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Science Medicine NSG-318 Final Questions & answers latest update 2024/2025 with complete solution
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1. Science2. Medicine
NSG-318 Final
Terms in this set (187)
Original
Side effects of Prednisone
Oral Candidiasis, bone demineralization with longterm use, immunosuppression (leads to increase in
liver enzymes, think skin,increased blood sugar), pharyngitis(sore throat)
(decreases airway inflammation)
Indications of Prednisone
Asthma, rhinitis, (nasal congestions)
Nursing Consideration with Prednisone
If used with broncho dilater administer broncho dilater first then wait 5 minutes, then administer the
corticosteroid.
Patient teaching with Prednisone
RInse mouth with water after administration. Do not stop this medication abruptly; it must be tapered.
Indications of 1st generation diphenhydramine (benadryl)
Allergic reactions, motion sickness, urticaria
(blocks histamine)
SE of diphenhydramine
Sedation, anticholinergic effects(dry mouth, constipation, urinary retention, photosensitivity)
Nursing considerations with diphenhydramine
Implement fall precautions due to sedations, d not allow patient to operate heavy machinery when
taking 1st generation antihistamines
Indications of tiotropium
COPD rhinitis, asthma
(blocks Ach receptors in lungs causing bronchodilation)
SE of tiotropium
Dry mouth bitter taste, throat/nasal irritation
Patient teaching for tiotropium
Increase fluid, suck on candy to help decrease dry mouth
Class of tiotropium
Anticholinergic
Class of dextromethorphan (Robitussin)
Antitussives
Indications of dextromethorphan
Dry cough (cough suppression)
Contraindications with dextromethorphan
Productive wet cough
, SE of dextromethorphan
Dizziness, sedation at high doses
Patient teaching with dextromethorphan
Use a measuring spoon not a kitchen spoon
Class of albuterol
Beta 2 adrenergic agonists
Indications of albuterol
Asthma, COPD (binds to beta2 receptors in the lungs and causes bronchodilation)
SE of albuterol
chest pain, tachycardia, palpitations, tremors, anxiety
Patient teaching with albuterol
Short acting beta 2 adrenergic agonists are the only treament for acute asthma attacks (albuterol).
Long acting should be taken daily.
Class of Montelukast
Leukotriene receptor antagonist
Indications of Montelukast
asthma, prevention of exercise induced broncho constriction
Action of Montelukast
Decrease effect of leukotrienes which decrease airway inflammation and bronchoconstriction
SE of Montelukast
Hepatotoxicity
Patient teaching of montelukast
monitor liver enzymes, take 2 hours before exercise
Class of psyllium (metamucil)
Bulk forming laxative
Indication of psyllium
Constipation (combines with water in intestine to soften stool and increase bulk), prevention of
straining, managament of chornic watery diarrhea
SE of psyllium
Mild cramping
Patient teaching with psyllium
Take with a full glass of water, followed by another glass, increase fiber intake, increase fluid intake,
and mobility to promote regularity.
Class of pantoprazole (protonix)
proton pump inhibitor
Indications of pantoprazole
Duodenal and gastric ulcers, GERD, zollinger-ellison syndrome
Mode of action with the pantoprozaole
decrease gastric acid secretions
SE of pantoprazole
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