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
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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
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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Dropdown
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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?
Deep breathe from 2 minutes
Rinse their mouth
Wait 5 minutes until eating or drinking
Exercise
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Match
Albuterol
Ipratropium
Beclomethasone
Theophylline
Montelukast
Short-acting beta agonist (SABA)
Anticholinergic
Inhaled corticosteroid
Methylxanthine
Leukotriene modifier
Short-acting beta agonist (SABA)
Anticholinergic
Inhaled corticosteroid
Methylxanthine
Leukotriene modifier
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Antihistamine
Antitussives
Opioid
Non-opioid
Expectorants
Upper Respiratory Disorder Medications
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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?
Guaifenesin
Codeine
Dextromethorphan
Diphenhydramine
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Multiple Choice
The nurse correctly administers montelukast (Singulair) __________.
after breakfast.
three times a day with meals.
once daily in the evening.
twice daily in the morning and evening.
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Dropdown
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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 |
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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?
Within 10 minutes of meals
Immediately before meals
Any time within 30 minutes before or after a meal
At bedtime
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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?
“I will make sure to eat right after I take my lispro injection.”
“I can inject my lispro insulin even if I skip a meal to keep my sugar under control.”
“I should avoid rotating my injection sites so the insulin works faster.”
“I can leave unopened insulin vials at room temperature until I need them.”
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Multiple Choice
A cloudy vial of NPH insulin having been opened 15 days ago is safe to administer.
True
False
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Levothyroxine
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Multiple Select
Which of the following are signs/symptoms of hypothyroidism? (SATA)
Depression
Bradycardia
Anorexia
Tachycardia
Tremor
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Multiple Choice
The nurse informs the client that therapy with the thyroid hormone levothyroxine may be discontinued ________.
never.
after 3 months.
after 6 months.
when levels are regulated.
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Desmopressin
Hydrocortisone
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Multiple Choice
Which of the following statements made by a client indicates a possible adverse reaction to the administration of desmopressin?
"I am unable to see well at night."
"My head is hurting."
"I have a sore throat."
"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?
Increase calcium and vitamin D
Administer before meals
Urinate every 4 hours
Stop taking when symptoms subside
Respiratory and Endocrine Meds
Heather Miller, RN, BSN
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