Respiratory Agents Overview
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Questions and Answers

Which medication class is primarily used for immediate relief during an asthma attack?

  • Anticholinergics
  • Xanthine derivatives
  • Long-acting beta 2 agonists
  • Short-acting beta 2 agonists (correct)
  • What is the therapeutic blood level range for Theophylline?

  • 5 to 15 ug/ml
  • 15 to 25 ug/ml
  • 20 to 30 ug/ml
  • 10 to 20 ug/ml (correct)
  • Which type of bronchodilator should be used before administering corticosteroids?

  • Xanthine derivatives
  • Long-acting beta 2 agonists
  • Short-acting beta 2 agonists (correct)
  • Leukotriene receptor antagonists
  • Which side effect is associated with xanthine derivatives?

    <p>Cardiac stimulation</p> Signup and view all the answers

    Which medication is considered a long-acting beta 2 agonist?

    <p>Formoterol</p> Signup and view all the answers

    Leukotriene receptor antagonists are primarily used for what purpose in asthma management?

    <p>Preventing airway inflammation</p> Signup and view all the answers

    What is the action of glucocorticoids in asthma treatment?

    <p>Provide anti-inflammatory effects</p> Signup and view all the answers

    Which of the following is a nursing intervention for monitoring patients on xanthine derivatives?

    <p>Monitor blood levels for toxicity</p> Signup and view all the answers

    What is the primary action of amphetamines in the treatment of ADHD?

    <p>Suppress appetite</p> Signup and view all the answers

    Which of the following correctly classifies a sedative?

    <p>Agent producing a state of calmness</p> Signup and view all the answers

    What is a key nursing consideration when administering sedative-hypnotics?

    <p>Avoid other stimulants during treatment</p> Signup and view all the answers

    What type of anesthesia causes reversible loss of consciousness?

    <p>General anesthesia</p> Signup and view all the answers

    Which anesthetic is known to potentially cause respiratory depression?

    <p>Propofol</p> Signup and view all the answers

    What action do benzodiazepines promote in the central nervous system?

    <p>Increase in GABA inhibition</p> Signup and view all the answers

    What is the primary role of expectorants in respiratory therapy?

    <p>Reduce the viscosity of pulmonary secretion</p> Signup and view all the answers

    What class of drugs is used to suppress the cough reflex non-narcotically?

    <p>Nonnarcotic agents</p> Signup and view all the answers

    Why should medications not be suddenly discontinued after prolonged use?

    <p>It may induce seizures</p> Signup and view all the answers

    What is a common adverse effect associated with Xanax?

    <p>Drowsiness</p> Signup and view all the answers

    Which condition is characterized by heightened airway reactivity and swelling of the airway?

    <p>Bronchial asthma</p> Signup and view all the answers

    Which type of receptors are primarily associated with bronchoconstriction during allergic reactions?

    <p>H1 receptors</p> Signup and view all the answers

    What is the result of the action of antihistamines on blood vessels?

    <p>Dilation of capillaries</p> Signup and view all the answers

    Which of the following is NOT a drug class for lower respiratory disorders?

    <p>Antihistamines</p> Signup and view all the answers

    What is the primary action of sympathomimetics in respiratory therapy?

    <p>Promote bronchodilation</p> Signup and view all the answers

    Which of the following is a severe, acute asthma attack that is unresponsive to usual treatment?

    <p>Status asthmaticus</p> Signup and view all the answers

    Which action is associated with anorexiants?

    <p>Suppress appetite by acting on the hypothalamus</p> Signup and view all the answers

    What are the major side effects associated with CNS stimulants?

    <p>Dysrhythmias and heart attacks</p> Signup and view all the answers

    Which component is part of the peripheral nervous system?

    <p>Skeletal muscles</p> Signup and view all the answers

    Which CNS stimulants specifically stimulate the release of norepinephrine?

    <p>Amphetamines</p> Signup and view all the answers

    Which nursing implication is essential when administering CNS stimulants?

    <p>Monitor dietary intake of caffeine</p> Signup and view all the answers

    What is the primary use of analeptics?

    <p>Respiratory stimulation</p> Signup and view all the answers

    Which classification does NOT belong to CNS stimulants?

    <p>Sedative-hypnotics</p> Signup and view all the answers

    Which of the following options describes the autonomic nervous system?

    <p>Regulates involuntary functions</p> Signup and view all the answers

    What is the primary action of serotonin (5-HT3) receptor antagonists in treating nausea from cancer chemotherapy?

    <p>Blocking serotonin receptors in the CTZ</p> Signup and view all the answers

    What is a possible side effect of using aluminum-based products in the treatment of diarrhea?

    <p>Constipation</p> Signup and view all the answers

    Which type of laxative works by adding fiber to the stool?

    <p>Bulk forming laxatives</p> Signup and view all the answers

    What is the nursing implication for administering proton-pump inhibitors (PPIs)?

    <p>Administer before meals</p> Signup and view all the answers

    What action do stimulant or contact laxatives primarily perform?

    <p>Stimulate nerve plexus in the intestinal wall</p> Signup and view all the answers

    Which of the following correctly describes the action of H2 receptor antagonists?

    <p>They selectively block H2 receptors</p> Signup and view all the answers

    What can occur if calcium salts are used improperly in treatment?

    <p>Milk-alkali syndrome</p> Signup and view all the answers

    What is a characteristic of surfactant laxatives?

    <p>Increase water accumulation in the stool</p> Signup and view all the answers

    What is the primary action of tricyclic antidepressants (TCAs)?

    <p>Increase neurotransmitter concentration</p> Signup and view all the answers

    Which class of antidepressants is considered a second-line treatment?

    <p>Monoamine oxidase inhibitors</p> Signup and view all the answers

    What is the mechanism of action of selective serotonin reuptake inhibitors (SSRIs)?

    <p>Increase serotonin uptake</p> Signup and view all the answers

    What is a nursing consideration regarding the onset of action for antidepressants?

    <p>1 to 3 weeks before drug takes effect</p> Signup and view all the answers

    What is the action of osmotic laxatives?

    <p>Water retention or osmotic effect</p> Signup and view all the answers

    What therapeutic class do dopamine-antagonists belong to in relation to vomiting?

    <p>Gastrointestinal agents</p> Signup and view all the answers

    What do anticholinergics specifically target in the context of nausea?

    <p>Act primarily on the vomiting center</p> Signup and view all the answers

    Which of the following is NOT a common drug action for gastrointestinal agents?

    <p>Promote serotonin uptake</p> Signup and view all the answers

    Study Notes

    Respiratory Agents

    • Respiratory Tract: Divided into upper and lower respiratory tracts
    • Upper Respiratory Tract: Includes nasal cavity, pharynx, and larynx
    • Lower Respiratory Tract: Includes trachea, primary bronchi, and lungs
    • Upper Respiratory Tract Infections (URTIs): Common cold, acute rhinitis, sinusitis, acute pharyngitis
    • Drugs for Upper Respiratory Disorders:
      • Antihistamines (H1 blockers): Block histamine receptors to decrease allergic reactions. Results in decreased capillary dilation, decreased BP, and decreased bronchoconstriction.
      • Decongestants (sympathomimetic amines): Reduce congestion and swelling by constricting blood vessels.
      • Expectorants: Reduce the viscosity of pulmonary secretions, increasing fluid intake is recommended.
      • Antitussives: Suppress the cough reflex (narcotic or non-narcotic). Narcotic suppress the cough reflex through direct action on the medulla, and non-narcotic suppress by numbing stretch receptors.

    Lower Respiratory Tract Infections

    • Common Disorder: Bronchial asthma
    • Asthma Characteristics: Heightened airway reactivity, resulting in harrowing and swelling of airways. Acute, severe asthma attacks are described as status asthmaticus.
    • Drugs for Lower Respiratory Disorders:
      • Bronchodilators: Dilate bronchioles. Include sympathomimetics, methylxanthines, and anticholinergics.
      • Sympathomimetics: Beta-2 adrenergic agonists (e.g., salmeterol, metaproterenol, albuterol, ritodrine, terbutaline).

    Nervous System Agents

    • Central Nervous System (CNS): Composed of the brain and spinal cord
    • Peripheral Nervous System: Composed of somatic nervous system (voluntary) and autonomic nervous system (involuntary)
    • CNS Stimulants: Substances that quicken the CNS by increasing neuronal discharge rate. Included in this category are amphetamines, anorexiants, and analeptics.
    • Amphetamines: Used for narcolepsy, obesity, and ADHD.
    • Anorexiants: Suppress the appetite.
    • Analeptics: Stimulate the CNS in instances of respiratory stimulation.
    • CNS Depressants: Substances that slow the CNS. Included in this category are sedative-hypnotics, anesthetics, analgesics, anticonvulsants, anxiolytics, and antidepressants.

    Gastrointestinal Agents

    • Vomiting (Emesis): The forceful expulsion of gastric contents.
    • Drugs to Treat Vomiting (Anti-emetics): Antihistamines, anticholinergics, dopamine antagonists, and serotonin antagonists.
    • Diarrhea: Abnormally liquid or unformed stools with increased fecal output (greater than 200 grams per day on a low-fiber diet).
    • Laxatives: Drugs that promote bowel movements. Types include bulk-forming, surfactant/emollients, stimulant, and osmotic laxatives.
    • Peptic Ulcers: Disruptions in mucosal integrity of the stomach leading to excavation due to inflammation.
    • Drugs to Treat Peptic Ulcers: Acid-suppressing drugs and mucosal protective agents (e.g., sucralfate).

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    Description

    Explore the fundamentals of respiratory agents and their applications in treating upper respiratory tract infections. This quiz covers both upper and lower respiratory tracts, the types of infections, and various drug classifications. Test your knowledge on antihistamines, decongestants, expectorants, and antitussives.

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