Ch 18 Upper Respiratory Disorders

Question 1

Anti tussives OPIODS

Answer 1

Codeine suppresses cough through its action on the CNS

Codeine is used for chronic nonproductive cough

Question 2

What is the prototype med of antitussive OPIODS

Answer 2

Codeine

Hydrocodone

Question 3

Antitussive OPIODS are contraindicated in who

Answer 3

Clients who have acute asthma, head trauma, liver and renal dysfunction and acute alcoholism

Question 4

Antitussives NONOPIOIDS

Answer 4

Used as a cough suppressant

Question 5

What is the prototype drug of antitussive NONOPIOIDS

Answer 5

dextromethorphan ( found in many different products for cough such as robotitussin.

Other medications: benzonatate ( Tessalon) diphenhydramine ( Benadryl)

Question 6

What are drug interactions of antitussive NONOPIODS

Answer 6

Can cause high fever when used within 2 weeks of MAOI

Question 7

What are interactions of antitussive NONOPIODS

Answer 7

Can cause high fever if used within 2 weeks of MAOI

Question 8

Expectorants

Prototype drug: guaifenesin ( mucinex)

Answer 8

Promotes increased cough production thru increasing mucous secretions. This allows person to decrease chest congestion by coughing out secretions.

Although available as a expectorant alone it can be combined with antitussives either opioid or NONOPIOIDS , or as a decongestant for treating symptoms of colds, allergic or nonallergic rhinitis, or for cough caused by lower respiratory disorders.

Question 9

What are adverse effects of guaifenesin ( mucinex)

Answer 9

GI upset,drowsiness, dizziness, allergic reaction ( rash)

Question 10

What are contraindications of guaifenesin ( mucinex)

Answer 10

Pregnancy category C

may. To be recommended for children

Question 11

What should the nurse advise the client. About regarding guaifenesin ( mucinex)

Answer 11

Increase fluids to promote liquefying secretions

Avail in tabs which should not be crushed & capsules that may be opened to sprinkle on food.

Question 12

Mucolytics (acetylcysteine)

Answer 12

Prototype: ( Mucomyst, acetadote)

Other meds: hypertonic saline

Question 13

What does mucolytics do (acetylcysteine)

Answer 13

It enhances the flow of secretions in the respiratory passages
Used in clients who have acute and chronic pulmonary disorders exacerbated by large amounts of secretions
Used in clients who have CF
acetylcysteine is the antidote to acetaminophen poisoning

Question 14

What are adverse effects of mucolytics ( acetylcysteine) when administered orally

Answer 14

Aspirations and bronchospasm

Question 15

What are contraindications and precautions of mucolytics (acetylcysteine)

Answer 15

Pregnancy category B
Should not be used for clients at risk for GI HEMMORRHAGE
caution in clients with peptic ulcer disease, esophageal varices and severe liver disease.

Question 16

Nursing administration of acetylcysteine ( mucolytics)

Answer 16

Advise clients that acetylcysteine has a rotten egg smell

Is administered by inhalation to liquefy nasal and bronchial secretions and facilitate coughing
Is administered PO or IV for acetaminophen overdose
Be prepared to suction clients if aspiration occurs with PO administration

Question 17

Decongestants

Answer 17

Prototype drug: phenylephrine ( neo- synephrine)
Other drugs: 
ephedrine, 
naphazoline ( privine)
Pseudoephedrine ( sudafed)

Question 18

What are decongestants used for

Answer 18

Can be used to treat allergic reactions or non allergic rhinitis by relieving nasal stiffness
Acts as a decongestant in clients who have sinusitis and the common cold.

Question 19

Antihistamines are often prescribed for what

Answer 19

Allergic rhinitis, may also be used to treat nausea, motion sickness, allergic reactions, and insomnia