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NURS 615: ADVANCED PHARMACOTHERAPEUTICS
Maryville university exam 4 Questions and Answers
with Solutions UPDATED!!!
What is Tiotropium (SPIRIVA) used to treat? - ANSWER Used in
the management/ maintenance treatment of chronic
obstructive pulmonary disease (COPD) which includes chronic
bronchitis and emphysema.
What is the drug classification of Tiotropium? - ANSWER >It is a
long-acting, 24H anticholinergic-bronchodilator.
>It is a muscurinic receptor antagonist, often referred to as an
antimuscurinic or anticholinergic agent.
What is the mechanism of action of Tiotropium (SPIRIVA) -
ANSWER It does not display selectivity for specific muscarinic
receptors, when topically applied it acts mainly on M3
muscarinic receptors[8] located on smooth muscle cells and
submucosal glands. This leads to a reduction in smooth muscle
contraction and mucus secretion and thus produces a
bronchodilatory effect.
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What are the adverse effects with montelukast (Singular) -
ANSWER Anxiety, aggression, depression, suicidal thoughts,
What patient teaching should accompany the prescription of
montelukast (Singulair)? - ANSWER Teach pt regarding adverse
effect about aggression , depression suicidal thoughts that
could occur
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
Activation of beta adrenergic receptors lead to relaxation of the
muscle of the lung and opening and dilation of the airway
NURS 615: ADVANCED PHARMACOTHERAPEUTICS
Maryville university exam 4 Questions and Answers
with Solutions UPDATED!!!
What is Tiotropium (SPIRIVA) used to treat? - ANSWER Used in
the management/ maintenance treatment of chronic
obstructive pulmonary disease (COPD) which includes chronic
bronchitis and emphysema.
What is the drug classification of Tiotropium? - ANSWER >It is a
long-acting, 24H anticholinergic-bronchodilator.
>It is a muscurinic receptor antagonist, often referred to as an
antimuscurinic or anticholinergic agent.
What is the mechanism of action of Tiotropium (SPIRIVA) -
ANSWER It does not display selectivity for specific muscarinic
receptors, when topically applied it acts mainly on M3
muscarinic receptors[8] located on smooth muscle cells and
submucosal glands. This leads to a reduction in smooth muscle
contraction and mucus secretion and thus produces a
bronchodilatory effect.
, 2|Page
What are the adverse effects with montelukast (Singular) -
ANSWER Anxiety, aggression, depression, suicidal thoughts,
What patient teaching should accompany the prescription of
montelukast (Singulair)? - ANSWER Teach pt regarding adverse
effect about aggression , depression suicidal thoughts that
could occur
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
Activation of beta adrenergic receptors lead to relaxation of the
muscle of the lung and opening and dilation of the airway
