1st chemicalmediatorreleased inimmune &inflammatoryresponseHistaminep. 635excessiveCNS/cardiacstimulationmain riskw/adrenergicbronchodilatorsp. 657Inhalershake wellbefore use holdbreath x 10 sec,exhale slowlyand rinse mouthp 660Albuterol(proventil)AdrenergicBronchodilatorprototype)asthma actionplan specifyingaction to take ifsx worsen p653Collaboratew/providerrapid IVinjection ofanithistamineseverehypotensionmay resultp 642salmeterolInitiating thisduringworsening sxmay be life-threatening p660worksynergisticallywithadrenergicbronchodiltorsanticholinergics- ineffective atrelievingbronchospasmalone p 6611stGenerationH1 ReceptorAntagonistsneed to ask ptsabout glaucoma,peptic ulcer dis.pregnancy &urinary retentionb/4 use p 640Viral infections,EnvironmentalfactorsNSAIDS's,sulfitesTriggersforasthma p.652Long ActingMaintenancemedsmore likely tobe combinedwith a steroidp 657)3rdGenerationH1 ReceptorAntagonists'Azole' anitfungals(fluconazole,ketoconazole,miconazole) &Macrolides increaseits concentration p.646Promethazinemay cause fatalrespiratorydepression inchildren < 2yop. 642CNSstimulationagitation, anxiety,insomnia, Sz,tremors, seriousdysrhythmia andcardiac arrestp 657IpratropiumAtrovent)AnticholinergicPrototypeFDABlack BoxWarningissued forPromethazine dueto chemicalirritation & tissuedamageregardless of routeof admin p. 642MAOinhibitorsand beta-adrenergicblockersused togetherwithin 14 dayscouldprecipitatehypertensivecrisis p 659Diphenhydramine(Benadryl)shouldn't be takenwithin 14 days ofMAO inhibitor -risk ofoverstimulatingsympathetic nvssystem p. 640wheezingcaused byturbulent airflow thruobstructedairway p. 653Epinephrineinhaled selective beta2-agonist would bedrug of choice in lieuof the one showingdue to beta-stimulation andincreased heart rate& force of contractionChildrenthese patients mayget paradoxicalexcitement fromH1 Gen receptorantagonistsp. 641beta-adrenergicblockersinhibitbronchodilationand may inducebronchospasmin pts takingalbuterol p. 659PEFRPeakexpiratoryflow ratep. 653statusasthmaticusbronchodilatorfirst, followedby steroid1st chemicalmediatorreleased inimmune &inflammatoryresponseHistaminep. 635excessiveCNS/cardiacstimulationmain riskw/adrenergicbronchodilatorsp. 657Inhalershake wellbefore use holdbreath x 10 sec,exhale slowlyand rinse mouthp 660Albuterol(proventil)AdrenergicBronchodilatorprototype)asthma actionplan specifyingaction to take ifsx worsen p653Collaboratew/providerrapid IVinjection ofanithistamineseverehypotensionmay resultp 642salmeterolInitiating thisduringworsening sxmay be life-threatening p660worksynergisticallywithadrenergicbronchodiltorsanticholinergics- ineffective atrelievingbronchospasmalone p 6611stGenerationH1 ReceptorAntagonistsneed to ask ptsabout glaucoma,peptic ulcer dis.pregnancy &urinary retentionb/4 use p 640Viral infections,EnvironmentalfactorsNSAIDS's,sulfitesTriggersforasthma p.652Long ActingMaintenancemedsmore likely tobe combinedwith a steroidp 657)3rdGenerationH1 ReceptorAntagonists'Azole' anitfungals(fluconazole,ketoconazole,miconazole) &Macrolides increaseits concentration p.646Promethazinemay cause fatalrespiratorydepression inchildren < 2yop. 642CNSstimulationagitation, anxiety,insomnia, Sz,tremors, seriousdysrhythmia andcardiac arrestp 657IpratropiumAtrovent)AnticholinergicPrototypeFDABlack BoxWarningissued forPromethazine dueto chemicalirritation & tissuedamageregardless of routeof admin p. 642MAOinhibitorsand beta-adrenergicblockersused togetherwithin 14 dayscouldprecipitatehypertensivecrisis p 659Diphenhydramine(Benadryl)shouldn't be takenwithin 14 days ofMAO inhibitor -risk ofoverstimulatingsympathetic nvssystem p. 640wheezingcaused byturbulent airflow thruobstructedairway p. 653Epinephrineinhaled selective beta2-agonist would bedrug of choice in lieuof the one showingdue to beta-stimulation andincreased heart rate& force of contractionChildrenthese patients mayget paradoxicalexcitement fromH1 Gen receptorantagonistsp. 641beta-adrenergicblockersinhibitbronchodilationand may inducebronchospasmin pts takingalbuterol p. 659PEFRPeakexpiratoryflow ratep. 653statusasthmaticusbronchodilatorfirst, followedby steroid

HSC 204 Ch 32_33 Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
  1. Histamine p. 635
    1st chemical mediator released in immune & inflammatory response
  2. main risk w/adrenergic bronchodilators p. 657
    excessive CNS/cardiac stimulation
  3. shake well before use hold breath x 10 sec, exhale slowly and rinse mouth p 660
    Inhaler
  4. Adrenergic Bronchodilator prototype)
    Albuterol (proventil)
  5. Collaborate w/provider
    asthma action plan specifying action to take if sx worsen p 653
  6. severe hypotension may result p 642
    rapid IV injection of anithistamine
  7. Initiating this during worsening sx may be life-threatening p 660
    salmeterol
  8. anticholinergics - ineffective at relieving bronchospasm alone p 661
    work synergistically with adrenergic bronchodiltors
  9. need to ask pts about glaucoma, peptic ulcer dis. pregnancy & urinary retention b/4 use p 640
    1st Generation H1 Receptor Antagonists
  10. Triggers for asthma p. 652
    Viral infections, Environmental factors NSAIDS's, sulfites
  11. more likely to be combined with a steroid p 657)
    Long Acting Maintenance meds
  12. 'Azole' anitfungals (fluconazole, ketoconazole, miconazole) & Macrolides increase its concentration p. 646
    3rd Generation H1 Receptor Antagonists
  13. may cause fatal respiratory depression in children < 2yo p. 642
    Promethazine
  14. agitation, anxiety, insomnia, Sz, tremors, serious dysrhythmia and cardiac arrest p 657
    CNS stimulation
  15. Anticholinergic Prototype
    Ipratropium Atrovent)
  16. issued for Promethazine due to chemical irritation & tissue damage regardless of route of admin p. 642
    FDA Black Box Warning
  17. used together within 14 days could precipitate hypertensive crisis p 659
    MAO inhibitors and beta-adrenergic blockers
  18. shouldn't be taken within 14 days of MAO inhibitor - risk of overstimulating sympathetic nvs system p. 640
    Diphenhydramine (Benadryl)
  19. caused by turbulent air flow thru obstructed airway p. 653
    wheezing
  20. inhaled selective beta 2-agonist would be drug of choice in lieu of the one showing due to beta- stimulation and increased heart rate & force of contraction
    Epinephrine
  21. these patients may get paradoxical excitement from H1 Gen receptor antagonists p. 641
    Children
  22. inhibit bronchodilation and may induce bronchospasm in pts taking albuterol p. 659
    beta-adrenergic blockers
  23. Peak expiratory flow rate p. 653
    PEFR
  24. bronchodilator first, followed by steroid
    status asthmaticus