Question 1

Why are spacers sometimes given to clients to use with inhalers?

Accepted Answer

People have problems coordinating the timing of inhalation of the drug with activation of the MDI; spacer allows for extra time and slows down the force of the propellants so that more of the drug is inhaled.

Question 2

Why are drugs for respiratory disorders delivered by inhalation? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A)  Because they are less expensive for the patient 
B)  Because they are easier for patients to take than oral medications. 
C)  Because they offer a rapid response with less side effects 
D)  Because of the large surface area and rick blood supply in the lungs 
A)  Because they are less expensive for the patient 
B)  Because they are easier for patients to take than oral medications. 
C)  Because they offer a rapid response with less side effects 
D)  Because of the large surface area and rick blood supply in the lungs C,D

Question 3

Emphysema is reversible.

Accepted Answer

A) True 
 B)False  False

Question 4

A healthy patient asks the pharmacist what types of medications can be taken for the common cold. Which drug classes should the pharmacist include in patient education? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A)  Antitussives 
B)  Mucolytics 
C)  Decongestants 
D)  Antihistamines 
E)  Antipyretics 
A)  Antitussives 
B)  Mucolytics 
C)  Decongestants 
D)  Antihistamines 
E)  Antipyretics

Question 5

A drug such as cromolyn stabilizes the mast cell and is used to prevent asthma.

Accepted Answer

A) True 
 B)False

Question 6

Expectorants suppress your cough.

Accepted Answer

A) True 
 B)False

Question 7

The pharmacist explains to the patient why inhalation medications work rapidly. What should the pharmacist include in teaching? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A)  There is a rich blood supply to the lungs. 
B)  The inside surface of the lungs is small, and the dose is concentrated in that area. 
C)  There is a large surface area inside the lungs. 
D)  Inhaled medications are given at very high doses. 
E)  Inhaled medications are given with food. 
A)  There is a rich blood supply to the lungs. 
B)  The inside surface of the lungs is small, and the dose is concentrated in that area. 
C)  There is a large surface area inside the lungs. 
D)  Inhaled medications are given at very high doses. 
E)  Inhaled medications are given with food.

Question 8

A bronchodilator such as salbutamol would never be used to treat an acute attack of asthma.

Accepted Answer

A) True 
 B)False

Question 9

Mary Smith, a 48 year old asthmatic, began using a Beclovent inhaler a week ago. Today she complains of a thick white coating on her tongue. She has also been taking OTC Benadryl for a runny nose. What class of drug is Belcovent? What are common side effects and what should Mary be reminded about when taking her Beclovent?

Accepted Answer

Corticosteroid; oral

Question 10

Leukotriene receptor antagonists prevent histamine release from the mast cells.

Accepted Answer

A) True 
 B)False

Question 11

This type of device delivers a fine powder to the lungs via inhalation:

Accepted Answer

A)  Nebulizer 
B)  DPI 
C)  MDI 
D)  Nasal Spray 
A)  Nebulizer 
B)  DPI 
C)  MDI 
D)  Nasal Spray

Question 12

MDIs use a propellant to deliver a measured dose of drugs to the lungs during each breath though some patients have difficulty synchronizing the puff with the inhalation.

Accepted Answer

A) True 
 B)False

Question 13

A patient has prescriptions for salbutamol and salmeterol. Which instruction should the pharmacist provide for this patient?

Accepted Answer

A)  They should not be taken together. 
B)  The order of administration doesn't matter. 
C)  Take salmeterol first. 
D)  Take salbutamol first. 
A)  They should not be taken together. 
B)  The order of administration doesn't matter. 
C)  Take salmeterol first. 
D)  Take salbutamol first.

Question 14

Aerosol therapy can give immediate relief for bronchospasm.

Accepted Answer

A) True 
 B)False

Question 15

List 3 classes of drugs used to bronchodilate and 3 classes of drugs used to treat the inflammation that occurs with asthma.

Accepted Answer

Bronchodilators-beta 2 agonist

Question 16

A classical feature of asthma is narrowing of the blood vessels caused by bronchospasm.

Accepted Answer

A) True 
 B)False

Exam 26: Drugs for Respiratory Disorders

Why are spacers sometimes given to clients to use with inhalers?

Why are drugs for respiratory disorders delivered by inhalation? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Emphysema is reversible.

A healthy patient asks the pharmacist what types of medications can be taken for the common cold. Which drug classes should the pharmacist include in patient education? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A drug such as cromolyn stabilizes the mast cell and is used to prevent asthma.

Expectorants suppress your cough.

The pharmacist explains to the patient why inhalation medications work rapidly. What should the pharmacist include in teaching? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A bronchodilator such as salbutamol would never be used to treat an acute attack of asthma.

Leukotriene receptor antagonists prevent histamine release from the mast cells.

This type of device delivers a fine powder to the lungs via inhalation:

MDIs use a propellant to deliver a measured dose of drugs to the lungs during each breath though some patients have difficulty synchronizing the puff with the inhalation.

A patient has prescriptions for salbutamol and salmeterol. Which instruction should the pharmacist provide for this patient?

Aerosol therapy can give immediate relief for bronchospasm.

List 3 classes of drugs used to bronchodilate and 3 classes of drugs used to treat the inflammation that occurs with asthma.

A classical feature of asthma is narrowing of the blood vessels caused by bronchospasm.

The Practice of Pharmacy

Drug Classification, Regulation, and Approval

Drug Forms and Routes of Drug Administration

Pharmacokinetics

Pharmacodynamics

Substance Abuse

Using Drug References

Drugs for Disorders Associated With the Autonomic Nervous System

Drugs for Anxiety, Daytime Sedation, and Insomnia

Drugs for Emotional, Behavioural, and Mood Disorders

Drugs for Psychoses and Degenerative Diseases

Drugs for Seizures

Drugs for the Control of Pain and Fever

Drugs for Local and General Anaesthesia

Drugs for Coagulation Disorders

Drugs for Hypertension

Drugs for Heart Failure

Drugs for Dysrhythmias

Drugs for Chest Pain, Myocardial Infraction, and Stroke

Drugs for Lipid Disorders

Drugs for Shock and Anaphylaxis

Drugs for Kidney, Acid-Base, and Electrolyte Disorders

Drugs for Bacterial Infections

Drugs for Fungal, Viral, and Parasitic Diseases

Drugs for Neoplasia

Drugs for Immune System Modulation

Drugs for Eye and Ear Disorders

Drugs for Gastrointestinal Disorders

Vitamins, Minerals, and Nutritional Supplments

Drugs for Muscle Spasm and Bone Disorder

Drugs for Skin Disorders

Drugs for Endocrine Disorders

Drugs for Disorders and Conditions of the Reproductive System

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