NUR 545 Exam 2 With Correct
Answers
What drug class is theophylline (Theolair) from? - ANSWER Methylxanthines
Used for lower respiratory tract
Therapeutic use for theophylline (Theolair)?
How is it given? - ANSWER Long term management of stable asthma
PO or IV
Mechanism of action for theophylline (Theolair)? - ANSWER Relax smooth
muscles of the bronchi
Adverse effects of theophylline (Theolair)? - ANSWER -Few side effects at
therapeutic levels
-Exceeding therapeutic levels leads to CNS excitation: restlessness and
insomnia
-Nausea, vomiting, diarrhea
-Seizures
-Dysrhythmias
Nursing implications for theophylline (Theolair)? - ANSWER -Careful
monitoring of drug levels
, -If you miss a dose, do not double up on the next dose
-Administer IV SLOWLY
-Many drug interactions- be sure to know everything the patient is taking
-Avoid caffeine as it is a methylxanthine
-Tobacco and marijuana can cause toxic levels
-Do not take with cimetidine (Tagamet)
What drug class is montelukast (Singular) from? - ANSWER Leukotriene
Modifiers
Used for lower respiratory tract
Therapeutic use for montelukast (Singular)?
How is it given? - ANSWER Allergic Rhinitis, asthma, exercise induced
bronchospasms
PO
Mechanism of action for montelukast (Singular)? - ANSWER Suppress the
effect of leukotrienes, decreasing inflammation
Adverse effects of montelukast (Singular)? - ANSWER Well tolerated;
Neuropsychiatric symptoms: nightmares
Answers
What drug class is theophylline (Theolair) from? - ANSWER Methylxanthines
Used for lower respiratory tract
Therapeutic use for theophylline (Theolair)?
How is it given? - ANSWER Long term management of stable asthma
PO or IV
Mechanism of action for theophylline (Theolair)? - ANSWER Relax smooth
muscles of the bronchi
Adverse effects of theophylline (Theolair)? - ANSWER -Few side effects at
therapeutic levels
-Exceeding therapeutic levels leads to CNS excitation: restlessness and
insomnia
-Nausea, vomiting, diarrhea
-Seizures
-Dysrhythmias
Nursing implications for theophylline (Theolair)? - ANSWER -Careful
monitoring of drug levels
, -If you miss a dose, do not double up on the next dose
-Administer IV SLOWLY
-Many drug interactions- be sure to know everything the patient is taking
-Avoid caffeine as it is a methylxanthine
-Tobacco and marijuana can cause toxic levels
-Do not take with cimetidine (Tagamet)
What drug class is montelukast (Singular) from? - ANSWER Leukotriene
Modifiers
Used for lower respiratory tract
Therapeutic use for montelukast (Singular)?
How is it given? - ANSWER Allergic Rhinitis, asthma, exercise induced
bronchospasms
PO
Mechanism of action for montelukast (Singular)? - ANSWER Suppress the
effect of leukotrienes, decreasing inflammation
Adverse effects of montelukast (Singular)? - ANSWER Well tolerated;
Neuropsychiatric symptoms: nightmares