RESPIRATORY ATI PHARM

A health care professional is talking to a patient who is prescribed albuterol via inhaler and fluticasone (advair) via inhaler for asthma management. The health care professional should tell the patient to use the albuterol inhaler before using fluticasone inhaler for which of the following reasons?

ALBUTEROL WILL INCREASE THE ABSORPTION OF FLUTICASONE -albuterol, an inhaled, short-acting beta2 agonist, causes bronchodilation ,which will increase the absorption of fluticasone, an inhaled glucocorticoid, when the patient uses it before the glucocorticoid.

A health care professional who is advising a patient about using intranasal glucocorticoid should include which of the following instructions?

ALLOW AT LEAST 2 WEEKS FOR THE FULL THERAPEUTIC EFFECT -For dry mucous membranes, epistaxis, and sore throat: -Use a humidifier when sleeping. -Increase fluid intake. -Suck on hard candy or lozenges. -Take over-the-counter non-NSAID analgesics as needed for headaches.

When advising a patient about taking prednisone for chronic asthma, a health care professional should include which of the following information

AVOID TAKING NSAID'S -gastric protective measures are essential for patients who are taking oral glucocorticoid. anti-inflammatory drugs can cause GI bleeding.

A health care provider is caring for a patient who is having difficulty in mobilizing thick mucus, which of the following drug should the provider expect to administer?

Acetylcysteine -mucolytics loosens thick respiratory secretions.

A health care professional is advising a patinet about the use of cromolyn sodium. which of the following instruction should the health care provider include

Bitter aftertaste -cromolyn a mast cell stabilizer, leaves a bitter aftertaste. taking sips of water or sucking on hard candy after use of the drug can minimize this effect.

A health care professional should recognize that using pseudoephedrine (Sudafed) to treat allergic rhinitis requires cautious use with patients who have which of the following

CORONARY ARTERY DISEASE -because pseudoephedrine is an oral sympathomimetic can cause systeming vasoconstriction, it requires caution with patients who have severe HTN or CAD

A health care provider is advisisng a patient about the use of beclomethasone (beconase AQ) (glucocorticoid) to treat asthma. the health care provider should explain that the drug treats asthma because it performs which of the following actions

DECREASE INFLAMMATION -prevents release of inflammation mediators -prevents action of cells responsible for inflammation -decrease edema of airways

Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks

DRUG ABUSE -

When advising a patient about using zileuton (zyflo), a health care provider should include which of the following instruction?

Have laboratory tests performed at regular intervals -zileuton, a leukotriene modifier, can cause liver injury.

When advising a patient who is beginning fluticasone therapy, which of the following instructions should a health care professional include?

Increase weight bearing activity -weight bearing acivities can help minimize bone loss, which is a side effect of fluticasone, an inhaled glucocorticoid

A health care professional should tell a patient who is taking albuterol to report which of the following possible indication of a serious ADR?

PALPITATIONS -Tachycardia -Heart palpitations -Tremors -Angina --[Patients with cardiac blood vessels already compromised by vascular disease --Patients who experience significant vasospasm of the cardiac vessels in response to the drug

Before prescribing dextromethorphan (robitussin) to a patient, the primary care provider should know that, when given with an opioid, the drug can result in which of the following?

POTENTIATION OF THE ANALGESIC EFFECT OF THE OPIOID - combining dexotromethorphan (non-opioid antitussive) with an opioid, such as morphine, increases the analgesic effects of the opiod

A health care professional who is advising a patient about the use of antihistamine to treat allergic rhinitis should explain that these drugs are effective because they perform which of the following actions?

PREVENTS HISTAMINE FROM BINDING TO RECEPTORS -antihistamines treats allergic rhinitis and reduce swelling by blocking histamine from binding to the receptor sites.

A health care professional is advising a patient about the use of expectorant to treat cough should explain that this type of drug is effective because it performs?

REDUCE SURFACE TENSION - expectorants act by reducing the surface tension of respiratory secretions. This results in thinning thick mucus, making it easier to . cough out of the lungs.

A health care professional is caring for a patient who is taking codeine. Which of the following is the most important assessment following administration of the drug

RESPIRATIONS -the greatest risk to patients who are taking codeine, an opioid agonist is severe respiratory depression.

A health care provider is advising a patient about the use of cromolyn to prevent bronchospasm. the drug prevents bronchospasm because in performs which of the following?

Reduce inflammation -a mast cell stabilizer reduces inflammation by inhibiting inflammatory response.

A health care professional is advising a patient about the adverse effects of pseudoephedrine. which of the following should the health care professional include? select all that apply)

Restlessness, insomnia, anxiety -CNS stimulation with oral agents (agitation, anxiety, insomnia) -Systemic vasoconstriction, tachycardia, and heart palpitations with oral agents -Rebound nasal congestion with abrupt stoppage of prolonged use of topical agents -Abuse potential (pseudoephedrine, ephedrine)

A health care professional should explain to patient who is prescribed diphenhydramine that the most common side effect associated with the drug is

SEDATION -it is a first generation antihistamine. most common ADR is sedation

A health care provider is monitoring palsma drug levels in a patient who is taking theophylline. which of the following adverse effect should the health care provider expect to see if the patient level indicated toxicity?

Seizures -plasma level of theophylline is >30mcg/ml

A health care professional who is advising a patient about the use of a mucolytics to treat a cough should explain that this type of drug is effective because it performs which of the following actions?

THINS AND LOOSENS MUCUS -makes mucus less viscous to increase cough's productivity

For which of the following reasons should a patient attach a spacer to a metered-dose inhaler?

TO INCREASE THE AMOUNT OF DRUG DELIVERED TO THE LUNGS -a spacer increases the amount of drug that reaches the lung

Which of the following should a health care professional include when advising a patient about the use of montelukast?

Take the drug once a day in the evening -most effective when once a day in the evening

A health care provider cautions a patient who is taking guaifenesin (mucinex) about using combination over the counter cold products because?

They can also contain guaifenesin -patient might be taking excessive amount of drug.

A health care provider is caring for a patient who is taking ipratropium (inhaled anticholinergics). the health care provider should explain which of the following side effect (select all that apply)

URINARY RETENTION AND DRY MOUTH -Occur secondary to decreased stimulation of the parasympathetic nervous system -Effects include: -Dry mouth -Hoarseness -Increased intraocular pressure -Urinary retention

When explaining how a patient should use ipratropium, a health care professional should include which of the following instructions?

Wait 5 min before using another inhaled drug - to allow for its bronchodilating effects