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Exam (elaborations)

Exam 2 Pharmacology NURS 316 NIU Questions and Correct Answers

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  • Course
  • NUR 316
  • Institution
  • NUR 316

Decongestants Adrenergic Phenylephrine (pseudophed) Decongestants MOA Vasoconstriction- URI structure Shrink engorged nasal mucosal membranes Anti-inflammatory (decrease inflammation) Decrease congestion Decongestants Indications Rhinitis (acute chronic) Sinusitis Hay fever Common cold decongest...

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  • August 5, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 316
  • NUR 316
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Exam 2 Pharmacology NURS 316 NIU
Questions and Correct Answers
Decongestants Adrenergic ✅Phenylephrine (pseudophed)

Decongestants MOA ✅Vasoconstriction- URI structure
Shrink engorged nasal mucosal membranes
Anti-inflammatory (decrease inflammation)
Decrease congestion

Decongestants Indications ✅Rhinitis (acute chronic)
Sinusitis
Hay fever
Common cold

decongestant side effects ✅Nervousness
Insomnia
Palpitations
Mucosal irritation & dryness
Hypertension

Nursing Implications : Decongestants ✅Instruct to avoid caffeine and products,
educate about side effects and to not take for more than 1 week

bronchodilators ✅Albuterol (short acting)
Salmeterol ( long acting)

Bronchodilators MOA ✅Relax bronchial smooth muscle causing dilation of bronchi and
bronchioles
Activation of B-2 receptors

Anticholinergics MOA ✅Slow prolonged action
Acetylcholine (ACh) causes bronchial constriction and narrowing of the airways
Anticholinergics bind to the ACh receptors, preventing ACh from binding
Result: bronchoconstriction is prevented, airways dilate bronchi

bronchodilator & anticholinergics Indications ✅Bronchospasm
Transmission of acute attacks
Prevent premature labor

Anticholinergics ✅Ipratropium (Atrovent)
Tiotropium (Spiriva)

, bronchodilator & anticholinergics side effects ✅Insomnia
Tremor
Hyperglycemic
Palpitations
Tachycardia
Dry mouth
Constipation

Nursing Implications : Bronchodilators & Anticholinergics ✅Take only as prescribed,
teach to use MDI's & inhalers, teach side effects of medications, use of peak flow meter

Leukotriene Receptor Antagonists (LTRAs) ✅Montelukast (Singulair)
Zafirlukast

LTRAs MOA ✅prevent leukotrienes from attaching to receptors in cells in the lungs
and in circulation
inflammation of lungs is blocked and asthma symptoms are relieved

LTRA's Indications ✅Only given to 12 y/o & up
Prevent asthma
Not for acute attacks

LTRAs side effects ✅Headache
Nausea
Dizziness

Nursing Implications : LTRAs ✅- assess liver function before beginning therapy and
throughout
- teach patients to take medications every night on a continuous schedule even if
symptoms improve

Corticosteroids ✅fluticasone
Budesonide

Corticosteroids MOA ✅*Stabilize membranes of leukocytes that release harmful
bronchoconstricting substances

Corticosteroids Indications ✅persistent asthma

Corticosteroids side effects ✅Oral fungal infections
Coughing
Dry mouth
Pharyngeal irritation

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