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