NUR 2474 Rasmussen Pharm Exam 2 || Questions and All Accurate Answers (Graded A+)
4 views 0 purchase
Course
NURS 2474 - Rasmussen Pharmacology
Institution
NURS 2474 - Rasmussen Pharmacology
NUR 2474 Rasmussen Pharm Exam 2 || Questions and All Accurate Answers (Graded A+)
NUR 2474 Rasmussen Pharm Exam 2 || Questions and All Accurate Answers (Graded A+)
Patient Education on using inhalers - ANSWER - For any patient prescribed an inhaler, the RN should ensure the client can self admi...
NUR 2474 Rasmussen Pharm
Exam 2 || Questions and All
Accurate Answers (Graded A+)
CONCEPTIAL RESEARCH | conceptialresearch@gmail.com
,NUR 2474 Rasmussen Pharm Exam 2 ||
Questions and All Accurate Answers
(Graded A+)
Patient Education on using inhalers - ANSWER - For any patient prescribed an
inhaler, the RN should ensure the client can self administer the medication.
Teach back needed
The patient should wait 1-2 minutes between puffs
The patient should wait 5 minutes between 2 different inhalers
The patient should take a bronchodilator before a corticosteroid medication (B before
C)
The patient must keep track of doses on their inhaler
If opening a new inhaler, the patient should shake it and test before use.
If dexterity is limited, a spacer can be used to get more medication in the airway.
If the patient uses a steroid, they must wash their mouth out after use.
If not, fungal infection may occur
The patient should hold breath 10 seconds after receiving a puff.
short-term asthma treatment - ANSWER - Bronchodilator: albuterol
Acts as a rescue inhaler during asthma attacks.
Onset is in 5 minutes and will last longer.
Xanthine Derivatives: theophylline
Dilates airways
Can have high drug interactions in the body
IV/ inhaled glucocorticoids.
long term asthma treatment - ANSWER - Bronchodilator: salmeterol.
Used to control symptoms of asthma
Never is used alone (often with steroid)
Anticholinergics: ipratropium bromide
For long term asthma prevention
Works very slowly.
Corticosteroids: fluticasone
Non bronchodilation
Can take several weeks to show
COPD treatment - ANSWER - Bronchodilator- short acting albuterol
Steroid
Must keep o2 saturation between 88-92%
Most asthma treatments require what? - ANSWER - Combination of medications-
most medications cannot be used alone (need bronchodilator plus steroid)
, Long term inhalers - ANSWER - salmeterol, ipratropium, theophylline,
montelukast ,fluticasone
Treatment of acute asthma attack - ANSWER - Oxygen use
Short acting bronchodilator- albuterol
Corticosteroid- ipratropium bromide IV
Will relieve hypoxemia, reduce airway inflammation, and relieve obstruction.
Bronchodilator mechanism of action - ANSWER - mimics the sympathetic NS and
opens up the lungs and stimulates beta receptors
Fast acting vs. long term asthma relief - ANSWER - Fast acting: used for acute
asthma relief, Long acting is for chronic asthma management and COPD
AE of bronchodilators - ANSWER - tachycardia, angina, tremors, nervous and shaky
feeling, hyperglycemia.
Pt teaching for bronchodilators - ANSWER - ensure patient takes medication as
prescribed and does not overuse short acting bronchodilator. Never use it alone with
asthma treatment.
Glucocorticoid mechanism of action - ANSWER - works to stop the inflammatory
process in the lungs, preventing bronchoconstriction. Stabilizes WBC membranes
that release bronchial constricting substances, increases bronchial smooth muscle
beta adrenergic stimulation.
Forms of Glucocorticoids - ANSWER - Inhaled: used for asthma and is the most
tolerated and fast acting, but can also be IV for systemic effects on the body.
AE of glucocorticoids - ANSWER - throat and mouth irritation, dry mouth, oral fungal
infections.
Pt teaching for glucocorticoids - ANSWER - must teach patients to rinse mouth out
after steroid use to prevent oral fungal infections, take bronchodilator 5 mins before
steroid.
Tiotropium mechanism of action - ANSWER - treats maintenance therapy and
bronchospasm in patients with COPD. Will block muscarinic receptors in lungs
how can we administer tiotropium? - ANSWER - inhaler
What should we not use tiotropium for? - ANSWER - asthma
Tiotropium onset and therapeutic level timeframes - ANSWER - Therapeutic effects
start 30 min post inhalation, peaks in 3 hrs, and lasts 24 hrs. With consistent dosing,
bronchodilation will improve after 8 days.
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller conceptialresearchers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
