Term
| rebound congestion patient teaching |
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Definition
Don’t take for more than 3 days! Call if you have problems. Why is this important? Sleep issues, nasal issues, etc.
Drug is absorbed very quickly because of its direct placement on mucous membranes, inflammatory process happens again after drug wears off
Can cause addiction |
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Term
| decongestant side effects |
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Definition
| (Sudafed, neosynephrine): nervousness, insomnia, palpitations, tremor. Most common for intranasal steroids are localized and include mucosal irritation and dryness. Excessive doses can cause cardiovascular effects (hypertension, palpitations) and CNS effects (headache, nervousness, and dizziness) systemic effects are the result of alpha-adrenergic stimulation of the heart, blood vessels, and CNS |
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Term
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Definition
| (mucinex, guiafinosen, Robitussin, Mucomyst) – don’t swallow sputum! Adverse effects are minimal. Guaifenesin may cause nausea, vomiting and gastric irritation. |
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Term
| Antihistamine side effects |
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Definition
| (Allegra, Chlor-Trimeton, Benadryl, diphenhydramine, loratadine, Zyrtec – old vs. newer) Drowsiness is usually the chief complaint of people, but the sedative effects vary from class to class (less common). Anticholinergic (drying) effects of antihistamines can cause dry mouth, changes in vision, difficulty urinating, and constipation. |
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Term
| Side effects of bronchodilators |
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Definition
increased HR, jittery, palpitations, restlessness, insomnia, increased BP, tremors, anxiety
Beta adrenergic can be mixed/ alpha beta, nonselective beta, or beta 2. there's also anticholinergic and xanthene derivaties |
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Term
| Corticosteroid side effects |
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Definition
| paryngeal irritation, coughing, dry mouth, and oral fungal infections. instruct patients to rinse their mouths after use of an inhaled corticosteroid. |
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Term
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Definition
1. use bronchodilator first to open airway
2. wait 5-10 minutes
3. use steroid inhaler
4. Rinse out mouth |
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Term
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Definition
| Albuterol- selective beta 2 drug, which relaxes smooth muscle in airway and results in bronchial dilation and increased airflow. given during acute asthma attacks |
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Term
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Definition
| LTRA's rpevent leukotriene's from attaching to receptors on cells in the lungs and in circulation, inflammation in the lungs in blocks, and asthma symptoms are relieved. given for long term treatmetn and prevention of asthma |
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Term
| xanthene derivaties mechanism of action |
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Definition
cAMP plays integral role in maintaining airway
inhibit phosophodiasterase so that there's more cAMP in the body. this will cause smooth muscle relaxation and inhibit IgE induced release of chemical mediators that drive allergic reactions, which increases bronchodilation |
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Term
| side effects of xanthene derivatives |
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Definition
| NV, anorexia, gastroesophogeal reflex during sleep, cardiac adverse effects, increased urination and hyperglycemia |
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Term
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Definition
metabolized to theophylline and then caffiene
stimulatory effect
use repeaded administration of doses of activated charcoal |
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Term
| Side effects of oral antidiabetic agents |
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Definition
hypoglycemia
GI irritation
decreased Urine output
jaundice |
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Term
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Definition
| fast acting: facilitates uptake of excess glucose at hepatic insulin receptor sites for storage in the liver as glycogen. onset 15 minutes, peak 1-2 hours, duration 3-5 hours. |
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Term
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Definition
short acting, works by helping glucose get into cells
onset 30-60 minutes, peak 2.5 hours, duration 6-10 hr |
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Term
| NPH/ insulin isophane suspension |
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Definition
| intermediate acting: onset 1-2 hours, peak 4-8 hours, duration 10-18 hours |
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Term
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Definition
| long acting: provides a constant level of insulin by forming microprecipitates that are slowly absorbed over the next 24 hours. onset 3-4 hours, no peak, duration 24 hours |
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Term
| highest risk for hypoglycemic reaction |
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Definition
| after lunch before supper |
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Term
| priority nurse actions for hypoglycemic reaction |
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Definition
oral forms (or buccal tablets or semisolid gel forms) of concentrated glucose if they're conscious
If they have an IV, 50% dextrose in water
If they're unconscious and don't have an IV, SQ injection of glucagon- lay them on their side first. |
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Term
| nursing assesments for before endocrine agents |
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Definition
nursing history, VS, lab values
contraindications, weight
cautious with cardiac disease, hypertension, pregnancy |
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Term
| corticosteroid use and principles |
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Definition
decrease inflammation for respiratory, chemo, transplants
wean and taper dose, decreasing systemic and increasing inhaled so that there's no adrenal suppression
take in the AM with water
avoid sick people/crowds
monitor for signs of infection |
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Term
| corticosteroid susceptibility to infection |
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Definition
| supresses the immune response by preventing inflammation |
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Term
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Definition
oversecretion of adrenocortical hormones (from tumor or excessive administration of steroids)
causes body fat to move to face, shoulders, trunk and abdomen, which leads to moon face and camel hump
can result from prolonged or frequent use of glucocorticoids |
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Term
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Definition
| diminished production of thyroid hormone (from thyroid abnormality, pituitary failure to secrete TSH, or hypothalamus failure to secrete TRH). treated with thyroid hormone replacement using preparations that are desiccated or synthetic (Synthroid most common) |
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Term
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Definition
| caused by excessive production of thyroid hormones, can be caused by diseases like Graves or cushings. treated with antithyroid drugs like tazapole. drugs impede formation of thyroid hormone by not allowing precursors of T3 and T4 to be made. Also radioactive iodine or surgery |
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Term
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Definition
for osteoporosis- inhibit osteoclast- mediated bone resorption
take on empty stomach first thing in AM
stay upright for at least 30 minutes to avoid esophageal reflux
fosamax and boniva
SE: HA, GI, Joint pain |
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Term
| Estrogen therapy patient teaching |
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Definition
don't smoke
Adverse, DVT, PE, Stroke -know S/S
SE: breast tenderness, hot flashes, weight gain, fluid retension, hypertension, nausea, thyrombolytic events, breast and ovarian cancer, ab. pain, Chest Pain, HA, eye problems, severe leg pain
report: hypertension, edema, thromboembolism, migraines, depression and breakthrough bleeding, EBP, headaches with changes in vision and vomiting, ab pain |
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