MU NURS 615: Advanced Pharm - Exam 4
Review Questions and Answers
What is tiotropium? - Answer️️ -(Spiriva) Tiotropium bromide (INN) is a
long-standing, 24 hour, anticholinergic bronchodilator used in the
management of chronic obstructive pulmonary disease, (COPD).
What is tiotropium used ...
MU NURS 615: Advanced Pharm - Exam 4
Review Questions and Answers
What is tiotropium? - Answer✔️✔️-(Spiriva) Tiotropium bromide (INN) is a
long-standing, 24 hour, anticholinergic bronchodilator used in the
management of chronic obstructive pulmonary disease, (COPD).
What is tiotropium used for maintenance treatment of? - Answer✔️✔️-
COPD, which includes chronic bronchitis and emphysema.
Tiotropium - Answer✔️✔️-is not used in the treatment for acute
exacerbations of COPD and bronchitis
Tiotropium - Answer✔️✔️-is a muscarinic receptor antagonist, often referred
to as an antimuscarinic or anticholingeric agent.
What are the adverse effects of montelukast (Singulair)? - Answer✔️✔️-Side
effects of Singular can include skin rash, mood changes, tremors, h/a,
stomach pain, heartburn, upset stomach, nausea, diarrhea, tooth pain,
tiredness, fever, stuffy nose, sore throat, cough, and hoarseness. Singular
may interact with phenobarbital or rifampin.
What patient teaching should accompany the prescription of montelukast
(Singulair)? - Answer✔️✔️-It will not work fast enough to treat an asthma
attack that has already begun. Use only a fast-acting inhalation medicine to
treat an asthma attack.
Singulair should not be used for exercised- induced - Answer✔️✔️-
bronchoconstriction
Singulair can lead to what mood changes? - Answer✔️✔️-anxiety,
depression, or thoughts of suicide or of hurting yourself
What patient teaching should be provided when prescribing inhaled
corticosteroids? - Answer✔️✔️-They should be taken 2x a day every day for
the use of prevention of asthma. Rinse mouth after use to prevent oral
thrush.
What ethnic background should not be prescribed long-acting beta
agonists? - Answer✔️✔️-African Americans, increased incidence of death in
this population
What medication would you prescribe for bronchospasm for a patient
taking propranolol? - Answer✔️✔️-Ipratropium
What is the mechanism of action of albuterol? - Answer✔️✔️-Relaxes
bronchial smooth muscle by action on beta 2 receptors with little effect on
heart rate, causing dilation of airways.
What is the mechanism of action of inhaled corticosteroids? - Answer✔️✔️-
Extremely potent vasoconstrictive and anti-inflammatory activity.
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