NUR 2474 Exam 2 Review
Instructions:
Understand the Pathophysiology of the condition and goal of treatment in order to understand the
treatment.
Know all elements of the drugs:
• Classification
• MOA
• Indication
• Therapeutic effect
• How is it administered (route)
• Adverse effects
• Monitoring
• Patient teaching.
• When should the patient expect the therapeutic effects?
You may use the outline template to assist. Consider using the template in ATI if you would like)
1. Asthma (How long before we see therapeutic effects for each of these)
a. Beta2-adrenergic agonist-Bronchodilator-Albuterol
b. Glucocorticoid (Inhaled/prednisone/IV)
c. Anticholinergic: Ipratropium
d. Patient teaching
i. with administration of inhaler multiple puffs
ii. Consideration with multiple inhaler
iii. Consideration with Glucocorticoid
1. Common adverse effects presentation and treatment
2. Asthma Exacerbation
a. Treatment protocol
3. COPD
a. Beta2-adrenergic agonist
b. Glucocorticoid (Inhaled/prednisone)-Administration/pt teaching
c. Anticholinergic: Ipratropium
4. Cold, Cough, Rhinitis:
a. Selection: single agent medication to treat individual symptoms
5. Gastroesophageal reflux & Severe GERD
a. Review preventative and treatment indication for PUD
b. histamine2-receptor antagonist: Cimetidine
c. Proton-pump Inhibitor: Omeprazole:
i. Adverse effects w/ older adults
ii. Adverse effects with long term use
d. Antacid: Administration consideration w/ combination therapy
, 6. Antiulcer
a. Sucralfate (Carafate)
i. MOA
ii. Indication
iii. administration consideration
iv. Drug-drug Interaction
7. Constipation (Define) what is it/what is not!
a. Bowel assessment
b. Obstruction/Ileus: knowing the difference how they diagnosed
c. Bulk-forming laxative:
i. MOA
ii. Indication
iii. Pt education with indication and administration
d. Cathartic Laxative:
i. What is a cathartic effect?
ii. What drugs fall in this category?
e. Surfactant Laxative: Docusate Sodium
i. MOA
ii. Indication
f. Stimulant Laxative: Senna
i. MOA
ii. Indication
iii. Side effects
g. Osmotic Laxatives: Poly-ethylene Glycol (GoLytey)
a. Magnesium Hydroxide: Contraindication-who should not get
this drug and why?)
b. What are some considerations with this medication (This life
span)
8. Nausea & Vomiting (Cancer/Pregnancy)
a. Ondansetron (Zofran)
i. MOA
ii. Side Effects
Cardiac
Instructions:
Understand the Pathophysiology of the condition and goal of treatment in order to understand the
treatment.
Know all elements of the drugs:
• Classification
• MOA
• Indication
• Therapeutic effect
• How is it administered (route)
• Adverse effects
• Monitoring
• Patient teaching.
• When should the patient expect the therapeutic effects?
You may use the outline template to assist. Consider using the template in ATI if you would like)
1. Asthma (How long before we see therapeutic effects for each of these)
a. Beta2-adrenergic agonist-Bronchodilator-Albuterol
b. Glucocorticoid (Inhaled/prednisone/IV)
c. Anticholinergic: Ipratropium
d. Patient teaching
i. with administration of inhaler multiple puffs
ii. Consideration with multiple inhaler
iii. Consideration with Glucocorticoid
1. Common adverse effects presentation and treatment
2. Asthma Exacerbation
a. Treatment protocol
3. COPD
a. Beta2-adrenergic agonist
b. Glucocorticoid (Inhaled/prednisone)-Administration/pt teaching
c. Anticholinergic: Ipratropium
4. Cold, Cough, Rhinitis:
a. Selection: single agent medication to treat individual symptoms
5. Gastroesophageal reflux & Severe GERD
a. Review preventative and treatment indication for PUD
b. histamine2-receptor antagonist: Cimetidine
c. Proton-pump Inhibitor: Omeprazole:
i. Adverse effects w/ older adults
ii. Adverse effects with long term use
d. Antacid: Administration consideration w/ combination therapy
, 6. Antiulcer
a. Sucralfate (Carafate)
i. MOA
ii. Indication
iii. administration consideration
iv. Drug-drug Interaction
7. Constipation (Define) what is it/what is not!
a. Bowel assessment
b. Obstruction/Ileus: knowing the difference how they diagnosed
c. Bulk-forming laxative:
i. MOA
ii. Indication
iii. Pt education with indication and administration
d. Cathartic Laxative:
i. What is a cathartic effect?
ii. What drugs fall in this category?
e. Surfactant Laxative: Docusate Sodium
i. MOA
ii. Indication
f. Stimulant Laxative: Senna
i. MOA
ii. Indication
iii. Side effects
g. Osmotic Laxatives: Poly-ethylene Glycol (GoLytey)
a. Magnesium Hydroxide: Contraindication-who should not get
this drug and why?)
b. What are some considerations with this medication (This life
span)
8. Nausea & Vomiting (Cancer/Pregnancy)
a. Ondansetron (Zofran)
i. MOA
ii. Side Effects
Cardiac
