MU NURS 615: Advanced Pharm - Exam 4 Review UPDATED
ACTUAL Questions and CORRECT Answers
1. What is tiotropium? (Spiriva) Tiotropium bromide (INN) is a long-standing, 24
hour, anticholinergic bronchodilator used in the manage-
ment of chronic obstructive pulmonary disease, (COPD).
2. What is tiotropium used for COPD, which includes chronic bronchitis and emphysema.
maintenance treatment of?
3. Tiotropium is not used in the treatment for acute exacerbations of COPD
and bronchitis
4. Tiotropium is a muscarinic receptor antagonist, often referred to as an
antimuscarinic or anticholingeric agent.
5. What are the adverse effects of Side effects of Singular can include skin rash, mood changes,
montelukast (Singulair)? tremors, h/a, stomach pain, heartburn, upset stomach, nau-
sea, diarrhea, tooth pain, tiredness, fever, stuffy nose, sore
throat, cough, and hoarseness. Singular may interact with
phenobarbital or rifampin.
6. What patient teaching should It will not work fast enough to treat an asthma attack that has
accompany the prescription of already begun. Use only a fast-acting inhalation medicine to
montelukast (Singulair)? treat an asthma attack.
7. Singulair should not be used for bronchoconstriction
exercised- induced
8. Singulair can lead to what anxiety, depression, or thoughts of suicide or of hurting your-
mood changes? self
9. What patient teaching should They should be taken 2x a day every day for the use of
be provided when prescribing prevention of asthma. Rinse mouth after use to prevent oral
inhaled corticosteroids? thrush.
10.
, MU NURS 615: Advanced Pharm - Exam 4 Review
Study online at https://quizlet.com/_2u8rw1
What ethnic background African Americans, increased incidence of death in this pop-
should not be prescribed ulation
long-acting beta agonists?
11. What medication would you Ipratropium
prescribe for bronchospasm for
a patient taking propranolol?
12. What is the mechanism of ac- Relaxes bronchial smooth muscle by action on beta 2 recep-
tion of albuterol? tors with little effect on heart rate, causing dilation of airways.
13. What is the mechanism of ac- Extremely potent vasoconstrictive and anti-inflammatory ac-
tion of inhaled corticosteroids? tivity.
14. When is it appropriate to use a Short acting beta 2 agonist (SABAs) are the drug of choice for
short acting beta agonist? acute treatment of asthma symptoms and exacerbations.
15. What is the mechanism of ac- Atropine (the prototype of muscarinic receptor antagonists)
tion of inhaled muscarinic re- prevents the effects of ACh by competitively blocking its bind-
ceptor antagonist? ing to muscarinic receptors in the CNS, peripheral ganglia,
and at neuroeffector sites on smooth muscle, cardiac muscle,
and secretory glands.
16. What inhibits the secretions Atropine
of the nose, mouth, pharynx,
and bronchi and thus causes
dryness of the mucous mem-
branes of the respiratory tract.
17. Atropine and scopolamine the inhibition of secretions is esp marked if secretions is
excessive and is the basis for the use of which drugs in
preanesthetic medication.
18. Atropine
ACTUAL Questions and CORRECT Answers
1. What is tiotropium? (Spiriva) Tiotropium bromide (INN) is a long-standing, 24
hour, anticholinergic bronchodilator used in the manage-
ment of chronic obstructive pulmonary disease, (COPD).
2. What is tiotropium used for COPD, which includes chronic bronchitis and emphysema.
maintenance treatment of?
3. Tiotropium is not used in the treatment for acute exacerbations of COPD
and bronchitis
4. Tiotropium is a muscarinic receptor antagonist, often referred to as an
antimuscarinic or anticholingeric agent.
5. What are the adverse effects of Side effects of Singular can include skin rash, mood changes,
montelukast (Singulair)? tremors, h/a, stomach pain, heartburn, upset stomach, nau-
sea, diarrhea, tooth pain, tiredness, fever, stuffy nose, sore
throat, cough, and hoarseness. Singular may interact with
phenobarbital or rifampin.
6. What patient teaching should It will not work fast enough to treat an asthma attack that has
accompany the prescription of already begun. Use only a fast-acting inhalation medicine to
montelukast (Singulair)? treat an asthma attack.
7. Singulair should not be used for bronchoconstriction
exercised- induced
8. Singulair can lead to what anxiety, depression, or thoughts of suicide or of hurting your-
mood changes? self
9. What patient teaching should They should be taken 2x a day every day for the use of
be provided when prescribing prevention of asthma. Rinse mouth after use to prevent oral
inhaled corticosteroids? thrush.
10.
, MU NURS 615: Advanced Pharm - Exam 4 Review
Study online at https://quizlet.com/_2u8rw1
What ethnic background African Americans, increased incidence of death in this pop-
should not be prescribed ulation
long-acting beta agonists?
11. What medication would you Ipratropium
prescribe for bronchospasm for
a patient taking propranolol?
12. What is the mechanism of ac- Relaxes bronchial smooth muscle by action on beta 2 recep-
tion of albuterol? tors with little effect on heart rate, causing dilation of airways.
13. What is the mechanism of ac- Extremely potent vasoconstrictive and anti-inflammatory ac-
tion of inhaled corticosteroids? tivity.
14. When is it appropriate to use a Short acting beta 2 agonist (SABAs) are the drug of choice for
short acting beta agonist? acute treatment of asthma symptoms and exacerbations.
15. What is the mechanism of ac- Atropine (the prototype of muscarinic receptor antagonists)
tion of inhaled muscarinic re- prevents the effects of ACh by competitively blocking its bind-
ceptor antagonist? ing to muscarinic receptors in the CNS, peripheral ganglia,
and at neuroeffector sites on smooth muscle, cardiac muscle,
and secretory glands.
16. What inhibits the secretions Atropine
of the nose, mouth, pharynx,
and bronchi and thus causes
dryness of the mucous mem-
branes of the respiratory tract.
17. Atropine and scopolamine the inhibition of secretions is esp marked if secretions is
excessive and is the basis for the use of which drugs in
preanesthetic medication.
18. Atropine
