Chapter 26-29 Respiratory Drugs Level 2

Front 1

What are bronchodilators?

Back 1

a substance that dilates the bronchi and bronchioles, decreasing resistance in the respiratory airway and increasing airflow to the lungs.

Front 2

What is a Beta-2 Adrenergic Agonists?

Back 2

causes smooth muscle relaxation, resulting in dilation of bronchial passages, vasodilation in muscle and liver, relaxation of uterine muscle, and release of insulin.

Front 3

What are the 4 Beta-2 Adrenergic Agonists Bronchodilators (Generic and Trade name)?

Back 3

Albuterol-Proventil, Ventolin
Salmetrol-Servent
Levalbuterol-Xopenex
Metaproterenol-Alupent

Front 4

Generic Name- Albuterol

Back 4

Trade Name- Proventil, Ventolin

Front 5

Generic Name- Levalbuterol

Back 5

Trade Name- Xopenex

Front 6

Generic Name- Metaproterenol

Back 6

Trade Name- Alupent

Front 7

Generic Name- Salmeterol

Back 7

Trade Name- Serevent

Front 8

What are Anticholinergics?

Back 8

affect the muscles around the bronchi

Front 9

What are the 2 Anticholinergic Bronchodilators (generic and trade)?

Back 9

Ipratroprium Bromide-Atrovent
Tiotroprium Bromide-Spiriva

Front 10

Generic Name: Tiotropium Bromide

Back 10

Trade Name: Sprivia

Front 11

Generic Name- Ipratroprium Bromide

Back 11

Trade Name- Atrovent

Front 12

What do mast cell stablizers do?

Back 12

prevent allergy cells called mast cells from breaking open and releasing chemicals that help cause inflammation.

Front 13

What is the Mast Cell Stabilizers (generic and trade)?

Back 13

Cromolyn Sodium-Intal

Front 14

Generic Name- Cromolyn

Back 14

Trade Name- Intal, Nasalcrom

Front 15

What are Leukotriene Modifiers?

Back 15

are medicines used to manage allergic rhinitis or allergies, as well as prevent asthma

Front 16

What are the 2 Leukotriene Modifiers (generic and trade)?

Back 16

Zafirlukast-Accolate
Montelukast-Singulair

Front 17

Generic Name- Montelukast

Back 17

Trade Name- Singulair

Front 18

Generic Name: Zafirlukast

Back 18

Trade: Accolate

Front 19

What are Corticosteriods?

Back 19

act on the immune system by blocking the production of substances that trigger allergic and inflammatory actions, such as prostaglandins. However, they also impede the function of white blood cells which destroy foreign bodies and help keep the immune system functioning properly. The interference with white blood cell function yields a side effect of increased susceptibility to infection.

Front 20

What are the 6 Inhaled Corticosteriods (generic and trade)?

Back 20

Fluticasone-Flovent,Flonase
Budesonide-Pulmicort, Rhinocort
Beclamethasone-Vancenase, Belcovent
Flunisolide-Nasalide, Aerobid
Triamcinolone-Nasacort, Azmacort

Front 21

Generic Name- Fluticasone

Back 21

Trade Name- Flovent, Flonase

Front 22

Generic Name- Beclamethsone

Back 22

Trade Name- Vancenase, Belcovent

Front 23

Generic Name: Budesonide

Back 23

Trade Name: Rhinocort, Pulmocort

Front 24

Generic Name- Budesonide

Back 24

Trade Name- Pulmicort, Rhinocort

Front 25

Generic Name: Triamcinolone

Back 25

Trade Name: Nasacort, Azmacort

Front 26

What are Mucolytics?

Back 26

a drug that acts to break down thick mucus

Front 27

What is the name of the mucous controlling agent (Generic and Trade name) ?

Back 27

Acetylcysteine-Mucomyst

Front 28

Generic Name- Acetylcysteine

Back 28

Trade Name- Mucomyst

Front 29

What is the name of the expectorant (Generic and Trade name)?

Back 29

Guaifenesin-Humibid, Robitussin, Mucinex

Front 30

What is the Generic and Trade name for the oral decongestant?

Back 30

Generic Name: Psuedoesphedrine
Trade Name: Sudafed

Front 31

What do Agonist and Antagonist drugs do? (in regard to receptors)

Back 31

Agonist-Stimulates a receptor
Antagonist-blocks the receptor

Front 32

What are the 3 receptors?

Back 32

-alpha
-Beta1
-Beta2

Front 33

Where are Alpha receptors found and what do they do?

Back 33

-peripheral vasculature,heart,bronchial muscle and blood vessels
-cause peripheral vasoconstriction and mild bronchodilation

Front 34

Where are Beta1 receptors found and what do they do?

Back 34

-bronchial blood vessels and heart
-increased heart rate

Front 35

Where are Beta2 receptors and what do they do?

Back 35

-bronchial smooth muscle and blood vessels,systemic blood vessels,skeletal muscle
-bronchodilation

Front 36

What are Adrenergic Bronchodilators used for? (Indications)

Back 36

-to treat reversible airflow obstruction
-asthma and COPD, chronic bronchitis,CF

Front 37

What are the two bronchodilators that are given oral (generic and trade)?

Back 37

Trade Name: Aminophylline
Trade Name: TheoDur, Theolair

Front 38

Generic Name: Aminophylline

Back 38

Trade Name: Aminophylline

Front 39

Generic Name: Theophylline

Back 39

Trade Name: TheoDur, Theolair

Front 40

What are combination respiratory medications?

Back 40

When you use two respiratory medications to help each other

Front 41

What are the two combination medication meds (Generic and trade name)

Back 41

Generic Name: Budesonide and Formoterol Fumarate; Trade Name: Symbicort

Generic Name- Fluticasone Propionate and Salmeterol; Trade Name- Advair

Front 42

Generic Name: Budesonide and Formoterol Fumarate

Back 42

Trade Name: Symbicort

Front 43

Generic Name- Fluticasone Propionate and Salmeterol

Back 43

Trade Name- Advair

Front 44

What do decongestants do?

Back 44

are medicines used to relieve nasal congestion

Front 45

What are the two decongestant meds, spray, (generic and trade name)?

Back 45

Generic Name: Oxymetazoline; Trade Name: Afrin, Dristan

Generic Name: Phenylephrine; Trade Name: Neo-Synephrine

Front 46

Generic Name: Oxymetazoline

Back 46

Trade Name: Afrin, Dristan

Front 47

Generic Name: Phenylephrine

Back 47

Trade Name: Neo-Synephrine

Front 48

What is the oral decongestant (generic and trade)?

Back 48

Generic Name: Psuedoesphedrine; Trade Name: Sudafed

Front 49

Generic Name: Psuedoesphedrine

Back 49

Trade Name: Sudafed

Front 50

What are expectorants?

Back 50

are drugs that loosen and clear mucus and phlegm from the respiratory tract

Front 51

What is the name of the expectorant (generic and trade name)?

Back 51

Generic Name: Guaifenesin; Trade Name: Humibid, Robitussin, Mucinex

Front 52

Generic Name: Guaifenesin

Back 52

Trade Name: Humibid, Robitussin, Mucinex

Front 53

What are antihistamines?

Back 53

drug for treating allergies: a drug that blocks the action of histamine.

Front 54

What are the first Generation Antihistamines?

Back 54

Clemastine-Tavist
Diphenhydramine-Benadryl
Chlorpheniramine-Chlor-Trimeton
Dexchlorpheniramine-Polaramine
Phenothiazine-Phenergan

Front 55

What are the Second generation antihistamines?

Back 55

Loratadine-Claritin
Cetirizine-Zyrtec
Fexofenadine-Allegra
Desloratadine-Clarinex

Front 56

Generic Name: Clemastine

Back 56

Tavist

Front 57

Generic Name: Diphenhydramine

Back 57

Benadryl

Front 58

Generic Name: Chlorpheniramine

Back 58

Chlor-Trimeton

Front 59

Generic Name: Dexchlorpheniramine

Back 59

Polaramine

Front 60

Generic Name: Phenothiazine

Back 60

Phenergan

Front 61

Generic Name: Loratadine

Back 61

Trade Name: Claritin

Front 62

Generic Name: Cetirizine

Back 62

Trade Name: Zyrtec

Front 63

Generic Name: Fexofenadine

Back 63

Trade Name: Allegra

Front 64

Generic Name: Desloratadine

Back 64

Trade Name: Clarinex

Front 65

What do you need to monitor with corticosteroids?

Back 65

-Monitor respiratory status and lung sounds
-Assess clients changing from systemic to inhalation corticosteroids for signs of adrenal insufficiency
-periodic adrenal function tests may be ordered
May cause increased serum and urine glucose concentrations if significant absorption occurs.

Front 66

What are some adverse reactions with corticosteroids?

Back 66

headache, cataracts, dysphonia, oropharyngeal fungal infections, bronchospasms, cough, wheezing, decreased growth(children)

Front 67

what do you need to teach the patient when using inhalation corticosteroids and bronchodilator?
Other teaching points?

Back 67

use bronchodilator first and allow 5 minutes to elapse before administering the corticosteroid, unless otherwise directed.
-DO NOT USE AS A RESCUE DRUG.
-Rinse mouth after use

Front 68

What are the teaching points for patients taking Antihistamines?
What do nurses need to remember to monitor for patients taking this medication?

Back 68

-This drug may cause drowsiness, so avoid driving or other activities requiring alertness until response to drug is known.
- contact the HCP if symptoms persist
-Maintain fluid intake of 1500-2000 mL/day to decrease viscosity of secretions.
-Medication may cause false-negative reactions on allergy skin tests, discontinue 3 days before this type of testing.
-take with food or milk to decrease GI irritation.

Front 69

Adverse reactions while taking antihistamines?

Back 69

drowsiness, fatigue, dyspepsia, dysmenorrhea