Pharmacology Semester 1 Exam 4 (VUSN) Practice Questions and Answers

Pharmacology Semester 1 Exam 4 (VUSN) Practice Questions and Answers Ipratropium (inhaled) - Big points to know - Answer️️ -Use: COPD, class: inhaled anticholinergic inhibits M3 receptors at smooth muscle contraindicated with peanut allergy. Precautions: Glaucoma, BPH Remember: "pium" "can't pee." This drug is an anticholinergic and dries you up! Side Effect: foul taste, xerostoma, increased ocular pressure, urinary retention. Interventions: monitor urinary patterns, schedule eye exams, provide hard candy Educate: suck on hard candy, regular eye exams, report urinary issues Albuterol - Answer️️ -Short acting beta agonist ©SOPHIABENNETT@ Sunday, August 25, 2024 2:42 PM Vanderbilt University School of Nursing 2 Acute asthma exacerbation. Acts on Beta 2 but also triggers Beta 1 (heart). So can cause tachycardia, palpitations, tremors, insomnia. Also, watch out for hypokalemia! Remember to clean mouth piece of inhaler 1x - 2 x a week. Also, use this before a steroid! Formoterol - Answer️️ -long acting beta 2 agonist / asthma Always give with a SABA. Do NOT GIVE BY ITSELF! Hypokalemia risk is significant (shift of Vitamin K into cells); Hyperglycemia is also a risk, Seizure risk. Interacts with many diuretics (worry about hypokalemia, again), and many other drugs Cromolyn - Answer️️ -mast cell stabilizer; used for asthma before exercise prophylactically is allergen is causative agent, MDI; maximal effects may ©SOPHIABENNETT@ Sunday, August 25, 2024 2:42 PM Vanderbilt University School of Nursing 3 take several weeks before clinical response; NSAID that inhibits the IgE mediated release of antiflammatory mediators from mast cells; not used to tx acute bronchospasm Montelukast - Answer️️ -leukotriene receptor antagonist; decreases inflammation. Long term onset (1-2 weeks), PO, concerns: LIVER ISSUES and suicidal ideation Fluticasone (inhaled) - Answer️️ -inhaled corticosteroid Inhibits immune and inflammatory systems COPD (inhaled), allergies (intranas