NUR 2474 Rasmussen Pharm Exam 2
Loop Diuretics - Answer Furosemide
Thiazide Diuretics - Answer Hydrochlorothiazide (HCTZ)
K Sparing Diuretics - Answer Spironolactone
ACE Inhibitors - Answer lisinopril, captopril
Angiotensin 2 Receptor Blockers - Answer Losartan
Calcium Channel Blockers heart and vessels - Answer Verapamil, Dilitizaem
Calcium Channel Blockers vessels only - Answer nifedipine
Beta Blockers - Answer Metoprolol
Cardiac Glycosides - Answer Digoxin
K channel blocker - Answer Amiodarone
HMG-CoA Reductase Inhibitors - Answer Lovastatin
Bile Acid Sequestrants - Answer Cholestyramine
Colesevelam
Colestipol
Nitrates - Answer Nitroglycerin
Anticoagulant - Answer Heparin
Long term anticoagulant - Answer Warfarin
Direct thrombin inhibitors - Answer Dabigatran
Leukopoietic Growth Factors - Answer filgrastim
Drugs for hemophilia - Answer Factor VIII, Factor IX concentrates, desmopressin
Antidote: Digoxin - Answer Digibind
Antidote: Heparin - Answer protamine sulfate
Antidote: Warfarin - Answer Vitamin K
,Steroids - Answer Prednisone, Fluticasone
Leukotriene Modifiers - Answer Montelukast
Short Term Bronchodilator - Answer Albuterol
Long term bronchodilator - Answer Salmeterol
Methylxanthines - Answer Theophylline
Anticholinergics - Answer Ipratropium
Tiotropium
H2 receptor antagonists - Answer Cimetidine
Ranitidine
Famotidine
Nizatidine
PPI - Answer Omeprazole
Pantoprazole
Mucosal Protectants - Answer Sucralfate
Types of Antacids - Answer Aluminum salts
Magnesium salts
Calcium salts
Sodium bicarbonate
Bulk forming laxatives - Answer Psyllium
Stimulant laxatives - Answer Senna
Surfactant laxatives - Answer docusate sodium
Serotonin agonists - Answer ondansetron
Patient Education on using inhalers - Answer For any patient prescribed an inhaler, the
RN should ensure the client can self administer the medication.
Teach back needed
The patient should wait 1-2 minutes between puffs
The patient should wait 5 minutes between 2 different inhalers
The patient should take a bronchodilator before a corticosteroid medication (B before C)
The patient must keep track of doses on their inhaler
If opening a new inhaler, the patient should shake it and test before use.
If dexterity is limited, a spacer can be used to get more medication in the airway.
, If the patient uses a steroid, they must wash their mouth out after use.
If not, fungal infection may occur
The patient should hold breath 10 seconds after receiving a puff.
short-term asthma treatment - Answer Bronchodilator: albuterol
Acts as a rescue inhaler during asthma attacks.
Onset is in 5 minutes and will last longer.
Xanthine Derivatives: theophylline
Dilates airways
Can have high drug interactions in the body
IV/ inhaled glucocorticoids.
long term asthma treatment - Answer Bronchodilator: salmeterol.
Used to control symptoms of asthma
Never is used alone (often with steroid)
Anticholinergics: ipratropium bromide
For long term asthma prevention
Works very slowly.
Corticosteroids: fluticasone
Non bronchodilation
Can take several weeks to show
COPD treatment - Answer Bronchodilator- short acting albuterol
Steroid
Must keep o2 saturation between 88-92%
Most asthma treatments require what? - Answer Combination of medications- most
medications cannot be used alone (need bronchodilator plus steroid)
Rescue inhalers - Answer Quickly relax airways.
albuterol, epinephrine, metaproterenol, IV steroid
Long term inhalers - Answer salmeterol, ipratropium, theophylline,
montelukast ,fluticasone
Treatment of acute asthma attack - Answer Oxygen use
Short acting bronchodilator- albuterol
Corticosteroid- ipratropium bromide IV
Will relieve hypoxemia, reduce airway inflammation, and relieve obstruction.
Bronchodilator mechanism of action - Answer mimics the sympathetic NS and opens up
the lungs and stimulates beta receptors
Fast acting vs. long term asthma relief - Answer Fast acting: used for acute asthma
relief, Long acting is for chronic asthma management and COPD
Loop Diuretics - Answer Furosemide
Thiazide Diuretics - Answer Hydrochlorothiazide (HCTZ)
K Sparing Diuretics - Answer Spironolactone
ACE Inhibitors - Answer lisinopril, captopril
Angiotensin 2 Receptor Blockers - Answer Losartan
Calcium Channel Blockers heart and vessels - Answer Verapamil, Dilitizaem
Calcium Channel Blockers vessels only - Answer nifedipine
Beta Blockers - Answer Metoprolol
Cardiac Glycosides - Answer Digoxin
K channel blocker - Answer Amiodarone
HMG-CoA Reductase Inhibitors - Answer Lovastatin
Bile Acid Sequestrants - Answer Cholestyramine
Colesevelam
Colestipol
Nitrates - Answer Nitroglycerin
Anticoagulant - Answer Heparin
Long term anticoagulant - Answer Warfarin
Direct thrombin inhibitors - Answer Dabigatran
Leukopoietic Growth Factors - Answer filgrastim
Drugs for hemophilia - Answer Factor VIII, Factor IX concentrates, desmopressin
Antidote: Digoxin - Answer Digibind
Antidote: Heparin - Answer protamine sulfate
Antidote: Warfarin - Answer Vitamin K
,Steroids - Answer Prednisone, Fluticasone
Leukotriene Modifiers - Answer Montelukast
Short Term Bronchodilator - Answer Albuterol
Long term bronchodilator - Answer Salmeterol
Methylxanthines - Answer Theophylline
Anticholinergics - Answer Ipratropium
Tiotropium
H2 receptor antagonists - Answer Cimetidine
Ranitidine
Famotidine
Nizatidine
PPI - Answer Omeprazole
Pantoprazole
Mucosal Protectants - Answer Sucralfate
Types of Antacids - Answer Aluminum salts
Magnesium salts
Calcium salts
Sodium bicarbonate
Bulk forming laxatives - Answer Psyllium
Stimulant laxatives - Answer Senna
Surfactant laxatives - Answer docusate sodium
Serotonin agonists - Answer ondansetron
Patient Education on using inhalers - Answer For any patient prescribed an inhaler, the
RN should ensure the client can self administer the medication.
Teach back needed
The patient should wait 1-2 minutes between puffs
The patient should wait 5 minutes between 2 different inhalers
The patient should take a bronchodilator before a corticosteroid medication (B before C)
The patient must keep track of doses on their inhaler
If opening a new inhaler, the patient should shake it and test before use.
If dexterity is limited, a spacer can be used to get more medication in the airway.
, If the patient uses a steroid, they must wash their mouth out after use.
If not, fungal infection may occur
The patient should hold breath 10 seconds after receiving a puff.
short-term asthma treatment - Answer Bronchodilator: albuterol
Acts as a rescue inhaler during asthma attacks.
Onset is in 5 minutes and will last longer.
Xanthine Derivatives: theophylline
Dilates airways
Can have high drug interactions in the body
IV/ inhaled glucocorticoids.
long term asthma treatment - Answer Bronchodilator: salmeterol.
Used to control symptoms of asthma
Never is used alone (often with steroid)
Anticholinergics: ipratropium bromide
For long term asthma prevention
Works very slowly.
Corticosteroids: fluticasone
Non bronchodilation
Can take several weeks to show
COPD treatment - Answer Bronchodilator- short acting albuterol
Steroid
Must keep o2 saturation between 88-92%
Most asthma treatments require what? - Answer Combination of medications- most
medications cannot be used alone (need bronchodilator plus steroid)
Rescue inhalers - Answer Quickly relax airways.
albuterol, epinephrine, metaproterenol, IV steroid
Long term inhalers - Answer salmeterol, ipratropium, theophylline,
montelukast ,fluticasone
Treatment of acute asthma attack - Answer Oxygen use
Short acting bronchodilator- albuterol
Corticosteroid- ipratropium bromide IV
Will relieve hypoxemia, reduce airway inflammation, and relieve obstruction.
Bronchodilator mechanism of action - Answer mimics the sympathetic NS and opens up
the lungs and stimulates beta receptors
Fast acting vs. long term asthma relief - Answer Fast acting: used for acute asthma
relief, Long acting is for chronic asthma management and COPD
