Exam (elaborations)
PN 131 EXAM 4 MEDICATIONS
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PN 131 EXAM 4 MEDICATIONS....
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atropine, ipratropium, scopolamine, propantheline, glycopyrrolateclassification - ANSWER anticholinergics
atropine, ipratropium, scopolamine, propantheline, glycopyrrolate action
- ANSWER inhibits the action of acetylcholine, a neurotransmitter to
decrease secretions
atropine, ipratropium, scopolamine, propantheline, glycopyrrolate reason
for medication - ANSWER decrease secretions and open airways
atropine, ipratropium, scopolamine, propantheline, glycopyrrolate side
effects - ANSWER dry mouth
dry eyes
blurred vision
constipation
atropine, ipratropium, scopolamine, propantheline, glycopyrrolate
nursing considerations - ANSWER contraindicated with narrow angle
glaucoma, severe hemorrhage or tachycardia
may cause urinary retention and constipation so monitor I&O
assess vitals
encourage fluid intake
educate oral hygiene- frequent rinses, sugarless gum or candy
zileuton, montelukast- singular classification - ANSWER leukotriene
receptor antagonists (LTRA)
, zileuton, montelukast- singular action - ANSWER antagonizes the
effects of leukotrienes which mediate: airway edema, smooth muscle
constriction, altered cellular activity
result is decreased inflammatory process which is part of asthma and
allergic rhinitis
zileuton, montelukast- singular reason for medication - ANSWER
allergy/cold and cough remedy
zileuton, montelukast- singular side effects - ANSWER suicidal ideations
agitation/aggression
nosebleeds/sinusitis
zileuton, montelukast- singular nursing considerations - ANSWER
monitor for changes in behavior (depression or suicidal thoughts) and
notify HCP if present
take med as directed at evenly spaced intervals ever if not experiencing
asthma symptoms
cromolyn (gastrocrom, nasalcrom), admin nasal classification -
ANSWER mast cell stabilizers
cromolyn (gastrocrom, nasalcrom), admin nasal action - ANSWER
prevents the release of histamine and slow reacting substance of
anaphylaxis (SRS-A) from sensitized mast cells
onset 1-2 weeks
cromolyn (gastrocrom, nasalcrom), admin nasal reason for medication -
ANSWER reduced histamine (from the triggers)
cromolyn (gastrocrom, nasalcrom), admin nasal side effects - ANSWER
irritation of throat and trachea
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