Test 4 New ATI Exam Review Questions answered

 When patients take antihistamines such as Benadryl, due to its effect on the CNS, patient should avoid any alcoholic drinks and operating heavy machinery due to its possible side effects of Drowsiness/ sleepiness. Re ...

 When patients take antihistamines such as Benadryl, due to its effect on the CNS, patient should avoid any alcoholic drinks and operating heavy machinery due to its possible side effects of Drowsiness/ sleepiness. Remember that Benadryl is the firstgeneration Antihistaminic prototype. It is very lipid soluble and because of that it cross into the CNS thus why the side effects of this drug.  Dextromethorphan suppresses the cough reflex through a direct action on the cough center in the brain.  What are the concerns of prolonged use of Oxymetazoline (Afrin)? o may cause nose stuffiness to happen again or get worse ( rebound congestion)  Review Ipratropium Bromide/ Review how does this medication help patients with perineal and seasonal rhinitis. Review its function as an anticholinergic. o opens up the medium and large airways in the lungs. It is used to treat the symptoms of chronic obstructive pulmonary disease and asthma. It is used by inhaler or nebulizer. used to relieve a runny nose caused by year-round allergic and nonallergic rhinitis (runny nose and stuffiness) in adults and children age 6 and older. Ipratropium nasal spray does not relieve nasal congestion, sneezing, or postnasal drip caused by these conditions. Ipratropium nasal spray is in a class of medications called anticholinergics. It works by reducing the amount of mucus produced in the nose. Ipratropium is similar to atropine, but contains an ammonium group, which prevents systemic absorption. It blocks acetylcholine receptors at the neuromuscular junction of bronchial smooth muscle, resulting in bronchodilation.  Review important considerations for patient education when patients are using MDI inhalers. Remove the cap and shake the inhaler. Take a deep breath and breathe out (exhale) all the way. Place the inhaler in your mouth. Close your lips around it. As you breathe in deeply, press down on the inhaler to release the medicine. Hold your breath for a count of 10, or as long as you can comfortably. Then slowly breathe out.  Why are most beta blockers contraindicated for asthma? potential for causing bronchospasm  If patients have severe cough and MD prescribes opiates such as Hydrocodone, the nurse must advise patient to monitor bowel movements for constipation. This can be one of the effects mainly with prolonged use.