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Chapter 17 ATI Medications Affecting
URS, Upper Resp Disorders
Antitussives: Opioids - correct answer prototype med: codeine other med: hydrocodone purpose antitussives: opioids - correct answer codiene action: supresses cough action through CNS therapeutic uses: chronic non productive cough, take codeiene to supress it complications antitussives: opioids - correct answer CNS effects, GI distress, opioid use disorder nursing administration antitussives: opioids - correct answer avoid activities w/alertness (driving) change positions slowly lie down if feeling dizzy avoid taking alchohol and other CNS depressants antitussives: nonopioids - correct answer prototype med: Dextromethorphan other meds: benzonatate diphenhydramine purpose antitussives: nonopioids - correct answer action: supresses cough through action of CNS. opioid derivative medication therapeutic uses: cough supression, reduced pain when combined w/opioid complications antitussives: nonopioids - correct answer potential fo misuse avoid used of alchohol can cause depressant affect
benzonatate can cause dizziness, sedation, and constipation Expectorants - correct answer prototype med: guaifanesin expectorants purpose - correct answer action: promotes increased cough production by increasing thinning mucous secretions. allow clients to decrease chest congestion by coughing out secretions. therapeutic uses: expectorants - correct answer combining with antitussives or decongestant reduces colds, allergic or nonallergic rhinitis, or cough caused by lower resp disorders complications: expectorants - correct answer GI upset, drowsy, allergic reaction (rash) nursing administration: expectorants - correct answer increase fluid intake helps promote liqiufied secretions dont crush guifanesin tabs read over the counter labels report cough lasting longer than 1 week can contain alchohol and sucrose Mucolytics - correct answer prototype med: acetylcysteine other med: hypertonic saline purpose: mucolytic - correct answer action- thin and ehance flow of secretions in resp passages therapeutic uses: have acute or chronic pulmonary disorders can benefit from mucolytics acetylcysteine is antidote for acetaminophen poisoning
antihistamines - correct answer 1st generation h antagonists: diphenhydramine, promethazine, dimenhydrinate 2nd generation h1 antagonists: loratadine, ceftirizine, fexofenadine, desloratadine intranasal antihistamines: azelastine, olopatadine purpose antihistamines - correct answer action: action is on h1 receptors which results in blocking of histamine release in small blood vessels, capillaries, and nerves during allergic reactions. relieves itching, sneezing, and rhinnorea, no nasal congestion. 1st generation produce cholinergic affects and drowsiness therapeutic uses antihistamines - correct answer mild allergic reactions, anaphylaxis, motion sickness, insomnia complications with antihistamines - correct answer sedation, anticholinergic affects, GI discomfort, resp depression and local tissue innjury at IV site, toxicity, excitation, hallucinations, incoordination, and seizures in children nasal glucorticoids - correct answer protoype med: mometasone other meds: flucitasone, triamcinolone, budenoside purpose nasal glucocorticoids - correct answer action: decrease inflammation associated with allergic rhinits. 1st line tx for nasal congestion therapeutic use: reduce effects of allergic rhinitis (sneezing, nasal itching, runny nose) complication nasal glucocorticoids - correct answer sore throat, epistaxis, headache, burning in nose client education nasal glucocorticoids - correct answer metered dose spray device, administer daily not when it just occurs, for seasonal rhinits it may take 7 days or more to get maximum relief, clear blocked nasal passages w/a topical decongestant prior to glucocorticoid administration
