NURS 210 Lecture Notes - Lecture 3: Hmg-Coa Reductase, Warfarin, Verapamil
Document Summary
The exam will include approximately 70 questions, plus 3 drug calculation problems. For each prototype drug, know how it works, major adverse effects, significant contraindications, and important nursing considerations for administration. Know proper use, and advantages and disadvantages, of the following delivery methods: metered dose inhaler (mdi), dry powder inhaler (dpi), nebulizer. Be familiar with the 4 classifications of asthma. Prototypes: albuterol [proventil], salmeterol [serevent]; theophylline; ipratropium [atrovent] Albuterol and salmeterol are beta2 agonist, promotes vasodilation used for acute asthma attacks. Theophylline is a methylxanthine and causes bronchodilation. Atrovent is an anticholinergic and blocks muscarinic receptors of the bronchi causing bronchodilation. They are used for the long-term treatment of chronic asthma. They prevent inflammation and suppress airway mucus production. Can cause hyperglycemia, pud, infection (oral candiasis). Prevents rupture of mast cells and reduces production of inflammatory leukotrienes. Long-term like glucocorticoids, used to prevent asthma attacks. Suppress inflammation, bronchoconstriction, airway edema and mucus secretion. Used in long-term therapy of asthma prevention.