Pharm test 3
Aspirin
A client with chronic bronchial asthma is prescribed montelukast. What will the nurse instruct the client to avoid?
Clinical indication for the use of dextromethorphan
A dry, hacking, nonproductive cough that interferes with rest and sleep
Guaifensin (Mucinex)
Agents given orally to liquefy respiratory, secretions and allow for easier removal
The nurse should assess a patient's intake of what when they are prescribed Oral albuterol.
Coffee
Serum sickness
Delayed hypersensitivity reaction, most often caused by drugs, such as anti-microbials.
What to do to Assess therapeutic effect of epinephrine
Dilation of the bronchi, with increased rate, and depth of respiration, when given to a client having an acute asthma attack
Diphenhydramine (Benadryl)
Medication that should be prescribed to minimize the risk associated with a blood transfusion for a client with a history of a previous transfusion reaction
Anticholingergic Bronchodilators
Most useful in the long-term management of asthma, and other conditions, producing broncoconstruction.
Inhaled steroids
Not for emergency use or use string an acute attack because they're onset of action is slow. The drugs are rapidly absorbed, but take 2 to 3 weeks to reach effective levels.
Contraindications to pseudoephedrine
Severe hypertension, or coronary artery disease, because of the drugs, cardiac stimulating, and vasoconstricting effects
Patient should report these symptoms for albuterol
The client should contact the healthcare provider if insomnia, tachycardia, palpitations, cardiac arrhythmias, hypertension, nervousness, and anxiety occur when using this drug.
Beta2-Adrenergic Agonists
The most common first line therapy for relief of an acute asthma attack
Expectorants MOA
Thin respiratory secretions, depress the cough center in the brain
Second generation antihistamines
Typically preferred for older adults, because they lack some of the adverse effects associated with the first generation versions
Salmeterol
long acting beta 2 adrenergic agonist used only for prophylaxis of acute bronchoconstriction. Not effective in acute attacks because it has a slower onset of action than a short acting drug