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Pharm Respiratory & Endocrine

Pharm Respiratory & Endocrine

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Southern Tech LPN Department

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13 Slides • 13 Questions

1

Respiratory and Endocrine Meds

Heather Miller, RN, BSN

2

Objectives

  • Explain the expected therapeutic effects of respiratory and endocrine systems medications

  • Summarize the pharmacological action of respiratory and endocrine systems medications

  • Monitor for common adverse effects of respiratory and endocrine systems medications  

  • Apply the concept of safe medication administration and dosage calculation when administering respiratory and endocrine systems medications client education regarding respiratory and endocrine systems medications

  • Determine if the respiratory and endocrine systems medications are appropriate for the client

  • Monitor for potential interactions that can cause adverse or life-threatening effects when administering respiratory and endocrine systems medications

3

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Respiratory System

4

Respiratory Disorders

  • Asthma

  • Chronic Obstructive Pulmonary Disease (COPD)

  • Rhinitis

  • Cystic Fibrosis

  • Bronchitis

  • Pneumonia

5

  • Bronchodilators

    • SABA

    • LABA

  • Methylxanthines

  • Anticholinergics

  • Glucocorticoids

  • Leukotriene modifiers

  • Combination inhalers

Airflow Disorder Medications

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6

Dropdown

A nurse is reinforcing teaching with a client who has asthma and is prescribed a short-acting beta₂-agonist (SABA) inhaler. Which of the following information should the nurse include in the teaching?

7

Multiple Choice

A nurse is reinforcing education for a client who is prescribed an inhaled corticosteroid to manage asthma. Which of the following instructions should the nurse include for the client to perform after using the inhaler?

1

Deep breathe from 2 minutes

2

Rinse their mouth

3

Wait 5 minutes until eating or drinking

4

Exercise

8

Match

Match the following

Albuterol

Ipratropium

Beclomethasone

Theophylline

Montelukast

Short-acting beta agonist (SABA)

Anticholinergic

Inhaled corticosteroid

Methylxanthine

Leukotriene modifier

9

  • Antihistamine

  • Antitussives

    • Opioid

    • Non-opioid

  • Expectorants

Upper Respiratory Disorder Medications

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10

Multiple Choice

A nurse is reviewing the medication administration record (MAR) of a client who reports having a nonproductive cough. Which of the following medications would the nurse expect to find prescribed for this client?

1

Guaifenesin

2

Codeine

3

Dextromethorphan

4

Diphenhydramine

11

Multiple Choice

The nurse correctly administers montelukast (Singulair) __________.

1

after breakfast.

2

three times a day with meals.

3

once daily in the evening.

4

twice daily in the morning and evening.

12

Dropdown

The nurse is preparing to administer an expectorant to a client who has a productive cough. The nurse will instruct the client to ​
fluid intake to 2000mL a day.

13

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Endocrine System

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Hormones of the Hypothalamus and Anterior and Posterior Pituitary

Hypothalamus

Anterior Pituitary

Posterior Pituitary

Growth hormone releasing hormone (GHRH) →

Growth hormone (GH)

Thyrotropin releasing hormone (TRH) →

Thyroid stimulating hormone (TSH)

Corticotropin releasing hormone (CRH) →

Adrenocorticotropic hormone (ACTH)

Gonadotropin releasing hormone (GnRH) →

Follicle stimulating hormone (FSH); Luteinizing hormone (LH)

Antidiuretic hormone – produced in hypothalamus and transported to posterior pituitary via axons (ADH)

Antidiuretic hormone (ADH)

Oxytocin – produced in hypothalamus and transported to posterior pituitary via axons

Oxytocin

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  • Diabetes mellitus

    • Type 1

    • Type 2

  • Hyper-/hypothyroidism

  • Diabetes insipidus

  • Addison's disease

Endocrine Disorders

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  • Sulfonylureas

  • Biguanide

  • Insulin: rapid, short, long

  • Hyperglycemics

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Onset, Peak, and Duration

Classification

Medication

Onset

Peak

Duration

Rapid-acting

Lispro insulin

15 to 30 min

30 min to 3 hr

3 to 5 hr

Short-acting

Regular insulin

30 min to 1 hr

2 to 4 hr

4 to 12 hr

Intermediate-acting

NPH insulin

1 to 2 hr

4 to 12 hr

14 to 24 hr

Long-acting

Glargine insulin

2 to 4 hr

Minimal

Up to 24 hr

18

Multiple Choice

A nurse is reviewing the medication administration record (MAR) of a client who has a prescription for insulin glargine. Which of the following is the correct method of administering this medication?

1

Within 10 minutes of meals

2

Immediately before meals

3

Any time within 30 minutes before or after a meal

4

At bedtime

19

Multiple Choice

The nurse is reinforcing teaching for a client newly prescribed insulin lispro. Which of the following statements by the client indicates a correct understanding of the medication?

1

“I will make sure to eat right after I take my lispro injection.”

2

“I can inject my lispro insulin even if I skip a meal to keep my sugar under control.”

3

“I should avoid rotating my injection sites so the insulin works faster.”

4

“I can leave unopened insulin vials at room temperature until I need them.”

20

Multiple Choice

A cloudy vial of NPH insulin having been opened 15 days ago is safe to administer.

1

True

2

False

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  • Levothyroxine

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Multiple Select

Which of the following are signs/symptoms of hypothyroidism? (SATA)

1

Depression

2

Bradycardia

3

Anorexia

4

Tachycardia

5

Tremor

23

Multiple Choice

The nurse informs the client that therapy with the thyroid hormone levothyroxine may be discontinued ________.

1

never.

2

after 3 months.

3

after 6 months.

4

when levels are regulated.

24

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  • Desmopressin

  • Hydrocortisone

25

Multiple Choice

Which of the following statements made by a client indicates a possible adverse reaction to the administration of desmopressin?

1

"I am unable to see well at night."

2

"My head is hurting."

3

"I have a sore throat."

4

"I am hungry all the time."

26

Multiple Choice

Which of the following instructions should the nurse include to the patient beginning therapy with hydrocortisone (Cortef) to treat adrenocortical insufficiency?

1

Increase calcium and vitamin D

2

Administer before meals

3

Urinate every 4 hours

4

Stop taking when symptoms subside

Respiratory and Endocrine Meds

Heather Miller, RN, BSN

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