pharm resp

Decongestants - Serious adverse effect

Hypertension

Best time of day for administration of antihistamines and the purpose of this drug

. 45 minutes before exposure to an allergen

What can result if a client overuses topical decongestants?

Secondary congestion

What medication can be use when antihistamines and sympathominetic do not respond to seasonal rhinitis?

Corticosteroids

What initiates the sneeze reflex?

Irritation of the nasal mucosa by foreign particulate matter

What occurs in the nasal structures when cholinergic fibers are stimulated?

Production of serous and mucous secretions in the nostrils

Explain the antigen-antibody reaction that cause the symptoms

Release of histamine

Client instruction intranasal corticosteroid therapy?

Use a decongestant prior to administration

Symptom should the nurse prioritize as the most important for severe allergic reaction.

. Dyspnea (difficulty breathing)

Fexofenadine client teaching about this drug.

Try sugarless gum or candy if your mouth is dry.

Antitussive agent- what does it do?

It will reduce the frequency of your cough.

What over-the-counter expectorant medications can be purchased when you have blood pressure issues?

Guaifenesin

What is the reason for administering sodium chloride to a client with emphysema?

To decrease mucus viscosity

Client receiving nebulizer treatment with a sympathomimetic bronchodilator feels "panicky". What do you do?

Stop treatment and notify the health care provider

Before you give anticholinergic bronchodilating agents what human conditions do you need to be aware of?

Glaucoma

What can cause a subtherapeutic serum level for the drug theophylline?

Smoking

What is the action of zafirlukast (Accolate), a leukotriene receptor antagonist?

Decreases leukotriene release

What is albuterol (Proventil) used to treat?

Acute bronchospasm

Anatomy and phy ? What structures in the respiratory tract assist in removing foreign bodies such as smoke and bacteria?

Ciliary hairs

Common adverse effect that tends to resolve with therapy using ipratropium (Atrovent).

Dry mouth

How do you know that albuterol (Proventil) was effective?

Decrease in wheezing present on auscultation

Client education on Asthma?

We will confine our dog to the kitchen area.

The nurse is providing nutrition information to a client diagnosed with a lower respiratory tract disease. What is the rationale for limiting caffeine? My coffee

Caffeine can result in thicker lung secretions.

Client education on self-administer tiotropium (Spiriva) by dry powder inhalation.

Avoid breathing into the mouthpiece

Primary outcome for the drug prescribed omalizumab (Xolair)?

Less frequent asthma exacerbations

Asthma is a disease caused by which of the following mechanisms?

1. Variable allow obstruction.
2. Edema.
3. Bronchocontriction.
4. Airway hyperreactivity.
5. Airway inflammation.
6. Mucus hypersection.
7. Impaired mucus clearance.
8. Collagen deposits.

Drug treatment that will be used for asphyxia might be effectively treated

CO2

Medications that might be added to antitussive agents to depress the cough reflex would include which of the following?

Opiate derivatives

Fluticasone and salmeterol (Advair Diskus) is an appropriate treatment for which of the following?

Prophylaxis of asthma

Anatomy and phy? The substance that functions as a respiratory stimulant in the body is:

theophylline

How are asthma and chronic obstructive pulmonary disease (COPD) different?

Problem with airflow being limited (asthma is reversible, COPD is not)

What is the emergency inhaler used for asthma attack?

Proventil

A client with asthma asks why he must take regularly scheduled systemic drugs when he can stop several asthma attacks each day within a few minutes of their onset by using a short-acting beta agonist inhaler. What is the nurse's best response?

Frequent asthma attacks, even if they are halted relatively quickly, damage the bronchial tissues over time.

A 75-year-old client with chronic obstructive pulmonary disease (COPD) is prescribed tiotropium (Spiriva), an inhaled drug that must be loaded into a Handihaler with each dose. The client has all of the following health problems. For which problem does th

Arthritis of hands and knees

A client is prescribed an inhaled bronchodilator and an inhaled corticosteroid. What precaution for using these drugs does the nurse stress to the client?

Use the bronchodilator first, wait at least 5 minutes, then use the corticosteroid.

How do corticosteroids improve breathing in clients with asthma or chronic obstructive pulmonary disease (COPD)?

Reducing mucosal swelling in the lumens, leading to wider airways

A home care client with chronic obstructive pulmonary disease (COPD) has oral candidiasis. What additional information does the nurse obtain from this client?.

How often are you using your steroid inhaler

A client who has been prescribed an inhaled corticosteroid develops a thick white coating on the tongue and patches on the inside cheeks. What is the nurse's best action?

Document the finding and notify the prescriber.

A client is starting on the drug cromolyn sodium. Which statement made by the client indicates a need for clarification about the purpose, administration schedule, or side effects of this drug?

the patient should blow the nose before nasal instillation.
the maximum is six sprays in each nostril daily.

When does allergic rhinitis occur? (Select all that apply.)

Nasal mucosa become inflamed.Exposure as a result of an allergen produces inflammation.Histamine is released following allergen exposure.

The nurse is preparing education for a client who has developed rebound nasal congestion resulting from use of topical decongestants. What information will the nurse include? (Select all that apply.)

For future topical decongestant use, follow the dosage directions daily. Do not overuse.Stop the topical decongestant at once.Nasal steroid solutions can be used but may take several days to reduce inflammation and congestion.Use nasal saline spray to moi

Which topically active aerosol steroids are highly effective for reducing sneezing, nasal itching, stuffiness, and rhinorrhea? (Select all that apply.)

Beclomethasone (Beconase AQ),Fluticasone (Flonase),Flunisolide (Nasarel),Budesonide (Rhinocort Aqua)

Which physical assessment(s) would be pertinent to the client with asthma? (Select all that apply.)

Lung sounds, pallor and color, respiratory rate and effort, peak expiratory flow, and pulse oximetry should be assessed in the patient with asthma.

Which principle(s) would be when teaching a client to use a steroid inhaler? (Select all that apply.)

Frequent oral hygiene is necessary.
Rinse and spit after inhalation of the medication.
When taking a steroid drug as well as a bronchodilator, the bronchodilator should be administered first.
Hold the breath for 10 seconds during inhalation of the medicat

ipratropium bromide

use caution in patients with closed-angle glaucoma, prostatic hyperplasia, or bladder neck obstruction

within 2 hours this medication caused allergic reactions and anaphylaxis

omailzumab (Xolair)

treatment for allergic reactions

epinephrine, diphenhydramine,oxygen

symptoms of omailzumab (Xolair) allergic reactions

urticarial and throat and/or edema

common causes of xerostomia

anticholinergic agents, diuretics, and antidepressants and certain antihypertensive medicines

20% of 65 an older people report this decreasing

change in consistency, decrease in production or discoloration of salivary flow

common mouth disorders

cold sores on the lip, canker sores, candida infections of the tongue, cheeks, and gums, plaque and calculus of the gums and teeth or xerostomia, halitosis and oral microsites

manage copd symptoms

adequate fluid intake to decrease secretion viscosity, breathing techniques, exercise conditioning to strengthen respiratory muscles, controlled coughing and positioning.