NURS 615 ADVANCED PHARMACOTHERAPEUTICS
MARYVILLE UNIVERSITY EXAM 4 Questions and
Answers, 100% Verified Graded A+
1. 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.
2. What is the drug classification of Tiotropium?
Answer: >It is a long-acting, 24H anticholiner- gic-bronchodilator.
>It is a muscurinic receptor antagonist, often referred to as an antimuscurinic or anticholinergic agent.
3. 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 ettect.
, 4. What are the adverse effects with montelukast (Singular)
Answer: Anxiety, aggression, de- pression, suicidal thoughts,
5. What patient teaching should accompany the prescription of montelukast
(Singulair)?
Answer: Teach pt regarding adverse ettect about aggression , depression suicidal thoughts that could occur
6. What patient teaching should be provided when prescribing inhaled corti-
costeroids?
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.
7. What ethnic background should not be prescribed long-acting beta ago-
nists?
Answer: African Americans, increased incidence of death in this population
8. What medication would you prescribe for bronchospasm for a patient taking
propranolol?
Answer: Ipratropium
9. 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
Beta adrenergic receptor are coupled with stimulatory g-protein of the the d-anelyl cyclase> This enzyme produces the
MARYVILLE UNIVERSITY EXAM 4 Questions and
Answers, 100% Verified Graded A+
1. 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.
2. What is the drug classification of Tiotropium?
Answer: >It is a long-acting, 24H anticholiner- gic-bronchodilator.
>It is a muscurinic receptor antagonist, often referred to as an antimuscurinic or anticholinergic agent.
3. 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 ettect.
, 4. What are the adverse effects with montelukast (Singular)
Answer: Anxiety, aggression, de- pression, suicidal thoughts,
5. What patient teaching should accompany the prescription of montelukast
(Singulair)?
Answer: Teach pt regarding adverse ettect about aggression , depression suicidal thoughts that could occur
6. What patient teaching should be provided when prescribing inhaled corti-
costeroids?
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.
7. What ethnic background should not be prescribed long-acting beta ago-
nists?
Answer: African Americans, increased incidence of death in this population
8. What medication would you prescribe for bronchospasm for a patient taking
propranolol?
Answer: Ipratropium
9. 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
Beta adrenergic receptor are coupled with stimulatory g-protein of the the d-anelyl cyclase> This enzyme produces the
