EVALUATION 2026 FULL SOLUTION VIEW
AHEAD QUESTIONS
◉ Beconase (nasal)
Answer: SE = Nasal irritation, nosebleed, it masks signs of infections
Licorice = potentiate effects
Assess = signs of oral fungal infection, alternate nares, hoarseness,
changes in voice
Interventions = blow nose before meds!!
◉ Prednisone (ORAL glucocorticoid)
Answer: Anti-inflammatory corticosteroid
Glucocorticoids = inhibits making of prostaglandins, suppress
histamine, stops some functions of phagocytes/lympocytes
Short-term use only/taper them off
auto-immune disease = long-term use
Fever = signs of inflammation/natural defense to neutralize foreign
organisms
Prolonged fever in children = febrile seizures
Prolonged fever in adults = breakdown body tissue, delirium/coma
,Obscure causes of fever --> SSRI (serotonin syndrome), Thorazie,
Anesthetics (malignant hyperthermia), immunodilators, cytotoxic
drugs, chemotherapy, neutropenic agents
◉ Beclomethasone (Beconase) ---> inhaled
Answer: Inhaled glucocorticoid/Dilates Bronchi
Anti-flammatory for Asthma/COPD
Allergic Rhinitus
Onset = 1-4weeks......1/2 life = 15 hours
◉ Beconase (inhaled)
Answer: Supress inflammation, decrease mucous, promote Beta 2
response (dilation of the bronchi)
Anti-inflammatory for Asthma, COPD, allergic rhinitis, inhaled
corticosteroid
SE = hoarse, dry mouth, changes in taste
MUST rinse mouth after/spit the water out --> Can cause Oral
Candidiasis
Oral Candidiasis = fungal yeaste, look for white spots in the mouth.
◉ Corticoidsteroids -- glucocorticoids
Answer: Anti-inflammatory drugs
Must taper them off
,Inhibits --> Making of prostaglandins, suppress histamines, stops
some functions of phagocytes/lympocytes (so, when infection
happens they're aren't enough WBC to fight off infection)
SE = suppress adrenal glands --> Addison's crisis...hyperglycemia,
mood changes, cataracts, PUD, electrolyte inbalance, osteoporosis,
mask infections.
Long-term = Cushing's syndrome
Glucocorticoids = inhaled, oral, IV
End in -one
We give all 3 types for Asthma/COPD
Sickest = IV, then PO, then inhaled glucocorticoid
◉ ORAL, IV systemic glucocorticoids
Answer: Suppresses the adrenal glands
Must taper them off the dose or.....
Can send them into Addison's Crisis
Addison's = Low BP, no energy, bone loss, increase blood sugar,
muscle weakness, PUD (huge issue), take with food/no NSAIDS, sore
throat.
Sodium Retention = hypokalemia (weak muscle/cramps)
Give Ca with Vitamin D
, WATCH for edema, weight gain, HTN
Inflammation = Defense brought on by injury, toxic chemicals, heat,
microorganisms, cell death, allergen response.
Sighs = swell, pain, warmth, redness
Acute = 1-2 weeks
Chronic = Lupus, RA
Who responds to inflammation?
Mast cells, Bradykins, leukotrines, histamines, prostaglandins.
◉ Bronchodilators
Answer: Beta 2 adrenergic agonists (Beta 2 - 2 lungs)
Activates SNS (relaxes smooth muscle/dilates bronchi)
**Relief of bronchospasm, histamine release stopped, increase
ciliary motility.
◉ Proventil
Answer: Beta 2 adrenergic agonist
Brochodilator
Quick-acting rescue inhaler (5 minutes)
Use before exercise to prevent Bronchoconstriction
Use beta 2 agonist inhaler before glucocorticoid