ch 33

Question 1

• characterized by inflammation & bronchospasms
• typically seen in children & older adults

Answer 1

asthma

Question 2

• chronic bronchitis, emphysema
• not reversible disease

Answer 2

COPD

Question 3

which of the following are advantages on inhalation drug administration? (SATA)
- minimal systemic SEs
- rapid, efficient delivery of drug directly to site of action
- difficulty measuring precise dose
- loosening thick mucous
- side effects if drug is swallowed/mouth not rinsed

Answer 3

minimal systemic SEs, rapid, efficient delivery of drug directly to site of action, loosening thick mucous

Question 4

• rescue inhaler with rapid onset
• acute bronchospasm treatment
• AE: muscle tremor, angina, tachycardia, palpitations, agitation, anxiety, insomnia

Answer 4

albuterol

Question 5

T/F: use of albuterol should occur before steroids inhaler

Answer 5

T

Question 6

ipratropium is a(n)

Answer 6

inhaled anticholinergic

Question 7

• relieve bronchospasm as adjunctive therapy
• improved breathing, reduced RR
• can mix with albuterol nebulizer
• can use with kids
• AE: dry mucous membranes, cough, nervousness, GI upset

Answer 7

ipratropium (Atrovent)

Question 8

beclomethasone is a(n)

Answer 8

inhaled glucocorticoid

Question 9

• prophylactic treatment of asthma
• decrease inflammatory response in lungs to reduce bronchoconstriction over time
• used age 3+
• not a rescue medication

Answer 9

beclomethasone (Qvar)

Question 10

• reduce inflammatory response in airway, reducing bronchoconstriction
• safe for kids
• interactions: aspirin, carbamazepine, phenytoin
• give on empty stomach
• improved asthma/allergies

Answer 10

montelukast (Singulair)

Question 11

what is the black box warning for montelukast?

Answer 11

neuropsychotic events (SI)