Term
| 3 major concerns with chronic pulmonary diseases |
|
Definition
bronchoconstriction-asthma
Mucos hypersecretion-COPD
Mucosal inflamation-asthma and COPD |
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|
Term
| Irritants cause what type of release |
|
Definition
|
|
Term
| Histamine cause what in combo with pulmonary diseases |
|
Definition
More inflammation
More mucus production |
|
|
Term
| Goblet cells produce what |
|
Definition
|
|
Term
| Tracheobroncial tree is made of what muscle |
|
Definition
|
|
Term
| What type of shape does the Tracheo tree have |
|
Definition
|
|
Term
| What classes of drugs relax bronchial smooth muscle |
|
Definition
B2 agonists
methylxanthines
anticholinergics |
|
|
Term
| What classes of drugs inhibit the release of mediators |
|
Definition
Corticosteroids
Antihistamines |
|
|
Term
| What drugs are bronchodilators that are B2 agonists |
|
Definition
albuterol/ Proventil
metaproterenol/ Alupent
terbutaline/ Breathair |
|
|
Term
| What drug is a non selective bronchodilator |
|
Definition
|
|
Term
| Methylxanthines bronchodilator drugs are |
|
Definition
theophylline/ TheoDur
aminophyllin/ Breathair |
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|
Term
| Anticholinergic bronchodilators |
|
Definition
atropine
ipratropium bromide/ Atrovent |
|
|
Term
| Anti-inflammatory agents/drugs are classified as what |
|
Definition
Glucocorticoids
aka Steroids |
|
|
Term
| Glucocorticoids that are injected |
|
Definition
methylprednisolone/ Solu-Medrol
dexamethasone/ Decadron
hydrocortisone/ Solu-Cortef, Cortisol |
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|
Term
| Sympathomimetic bronchodilators that are nonselective alpha and beta are |
|
Definition
epinephrine/ Adrenaline
racemic epinephrine/ Vaponefrin, Micronefrin |
|
|
Term
| Sympathomimetic bronchodilator that is a non selective beta 1 and beta 2 |
|
Definition
|
|
Term
| What is the sympathomimetic bronchodilator B2 selective prototype |
|
Definition
|
|
Term
| Name some sympathomimetic bronchodilators |
|
Definition
epinephrine/ Adrenaline
albuterol/ Proventil, Ventolin
isoproterenol/ Isuprel
terbutaline/ Breathair
racemic epinephrine/ Vaponefrin
levalbuterol/ Xopnex
isoetharine/ Bronkosol |
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|
Term
| racemic epinephrine is usually given for what specific respiratory disorder |
|
Definition
Croup- barking cough
C.I. for epiglottitis |
|
|
Term
| What is the MOA for Sympathomimetic bronchodilators |
|
Definition
Relaxing of smooth muscle causing bronchodilation
Stimulation of B2 receptors |
|
|
Term
| Desired effect of the sympathomimetic bronchodilators |
|
Definition
Bronchodilation with
^ HR
anxious
Palpatations
Light headed |
|
|
Term
| When PT has hx of what do we need to use caution using sympathomimetic bronchodilators |
|
Definition
Any type of cardiovascular hx, use cation
side effects |
|
|
Term
| When giving a albuterol treatment and it is not working what type of drugs might the pt be taking at home |
|
Definition
|
|
Term
| What are the Methylxanthine bonchodilators |
|
Definition
theophylline/ Theo-Dur
aminophylline/ Aminophylline |
|
|
Term
| What are the side effects of methyl-xanthines remember they act like caffine and chocolate |
|
Definition
^ HR
mild diuretic
^ CNS- wakes you up |
|
|
Term
| What 2 bronchodilators are anticholinergics |
|
Definition
atropine
ipratroprium/ Atrovent |
|
|
Term
| In what other ways besides bronchodilation do parasympatholytic drugs help difficulty breathing pt's |
|
Definition
|
|
Term
| In what type of patient do you not want to give a parasympatholytic |
|
Definition
| pneumonia/ Respiratory infections |
|
|
Term
| How do the corticosteroids help with respiratory problems |
|
Definition
Reduce inlammation
v swelling |
|
|
Term
| Steroids make use more responsive to what other types of drugs |
|
Definition
Sympathomimetic bronchodilators
make airway muscles more responsive |
|
|
Term
| What causes inflammation in the airway |
|
Definition
Histamines:
dilates blood vessels
swelling |
|
|
Term
| What type of drugs do we use to inhibit histamine response |
|
Definition
Antihistamines
diphenhydramine/ Benadryl |
|
|
Term
| How do antihistamines act in the body |
|
Definition
| Compete with histamines at the receptor site |
|
|
Term
| what pt's are antihistamines contraindicated for |
|
Definition
|
|
Term
| Want to thin respiratory secretions and allow pt to expectorate them what drug do we use |
|
Definition
|
|
Term
| What is the name of the Mucolytic |
|
Definition
|
|
Term
| acetylcysteine/ Mucomyst is also used for what type of overdose |
|
Definition
|
|
Term
| What is another name for paralytic's or that we use to paralyze patients |
|
Definition
| Nueromuscular blocking agent |
|
|
Term
| What is the name of the depolarizing paralytic |
|
Definition
|
|
Term
| What are the name of the contractions you get when using RSI on a Pt |
|
Definition
facsiculations
last about 30-60 seconds |
|
|
Term
| Which nuerotransmitter is being blocked with those nueromuscular blocker |
|
Definition
|
|
Term
| What are the names of the non depolarizing nueromuscular blockers |
|
Definition
vecuronium/ Norcuron
pancuronium/ Pavulon
rocuronium/ Zemuron |
|
|
Term
| When would we use a non-depolarizing paralytic |
|
Definition
| they last longer than depolarizing agents |
|
|
Term
| When using a paralytic what other class of drug do you have to give at the same time |
|
Definition
|
|
Term
| Facilitating intubation means what |
|
Definition
|
|
Term
| If wanting to use conscious sedation what classes of drugs do I use |
|
Definition
Sedative and Muscle relaxant
diazepam and etomidate |
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