Respiratory Meds

Front 1

Smells like rotten eggs, it is also used as an antidote for acetaminophen overdose to prevent liver failure.

Back 1

Mucomyst, acetylcysteine

Front 2

Break the mucoprotein bonds in mucus to help liquify secretions. increase production of resp. tract fluids & reduce
viscosity of tenacious pts.

Back 2

Mucolytics

Front 3

acetlyscyteine (Mukomyst)
Dornase alfa (rhDNAase)
Guaifenesin (Robotussin)

Back 3

mucolytics

Front 4

Suppress cough reflex by a direct action on the cough center and are the most effective cough suppressants, also are narcotic

Back 4

Opiod antitussives (ex:hydrocodone, codeine)

Front 5

which antitussive is non-narcotic?

Back 5

dextromethrompone

Front 6

Aid in the removal of excess mucous that has accumulated in the resp tract by loosening & thinning secretions.

Back 6

Expectorants

Front 7

Ex of expectorants

Back 7

guiafenesin (Robitussin)
iodinated glycerol (Organidin)
Potassium iodide ( Pima syrup)
terpin hydrate elixir

Front 8

Side effects of guifensin

Back 8

n/v and gastric irritation

Front 9

Pt teaching, expectorants

Back 9

Increase fluid intake to thin secrections

Front 10

What do mast cell stabilizers do?

Back 10

Prevent degranulation of mast cells after exposure to antigens; excellent prevention of allergic asthma; DO NOT relieve acute asthma attacks, may make them worse!

Front 11

How long does it take for mast cell stabilizers to have therapeutic effects?

Back 11

up to 3 weeks

Front 12

Cromolyn sodium (Intal)
Nedocomil (Tilade)

Back 12

Mast cell stabilizers (antiasthmatic agents)

Front 13

Who are mucolytic agents given to?

Back 13

Pts that have difficulty coughing up secretions such as COPD, CF, pneumonia, atelactasis, or tuberculosis

Front 14

why should mucolytics (Mucomyst, Robotussin, rhDANase) be given with a bronchodilator?

Back 14

Because they may cause bronchospasm.

Front 15

How are mucolytics administered?

Back 15

by nebulizer, direct instillation into the the trachea via ER tube or tracheotomy.

Front 16

common s.e. of mucolytics

Back 16

G.I. upset, stomatitis, rhinorrhea, bronchospasm, rash

Front 17

How long does it take for mast cell stabilizers to have therapeutic effects?

Back 17

up to 3 weeks

Front 18

Cromolyn sodium (Intal)
Nedocomil (Tilade)

Back 18

Mast cell stabilizers (antiasthmatic agents)

Front 19

Who are mucolytic agents given to?

Back 19

Pts that have difficulty coughing up secretions such as COPD, CF, pneumonia, atelactasis, or tuberculosis

Front 20

why should mucolytics (Mucomyst, Robotussin, rhDANase) be given with a bronchodilator?

Back 20

Because they may cause bronchospasm.

Front 21

How are mucolytics administered?

Back 21

by nebulizer, direct instillation into the the trachea via ER tube or tracheotomy.

Front 22

How long does it take for mast cell stabilizers to have therapeutic effects?

Back 22

up to 3 weeks

Front 23

Cromolyn sodium (Intal)
Nedocomil (Tilade)

Back 23

Mast cell stabilizers (antiasthmatic agents)

Front 24

Who are mucolytic agents given to?

Back 24

Pts that have difficulty coughing up secretions such as COPD, CF, pneumonia, atelactasis, or tuberculosis

Front 25

why should mucolytics (Mucomyst, Robotussin, rhDANase) be given with a bronchodilator?

Back 25

Because they may cause bronchospasm.

Front 26

How are mucolytics administered?

Back 26

by nebulizer, direct instillation into the the trachea via ER tube or tracheotomy.

Front 27

side effects mast cell stabilizers

Back 27

coughing, sore throat, rhinitis, bronchospasm, taste changes, dizziness, headache

Front 28

theophylline(Theo-dur, Respbid,Slo-bid)
aminophylline (Somophylin,Cardophylin
dyphilline (Dilor)
oxtiphylline (Choledyl)

Back 28

methylxanthines

Front 29

Relax sooth muscle of bronchial airway & pulmonary bv, resulting in bronchodilation. Indicated for symptomatic asthma relief. Chemically related to caffeine.

Back 29

Methylxanthines

Front 30

Used to control brochospasm & increase diaphragm strength in pts with COPD. Stimulates CNS, respiration. dilates coronary & pulmonary vessels, cause diuresis, relax smooth muscles

Back 30

methylxanthines

Front 31

Route of delivery for theophylline

Back 31

PO or IV
(inhalation ineffective)

Front 32

side effects mast cell stabilizers

Back 32

coughing, sore throat, rhinitis, bronchospasm, taste changes, dizziness, headache

Front 33

theophylline(Theo-dur, Respbid,Slo-bid)
aminophylline (Somophylin,Cardophylin
dyphilline (Dilor)
oxtiphylline (Choledyl)

Back 33

methylxanthines

Front 34

Relax sooth muscle of bronchial airway & pulmonary bv, resulting in bronchodilation. Indicated for symptomatic asthma relief. Chemically related to caffeine.

Back 34

Methylxanthines

Front 35

Used to control brochospasm & increase diaphragm strength in pts with COPD. Stimulates CNS, respiration. dilates coronary & pulmonary vessels, cause diuresis, relax smooth muscles

Back 35

methylxanthines

Front 36

Route of delivery for theophylline

Back 36

PO or IV, rectal
(inhalation ineffective)

Front 37

therapeutic range theophylline

Back 37

8-20 u/mL
15-20 may cause N, V & A
>30 may cause cardiac dysrythmias
>40 may cause seizures, death
check blood levels often

Front 38

side effects theophylline

Back 38

can cause palpitations, nervousness, restlessness, insomnia, N & V, and diarrhea.

Front 39

contraindications to methylxnathines

Back 39

drug allergy, uncontrolled cardiac arrhythmias, seizure disorders, hyperthyroid, and peptic ulcers

Front 40

client teaching methylxnathines

Back 40

limit caffeine, take as prescribed, limit smoking, drink plenty of fluids, don't take OTC cold remedies w/o checking with health care provider. monitor labs

Front 41

Primatine Mist
Sus-prine
Epi-pen auto injector
Isoproternol

Back 41

Catecholamine Beta agonists (sympathomimetics)

Front 42

Most commonly used Beta-2 agonist in treatment of acute asthma attacks, usually used as a rescue inhaler for bronchospasm.

Back 42

Albuterol (proventil)

Front 43

side effects of Albuterol

Back 43

tachycardia, angina, tremor, but when used correctly usually minimal.

Front 44

Only 2 long-acting Beta-2 Agonists for long term maintenance tx of asthma.
Bind selectively to beta 2 adrenergic receptors to cuase brochodialtion. take 30-60 min prior to exercise.

Back 44

Serevent Diskus (salmeterol)
Foradil Aerolizer (foradil)

Front 45

Most commonly used Beta-2 agonist in treatment of acute asthma attacks, usually used as a rescue inhaler for bronchospasm.

Back 45

Albuterol (proventil)

Front 46

side effects of Albuterol

Back 46

tachycardia, angina, tremor, but when used correctly usually minimal.

Front 47

Only 2 long-acting Beta-2 Agonists for long term maintenance tx of asthma.
Bind selectively to beta 2 adrenergic receptors to cuase brochodialtion. take 30-60 min prior to exercise.

Back 47

Serevent Diskus (salmeterol)
Foradil Aerolizer (foradil)

Front 48

S.E. of long-acting Beta-2 agonists

Back 48

serious side effects are uncommon. may have h/a, throat irritation, nervousness & restlessness. Can cause tachycardia so pts w/heart dz should be carefully monitored.

Front 49

epiniphrine -
nonselective or selective beta agonist?

Back 49

non-selective adrenergic.

Front 50

When given by inhalation, which are the most effective drugs available for relieving acute bronchospasm & preventing exercise induced bronchospasm.

Back 50

beta-2 agonists

Front 51

how often are long-acting beta-2 adrenergics used, what is their onset and what are the side effects?

Back 51

q 12 hr
onset delayed, but effects last up to 12 hours
minimal side effect

Front 52

Act by competing for leukotriene receptor sites, blocking inflammatory actions.
decrease edema, mucous formation, tissue constriction, inflammation.

Back 52

Anticholinergic agents
(leukotiene receptor antagonists)