PHARM EXAM3 279QUESTIONS AND ANSWERS BEST
EXAM EXAM SOLUTION LATEST UPDATE 2024 GRADED A+BEST EXAM FOR NURSING
What is phenylephrine (neosynephrine) - correct answers it is a topical decongestant
what is oxymetazoline (Afrin) - correct answers topical decongestant
What is pseudoephedrine? (Sudaphed) - correct answers oral decongestant
what can happen if you take pseudoephedrine (sudaphed) orally ? - correct answers it will raise your blood pressure
What is the mechanism of action for decongestants - correct answers stimulates alpha-adrenergic receptors in sympathetic nervous system
- causes arterioles in nasal passages to constrict - dries mucous membranes
what is an adverse effect of a topical decongestant - correct answers a tolerance develops, limit use to 3-5 days
What are some nursing considerations for decongestants ? - correct answers they
may cause:
hypertension
palpitations CNS stimulation (avoid in patients with these conditions) PHARM EXAM3 279QUESTIONS AND ANSWERS BEST
EXAM EXAM SOLUTION LATEST UPDATE 2024 GRADED A+BEST EXAM FOR NURSING
what should you instruct a patient to do when they are topical decongestants ? - correct answers patient should avoid caffeine and caffeine containing products!
- blood pressure and heart rate will rise and cause jitteriness
What should the patient report to a doctor when using a topical decongestant ? - correct answers report a fever, cough, or other symptoms lasting longer than a week, because this is a sign of a bacteria infection
What are the intranasal steroids decongestants - correct answers -
beclomethasone dipropionate (beconase, Vancenase)
- Flunisolide (nasalide)
-fluticasone (flonse)
what is the purpose of intranasal steroids decongestants - correct answers to reduce tissue edema
- causes mild vasoconstriction
what are adverse effects of intranasal steroids decongestants - correct answers local mucosal dryness and irritation
- swallowing large amounts increases the potential for systemic corticosteroid adverse effect - nasal irritation and epitaxis occur in a small number of patients
oral decongestants - correct answers - have more systemic effects
- response time is slower PHARM EXAM3 279QUESTIONS AND ANSWERS BEST
EXAM EXAM SOLUTION LATEST UPDATE 2024 GRADED A+BEST EXAM FOR NURSING
- less effective at relieving severe congestion - often combined with anithistamine preparations
what is dextromethorphan - correct answers oral decongestant
what is the mechanism of action of dextromethorphan (Delsym) - correct answers
acts in medulla to inhibit cough reflex
what is the primary use of dextromethorphan (Delsym) - correct answers as component in most OTC severe cold and flu preparations
What are contraindications of dextromethorphan (Delsym) - correct answers in treatment of chronic cough due to excessive bronchial secretions,
- as in asthma, smoking and emphysema
what are adverse effects of dextromethorphan (Delsym) - correct answers abuse situations!
can cause CNS toxicity with a variety of symptoms:
- slurred speech
-ataxia (loss of muscle control)
- hyperexcitability - stupor -respiratory depression PHARM EXAM3 279QUESTIONS AND ANSWERS BEST
EXAM EXAM SOLUTION LATEST UPDATE 2024 GRADED A+BEST EXAM FOR NURSING
- seizures
- coma -toxic psychosis
what drugs are antitussive drugs - correct answers - codeine/guafenisin (Robitussion)
- promethazine/codeine (Phenergan)
what are instructions to give a patient when taking antitussives - correct answers - do not combine with alcohol - to avoid driving or operating heavy equipment due to possible sedation, drowsiness, or dizziness - if taking chewable tablets or lozenges - DO NOT DRINK LIQUIDS for 30-35 minutes afterwards
What drugs are expectorants - correct answers Guaifenesin (Mucinex)
causes a more productive cough
what is Guaifenasin (Mucinex) - correct answers used for cysticfibrosis, chronic bronchitis or other diseases producing thick mucus COPD
what are nursing interventions for Guaifenasin (Mucinex) - correct answers - encourage client to drink fluids - monitor for therapeutic effects
- report a fever lasting longer than a week
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