Pharm III Ch. 55
Which one is a SABA? Formoterol salmeterol arformoterol Albuterol
Albuterol
Mr. Ashum is prescribed an albuterol inhaler as part of his treatment regimen for asthma. What is the mechanism of action for this medication?
Albuterol causes relaxation of the bronchial smooth muscles.
What respiratory condition are leukotriene receptor antagonists used for?
Asthma
The nurse is providing education to a client who has been prescribed an antiasthmatic beta-adrenergic blocker. The nurse should instruct the client to avoid excessive intake of what beverage?
Coffee
Which of the following is a mast cell stabilizer? Cromolyn Montelukast Calfactant Triamcinolone
Cromolyn
After teaching a group of students about antiasthmatic agents, the students demonstrate understanding of the information when they identify what as sympathomimetics? Select all that apply. Epinephrine Terbutaline Formoterol Budesonide Tiotropium Cromolyn
Epinephrine Terbutaline Formoterol
The nurse is reviewing a client's morning blood work and notes a theophylline level of 22.2 mcg/mL (123.21 µmol/L). What action should the nurse take?
Inform the health care provider that the client has toxic theophylline levels.
A client with COPD takes theophylline. The nurse identifies that the client is still experiencing severe dyspnea. Upon review of labs, the theophylline level remains nontherapeutic. The nurse evaluates the client for which of the following drugs that may cause decreased theophylline levels?
Nicotine
Important teaching for beclomethasone
Rinse and spit to prevent oral candidiasis
How does aminophylline achieves its effect?
Stimulation of the central nervous system is the mechanism of action for xanthine derivatives.
A client is being assessed by the home care nurse for the appropriate use of a metered-dose inhaler. Instructions concerning which intervention will assist a client in the proper use of the device?
Using a spacer
What is the mechanism of action for albuterol?
causes relaxation of the bronchial smooth muscles
What should be done if a pt theophylline levels are at 22.2?
inform the health care provider that the client has toxic theophylline levels
What is the block box warning for salmeterol?
initiating salmeterol in people with significantly worsening or acutely deteriorating asthma may be life threatening
What is the onset of action for inhaled steroids? Slow or fast
slow
How much time before exercise should someone take their albuterol inhaler?
15 minutes
Tom, age 42, is prescribed ipratropium bromide as an anticholinergic agent for treating asthma. The nurse caring for Tom needs to develop a plan of care. What must be included in the plan? Select all that apply. * Advise the patient that ipratropium is used to abort an asthma attack in progress. * Advise the patient to avoid using ipratropium if allergic to soybeans, legumes, or soya lecithin. * Remind the patient that ipratropium must be taken daily, despite the absence of symptoms of asthma. * Inform the patient that repeated doses may be administered until relief is experienced.
Advise the pt to avoid using ipratropium if allergic to soybeans, legumes, or soya lecithin. Remind the pt that ipratropium must be taken daily despite the absence of symptoms of asthma.
A client is experiencing an acute asthmatic attack. Which agent would be most effective?
Beta-2 selective adrenergic agonist
A patient tells you that a friend of theirs has recommended the use of caffeine to treat the patient's asthma. What would be the most important reason a nurse should counsel this patient not to delay prescribed treatment for the use of natural health products?
Delays in appropriate treatment can have serious, even fatal, consequences
Which of the following would be most important to assess before administering calfactant? (Select all that apply.) Endotracheal tube placement Bowel Sounds Lung Sounds Abdominal girth O2 saturation
Endotracheal tube placement lung sounds O2 saturation
A newborn, experiencing ineffective alveolar expansion, is receiving treatment. What intervention should the nurse implement to assure the administration of the prescribed medication has been effective?
Ensure proper placement of the endotracheal tube with bilateral chest movement and lung sounds to provide adequate delivery of the drug.
A newborn, experiencing ineffective alveolar expansion, is receiving treatment. What intervention should the nurse implement to assure the administration of the prescribed medication has been effective?
Monitoring respirations for bilateral chest movement
A client, experiencing respiratory distress related bronchi constriction, will benefit from what therapeutic action provided by anticholinergic medication therapy?
Relaxation of smooth muscle
A client, experiencing respiratory distress related bronchi constriction, will benefit from what therapeutic action provided by anticholinergic medication therapy? * Reduction of the inflammatory response * Decrease in the production of leukotrienes D4 and E4 * Relaxation of smooth muscle * Enhancement of alveolar expansion
Relaxation of smooth muscle
The nurse is providing education to a client who has been prescribed albuterol. What adverse reaction should the nurse discuss during teaching?
Tachycardia
Why are inhaled steroids used to treat asthma and COPD?
They act locally to decrease release of inflammatory mediators
What are pt at risk for when taking systemic corticosteroids for asthma?
adrenal insufficiency
A nurse is providing education to a 56-year-old man who is admitted to the emergency department with an acute asthma attack. The nurse's initial assessment reveals that the patient has a history of pneumonia, drinks large quantities of coffee, and eats a high-calorie diet. Albuterol is prescribed for him. The important consideration when the nurse is preparing a teaching plan will be that the patient
has a high coffee intake
