CNUR 202 Unit 4 Exam Questions with Revised Answers
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Course
CNUR 202 Unit 4
Institution
CNUR 202 Unit 4
CNUR 202 Unit 4 Exam Questions with Revised Answers
What is the order if giving different types of bronchodilators - Answer- - beta adrenergic bronchodilators
- anticholinergic
- corticosteroid
What is an example of a long-acting anticholinergic - Answer- - tiotropium (spirivia)
- controlle...
CNUR 202 Unit 4 Exam Questions
with Revised Answers
What is the order if giving different types of bronchodilators - Answer- - beta adrenergic
bronchodilators
- anticholinergic
- corticosteroid
What is an example of a long-acting anticholinergic - Answer- - tiotropium (spirivia)
- controller medication
- not for acute symptoms
- it comes in capsule form but gets inhaled
two types of non-bronchodilating respiratory drugs - Answer- - leukotriene receptor
antagonists
- corticosteroids
What are leukotriene receptor antagonist drugs - Answer- - new class of medications
- used for asthma
- nonbronchodilating
Leukotriene receptor antagonist mechanism of action - Answer- - something will trigger
your body to release leukotrienes (cat hair) and it will bind to cells in lungs and
circulation
- now these leukotrienes will cause inflammation, bronchoconstriction, and increased
mucus production
- this will cause coughing, wheezing, sob
- now these leukotriene receptor antagonists will block the leukotrienes from binding to
its receptors, which will prevent inflammation of the lungs
Leukotrienes receptor antagonist indications - Answer- - used for long-term treatment
and management of asthma in adults and children
- not meant for acute asthmatic attacks
- improvements seen in a week
, Leukotriene Receptor Antagonist Adverse Effects - Answer- - liver dysfunction
- big three
What are corticosteroids - Answer- - anti inflammatory drugs
- used in treatment of pulmonary diseases
- can be given through IV when asthma is really bad, because of airway obstruction
- given orally or inhaled
- inhaled is better because it limits the effects on the lungs, where it is needed the most
- effects may take several weeks
-DO NOT RELIEVE ACUTE SYMPTOMS
Corticosteroids mechanism of action - Answer- - stabilize membranes of cells that
release harmful bronchoconstricting substances (WBC)
- increase responsiveness of bronchial smooth muscle to B-adrenergic stimulation
- dual effect of both REDUCING INFLAMMATION and ENHANCING ACTIVITY OF B-
AGONISTS
What are corticosteroids used for? - Answer- Chronic asthma and COPD
usually used with beta 2 adrenergic agonists
Inhaled Corticosteroids Indications - Answer- - main treatment for bronchospastic
disorders to control inflammatory responses with persistent asthma
- often used with beta 2 adrenergic agonists
- give this through IV when exacerbation of asthma and COPD
Inhaled Corticosteroids: contraindications - Answer- - drug allergy
- not for actue asthma
- patients with systemic fungal infectino
Nursing Implications for inhaled corticosteroids - Answer- - vitals
- resp assessment
- sputum production
- medications
- resp history
- teach pt to rinse mouth after using inhaler to prevent development of oral fungal
infection
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