MU NURS 615: Advanced Pharm - Exam 4 Review

What is tiotropium? Correct Answer- (Spiriva) Tiotropium bromide (INN) is a long-standing, 24 hour, anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease, (COPD). What is tiotropium used for maintenance treatment of? Correct Answer- COPD, which includes chronic bronchitis and emphysema. Tiotropium Correct Answer- is not used in the treatment for acute exacerbations of COPD and bronchitis Tiotropium Correct Answer- is a muscarinic receptor antagonist, often referred to as an antimuscarinic or anticholingeric agent. What are the adverse effects of montelukast (Singulair)? Correct Answer- Side effects of Singular can include skin rash, mood changes, tremors, h/a, stomach pain, heartburn, upset stomach, nausea, diarrhea, tooth pain, tiredness, fever, stuffy nose, sore throat, cough, and hoarseness. Singular may interact with phenobarbital or rifampin. What patient teaching should accompany the prescription of montelukast (Singulair)? Correct Answer- It will not work fast enough to treat an asthma attack that has already begun. Use only a fast-acting inhalation medicine to treat an asthma attack. Singulair should not be used for exercised- induced Correct Answer- bronchoconstriction Singulair can lead to what mood changes? Correct Answer- anxiety, depression, or thoughts of suicide or of hurting yourself What patient teaching should be provided when prescribing inhaled corticosteroids? Correct AnswerThey should be taken 2x a day every day for the use of prevention of asthma. Rinse mouth after use to p