolyn and nedocromil
Alter function of chloride channels, inhibiting cough and mast cells/eosinophils into the airway.
Prophylactic; not used much anymore; used on daily basis
, Xanthine Derivatives - CORRECT ANSWER -Theophylline and Aminophylline
Increase cAMP, leading to bronchial smooth muscle and vessel relaxation
COPD treatment; 90% converted to caffeine in the liver; rarely used
Side Effects of Theophylline - CORRECT ANSWER -Shakiness and tachycardia (caffeine-like
symptoms)
Anticholingerics - CORRECT ANSWER -Ipratropium (Atrovent)
Tiotropium (Spiriva)
Maintenance therapy of COPD; block muscarinic receptors by decreasing cyclic GMP; decreases
contractility of smooth muscle in lungs
Tiotropium slightly better absorbed than Ipratropium
Side Effects of Anticholingerics - CORRECT ANSWER -Headache and nervousness
Xolair - CORRECT ANSWER -Use in treatment of Asthma
Monoclonal antibody; limits the binding of IgE to receptors on the surface of mast cells and
basophils; SubQ injection
Expensive, requires Prior Auth but can be effective for those unaffected by other medications
