Exam 14: Introduction to Respiratory Care Pharmacology

After delivery of an adrenergic bronchodilator with a small volume nebulizer,a patient complains of "shakiness" and feeling "nervous".He notes palpitations and his heart feels like it is racing.What is happening and how could these problems be corrected?

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Question 1

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The patient is having adverse side effects from the bronchodilator.The patient's bronchodilator could be given with more diluting solution,the amount of medication could be decreased,or the patient could be given another bronchodilator with fewer side effects.

An aerosol drug is ordered on a patient in MDI form.The propellant causes a reflex bronchospasm in the patient.What can be done?

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The drug could be delivered to the patient in other forms such as DPI form or in solution by a small volume nebulizer.A spacer could be used to allow for partial evaporation of the propellant from the MDI.If the drug is available in pill form or oral solution it could be delivered via mouth.

What immunoglobulin antibody sensitizes the mast cell?

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Question 3

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Which of the following drugs cause bronchodilation by inhibiting the effects of the parasympathetic nervous system? I.Atropine sulfate II.Ipratropium bromide III.Tiotropium bromide IV.Terbutaline sulfate

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Question 4

A pediatric patient is admitted to the emergency department from a physician's office with the suspected diagnosis of croup.An inspiratory stridor is heard.Which aerosolized sympathomimetic would you recommend to decrease the stridor?

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Question 5

Montelukast,Zarfirlukast,and Zileuton are all used as maintenance therapy for asthma.How do they work?

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Question 6

Acetylcholine stimulates ____________________

(Multiple Choice)

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Question 7

MDI spacer devices are used in conjunction with MDIs to:

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Question 8

A sympathomimetic drug would cause ________________

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Question 9

Release of acetylcholine will cause ___________________

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Question 10

Inhibition of the sympathetic nervous system would cause _________________

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Question 11

Which of the following would NOT cause a bronchospasm or bronchoconstriction?

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Question 12

Stimulation of the beta 2 receptors causes ___________________

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Question 13

Which of the following drugs stabilize mast cells?

(Multiple Choice)

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Question 14

Place the following intracellular events of the Beta 2 receptor stimulation in order. I.Phosphodiesterase breaks down cyclic 3',5'-AMP into 5'-AMP II.Adenylate cyclase combines with magnesium and ATP to form cyclic 3',5'-AMP III.Cyclic 3',5'-AMP results in bronchial smooth muscle relaxation IV.Beta-2 stimulation causes the formation of adenylate cyclase

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Question 15

Which of the following is caused by histamine release from the mast cells? I.Bronchodilation II.Increased bronchial gland secretion III.Increased amount of mucus present in the airways

(Multiple Choice)

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Question 16

Salmeterol and Fluticasone are combined into a DPI preparation.What is the purpose of these two drugs combined?

(Multiple Choice)

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Question 17

Which of the following sympathomimetic drugs are intended for maintenance therapy only? I.Levalbuterol II.Salmeterol III.Formoterol IV.Pirbuterol

(Multiple Choice)

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Question 18

Which receptor site results in tachycardia,an increased potential for arrhythmias,and an increased cardiac output?

(Multiple Choice)

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Question 19

What is the name of the receptor sites that are located in the peripheral vasculature,the heart,bronchial muscle,and bronchial blood vessels?

(Multiple Choice)

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Question 20

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Exam 14: Introduction to Respiratory Care Pharmacology

After delivery of an adrenergic bronchodilator with a small volume nebulizer,a patient complains of "shakiness" and feeling "nervous".He notes palpitations and his heart feels like it is racing.What is happening and how could these problems be corrected?

An aerosol drug is ordered on a patient in MDI form.The propellant causes a reflex bronchospasm in the patient.What can be done?

What immunoglobulin antibody sensitizes the mast cell?

Which of the following drugs cause bronchodilation by inhibiting the effects of the parasympathetic nervous system? I.Atropine sulfate II.Ipratropium bromide III.Tiotropium bromide IV.Terbutaline sulfate

A pediatric patient is admitted to the emergency department from a physician's office with the suspected diagnosis of croup.An inspiratory stridor is heard.Which aerosolized sympathomimetic would you recommend to decrease the stridor?

Montelukast,Zarfirlukast,and Zileuton are all used as maintenance therapy for asthma.How do they work?

Acetylcholine stimulates ____________________

MDI spacer devices are used in conjunction with MDIs to:

A sympathomimetic drug would cause ________________

Release of acetylcholine will cause ___________________

Inhibition of the sympathetic nervous system would cause _________________

Which of the following would NOT cause a bronchospasm or bronchoconstriction?

Stimulation of the beta 2 receptors causes ___________________

Which of the following drugs stabilize mast cells?

Which of the following is caused by histamine release from the mast cells? I.Bronchodilation II.Increased bronchial gland secretion III.Increased amount of mucus present in the airways

Salmeterol and Fluticasone are combined into a DPI preparation.What is the purpose of these two drugs combined?

Which of the following sympathomimetic drugs are intended for maintenance therapy only? I.Levalbuterol II.Salmeterol III.Formoterol IV.Pirbuterol

Which receptor site results in tachycardia,an increased potential for arrhythmias,and an increased cardiac output?

What is the name of the receptor sites that are located in the peripheral vasculature,the heart,bronchial muscle,and bronchial blood vessels?

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Humidity and Aerosol Therapy

Bronchial Hygiene Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Artificial Airway Care

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

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