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med/surg respiratory drugs
medical surgical respiratory drugs
95
Nursing
Undergraduate 3
09/17/2012

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Cards

Term
albuterol
drug class
Definition
Bronchodialator
Term
albuterol
indications
Definition
Asthma, exercise induced asthma; prophylaxis
Term
albuterol
side effects
Definition
Tachyarrhythmia, hypokalemia, nausea, pharyngitis, throat irritation, feeling nervous, headache, tremor, cough, URI
Term
albuterol
administration
Definition
Inhalation: metered-dose inhaler, nebulizer, & PO extended release tablets
Term
albuterol
monitoring
Definition
-Proper technique of inhalation
-reduction in asthma symptoms
-pulmonary function tests
Term
Atrovent
drug class
Definition
-anticholinergic
-Bronchodilator
-Nasal Agent
Term
Atrovent
indications
Definition
COPD, nasal discharge
Term
Atrovent
side effects
Definition
Abnormal taste (bitter) in mouth, xerostomia, bronchitis, nasal mucosa dry, sinusitis
Term
Atrovent
administration
Definition
-inhalation
-nebulization
-oral
-nasal spray
Term
Atrovent
monitoring
Definition
-asthma: proper technique
-inhalation: reduction in asthma symptoms
Term
Morphine
drug class
Definition
Analgesic
Opioid
Term
Morphine
indications
Definition
acute pulmonary edema
Term
Morphine
side effects
Definition
Peripheral edema, pruritus, rash, sweating, abd pain, constipation, diarrhea, loss of appetite, N&V, xerostomia, abnormal liver function tests
Term
Morphine
administration
Definition
-enteral route (16 french gastrostomy tube)
-epidural
-intrathecal
-IV
-Oral
Term
Morphine
monitoring
Definition
-pain reduction
-mental & respiratory status
-bowel movements
-signs and symptoms of withdrawal
-BP
Term
Fuerosemide (lasix)
drug class
Definition
Loop diuretic, cardiovascular agent
Term
Fuerosemide (lasix)
indications
Definition
CHF-edema, hypertension, acute pulmonary edema
Term
Fuerosemide (lasix)
side effects
Definition
Hyperuricemia, hypomagnesemia, loss of appetite, spasm of bladder
Term
Fuerosemide (lasix)
administration
Definition
-IM (diluted)
-IV
Term
Fuerosemide (lasix)
monitor
Definition
BP, improvement in edema, serum electrolytes (especially K)
Term
Benadryl
drug class
Definition
Analgesic, antihistamine, respiratory agent,
Term
Benadryl
indications
Definition
Allergic rhinitis, anaphylaxis, common cold, insomnia, motion sickness, parkinsonism, pruritus of skin
Term
Benadryl
side effects
Definition
Xerostomia, dizziness, dyskinesia, sedated, somnolence, nasal mucosa dry, pharyngeal dryness
Term
Benadryl
administration
Definition
-(IV, IM) for IV or IM administration only
-IM: administer by deep IM injection
-IV (no more than 25mg/min)
-Oral: don’t break
Term
Benadryl
monitoring
Definition
Allergy: decreased rhinitis, urticarial, itchiness
Term
Singulair
drug class
Definition
Anti-inflammatory, leukotriene pathway inhibitor
Term
Singulair
indications
Definition
Asthma, exercise induced asthma, perennial allergic rhinitis, seasonal allergic rhinitis
Term
Singulair
side effects
Definition
headache
Term
Singulair
administration
Definition
oral
Term
Singulair
monitoring
Definition
Improvements in asthma, blood and liver function tests, potential change in behavior/mood
Term
Terbutaline
drug class
Definition
-bronchodilator
-beta-2 adrenergic agonist
Term
Terbutaline
indications
Definition
Asthma-bronchospasm
Term
Terbutaline
side effects
Definition
Palpitations, tacyarrhythmia, headache, seizure, tremor, feeling nervous
Term
Terbutaline
administration
Definition
-SubQ: administer into the lateral deltoid area
-Do NOT administer as IV infusion
Term
Terbutaline
monitoring
Definition
Reduced asthma symptoms, & pulmonary function tests
ECG, BP, HR (for pts with cardiac hx)
Term
Prednisone
drug class
Definition
-Adrenal glucocorticoid
-endocrine-metabolic agent
Term
Prednisone
indications
Definition
respiratory system disorder
Term
Prednisone
side effects
Definition
Hypertension, atrophic condition of skin, finding of skin healing impaired, body fluid retention, decreased body growth, hypernatremia, disorder of GI tract, at risk for infection, osteoporosis, depression, euphoria
Term
Prednisone
administration
Definition
n/a
Term
Prednisone
monitoring
Definition
Clinical improvement, BP, electrolyte panel, blood glucose, mental status, ophthalmic exam (w/prolonged therapy), signs and symptoms of infection, hypothalamic pituitary adrenal axis suppression.
Term
Flonase
drug class
Definition
-Adrenal glucocorticoid
-anti-inflammatory, corticosteroid
Term
Flonase
indications
Definition
Allergic rhinitis, asthma, atopic dermatitis, disorder of skin, nonallergic rhinitis
Term
Flonase
side effects
Definition
Candidiasis of mouth and esophagus, headache, bronchitis, cough, epistaxis, inflammatory disorder of upper respiratory tract, throat irritation, URI
Term
Flonase
administration
Definition
-Inhalation: shake inhaler well, rinse mouth with water and spit after inhalation, never wash mouth piece
-Nasal: shake gently before use
-topical: apply thin layer, do not use occlusive dressing, do not use on face, underarms, or groin
Term
Flonase
monitoring
Definition
Asthma: proper technique with inhaled agents.
signs/symptoms of systemic corticosteroid effects
long term therapy: bone density, ophthalmologic exam
Term
Advair
drug class
Definition
Antiasthma
Anti-inflammatory/ bronchodilator combination
Term
Advair indications
Definition
Asthma
COPD
Term
Advair
side effects
Definition
Nausea, oral candidiasis, musculoskeletal pain, dizziness, headache, bronchitis, cough, difficulty speaking, hoarse, pharyngitis, throat irritation, URI, viral lower respiratory infection
Term
Advair
administration
Definition
Inhalation: shake inhaler for 5 seconds before each use, discard inhaler after 120 uses.
Powder & aerosol: rinse mouth w/water and spit after use
Term
Advair
monitoring
Definition
Proper technique of inhalation, pulmonary function tests, control or improvement of asthma or COPD, bone mineral density, toxicity
Term
Pulmicort
drug class
Definition
Adrenal glucocorticoid, anti-inflammatory, endocrine-metabolic agent
Term
Pulmicort
indications
Definition
Asthma
Term
Pulmicort
side effects
Definition
Diarrhea, nausea, arthralgia, headache, epistaxis, nasal stinging/burning, respiratory tract infection, sinusitis
Term
Pulmicort
administration
Definition
Inhalation: do not shake inhaler, after inhalation (rinse mouth with water and spit)
Nasal: shake gently before use
Oral: swallow capsule whole, take capsule in the morning
Term
Pulmicort
monitoring
Definition
Asthma: reduced symptoms & improved pulmonary function tests
Signs and symptoms of hypercorticism, increased; in pts with moderate to severe liver disease
Term
Nasalcrom
drug class
Definition
-Antiasthma
-Mast cell stabilizer
Term
Nasalcrom
indications
Definition
Allergic rhinitis, asthma, keratitis, systemic mast cell disease,
Term
Nasalcrom
side effects
Definition
Bad taste in mouth, burning sensation in eye, cough, throat irritation
Term
Nasalcrom
administration
Definition
Inhalation: shake canister
Ophthalmic: avoid contact lenses during treatment
Oral: empty ampule into glass of water and drink 30 minutes before meals and at
Term
Nasalcrom
monitoring
Definition
Bronchial asthma: pulmonary function tests, symptomatic improvement
Ophthalmic: eye exam
Term
Mucomyst
drug class
Definition
-diagnostic agent, bronchial
-mucolytic
Term
Mucomyst
indications
Definition
asthmatic bronchitis (chronic), atelectasis due to mucous obstruction, bronchopulmonary disease, cystic fibrosis (pulmonary), dx procedure on lower respiratory tract, tracheostomy care
Term
Mucomyst
side effects
Definition
Pruritus, urticarial, diarrhea, N&V
Term
Mucomyst
administration
Definition
Inhalation: may be administered through nebulization into face mask, mouth piece, tracheostomy, tent, or croupette, or through direct instillation intratracheally
Term
Mucomyst
monitoring
Definition
Mucolytic agent: decreased mucous viscosity, a productive cough, improvements in respirations
IV: serious anaphylactoid reaction, especially during the 1st 30-60 min
IV: acute flushing and erythema; particularly during administration of loading dose
Term
Guaifenesin
drug class
Definition
Expectorant
Term
Guaifenesin
indications
Definition
Sputum abnormal – amount
Term
Guaifenesin
side effects
Definition
N&V
Term
Guaifenesin
administrations
Definition
Oral: do not crush, chew, or break tablet.
Take with a full glass of water
Take with or without food
Term
Guaifenesin
monitoring
Definition
Reduced cough, cough productivity
Term
Rifampin
drug class
Definition
-Antitubercular
-rifamycin
Term
Rifampin
indications
Definition
Acive TB, active TB with active HIV, HIV infection with inactive TB, inactive TB, meningitis, reactivation TB
Term
Rifampin
side effects
Definition
Agranulocytosis, disseminated intravascular coagulation, hepatitis, hepatotoxicity, anaphylaxis, nephrotoxicity, renal failure
Term
Rifampin
administration
Definition
IV: reconsistute with 10mL sterile water for injection and gently swirl vial. Should NOT be given IM or SubQ
Oral: take 1 hr before or 2 hr after meal with a full glass of water
Term
Rifampin
monitoring
Definition
Pulmonary TB: serial acid fast bacillis sputum cultures, chest xray
TB: cultures, normalization of WBC count, liver function tests, bilirubin levels, serum creatinine & CBC panel
Term
Isoniazid
drug class
Definition
-antitubercular
-isonicotinic acid
Term
Isoniazid
indications
Definition
Active TB, active TB – HIV infection, HIV infection – inactive TB, inactive TB
Term
Isoniazid
side effects
Definition
Increased liver enzymes, neuropathy neurotoxicity
Term
Isoniazid
administation
Definition
Oral: take on an empty stomach
Term
Isoniazid
monitoring
Definition
Chest xray, sputum, symptomatic improvement, direct observation of compliance, hepatic enzymes, signs and symptoms of liver toxicity
Term
Heparin
drug class
Definition
-anticoagulant
-heparin
Term
Heparin
indications
Definition
Anticoagulant therapy, transfusion blood product, afib, disseminated intravascular coagulation, heart operation, pulmonary embolism, thrombosis, venous catheter occlusion
Term
Heparin
side effects
Definition
Thrombocytopenia, increased liver aminotransferase level
Term
Heparin
administration
Definition
General info: administer only by intermittent IV injection, IV infusion, or deep subq injection, avoid IM injection
IV: invert infusion solutions at least 6 times to preven pooling
SubQ: inject deep subq
Term
Heparin
monitoring
Definition
Coagulation tests for dosage adjustments, hematocrit, platelet counts, stool occult blood tests, signs/symptoms of hemorrhage, signs/symptoms of thrombosis
Term
Coumadin
drug class
Definition
-anticoagulant
-coumarin
Term
Coumadin
indications
Definition
pulmonary embolism, thrombosis, venous thromboembolism
Term
Coumadin
side effects
Definition
No common SE just serious:
Cholesterol embolus syndrome, tissue necrosis, hemorrhage, hypersensitivity reaction, intraocular hemorrhage
Term
Coumadin
administration
Definition
General info: injection for IV use only, not recommended for IM administration
IV: reconstitute 5 mg vial with 2.7 mL sterile water for injection, administer as slow bolus injection over 1-2 min into
Term
Coumadin
monitoring
Definition
INR: daily following the initial dose until the INR stabilized to the therapeutic range.
Monitor INR
Signs and symptoms of necrosis and/or gangrene of skin and other tissues
Term
Lovenox
drug class
Definition
Anticoagulant
Low molecular weight heparin
Term
Lovenox
indications
Definition
Abd surgery – post op deep vein thrombosis, deep venous thrombosis
Term
Lovenox
side effects
Definition
Diarrhea, nausea, anemia, major bleeding, thrombocytopenia, increased liver function test, fever
Term
Lovenox
administration
Definition
General: do not administer by IM injection
Intravenous: compatible with D5W or NS, flush IV line with sufficient quantity of D5W or NS before and after bolus administration to avoid mixing with other drugs
Subq: prefilled syringes, do not expel air bubble from syringe prior to injection, administer by deep subq with pt lying down, do not rub injection site
Term
Lovenox
monitoring
Definition
CBC, liver function tests, BP, plasma anti-factor Xa in pts with significant renal impairments
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