Promethazinemay cause fatalrespiratorydepression inchildren < 2yop. 642FDABlack BoxWarningissued forPromethazine dueto chemicalirritation & tissuedamageregardless of routeof admin p. 642CNSstimulationagitation, anxiety,insomnia, Sz,tremors, seriousdysrhythmia andcardiac arrestp 657excessiveCNS/cardiacstimulationmain riskw/adrenergicbronchodilatorsp. 657Long ActingMaintenancemedsmore likely tobe combinedwith a steroidp 657)rapid IVinjection ofanithistamineseverehypotensionmay resultp 642beta-adrenergicblockersinhibitbronchodilationand may inducebronchospasmin pts takingalbuterol p. 659worksynergisticallywithadrenergicbronchodiltorsanticholinergics- ineffective atrelievingbronchospasmalone p 661wheezingcaused byturbulent airflow thruobstructedairway p. 6531st chemicalmediatorreleased inimmune &inflammatoryresponseHistaminep. 635salmeterolInitiating thisduringworsening sxmay be life-threatening p660Albuterol(proventil)AdrenergicBronchodilatorprototype)Epinephrineinhaled selective beta2-agonist would bedrug of choice in lieuof the one showingdue to beta-stimulation andincreased heart rate& force of contractionPEFRPeakexpiratoryflow ratep. 653Viral infections,EnvironmentalfactorsNSAIDS's,sulfitesTriggersforasthma p.652Diphenhydramine(Benadryl)shouldn't be takenwithin 14 days ofMAO inhibitor -risk ofoverstimulatingsympathetic nvssystem p. 640statusasthmaticusbronchodilatorfirst, followedby steroid3rdGenerationH1 ReceptorAntagonists'Azole' anitfungals(fluconazole,ketoconazole,miconazole) &Macrolides increaseits concentration p.646asthma actionplan specifyingaction to take ifsx worsen p653Collaboratew/providerMAOinhibitorsand beta-adrenergicblockersused togetherwithin 14 dayscouldprecipitatehypertensivecrisis p 659IpratropiumAtrovent)AnticholinergicPrototypeInhalershake wellbefore use holdbreath x 10 sec,exhale slowlyand rinse mouthp 660Childrenthese patients mayget paradoxicalexcitement fromH1 Gen receptorantagonistsp. 6411stGenerationH1 ReceptorAntagonistsneed to ask ptsabout glaucoma,peptic ulcer dis.pregnancy &urinary retentionb/4 use p 640Promethazinemay cause fatalrespiratorydepression inchildren < 2yop. 642FDABlack BoxWarningissued forPromethazine dueto chemicalirritation & tissuedamageregardless of routeof admin p. 642CNSstimulationagitation, anxiety,insomnia, Sz,tremors, seriousdysrhythmia andcardiac arrestp 657excessiveCNS/cardiacstimulationmain riskw/adrenergicbronchodilatorsp. 657Long ActingMaintenancemedsmore likely tobe combinedwith a steroidp 657)rapid IVinjection ofanithistamineseverehypotensionmay resultp 642beta-adrenergicblockersinhibitbronchodilationand may inducebronchospasmin pts takingalbuterol p. 659worksynergisticallywithadrenergicbronchodiltorsanticholinergics- ineffective atrelievingbronchospasmalone p 661wheezingcaused byturbulent airflow thruobstructedairway p. 6531st chemicalmediatorreleased inimmune &inflammatoryresponseHistaminep. 635salmeterolInitiating thisduringworsening sxmay be life-threatening p660Albuterol(proventil)AdrenergicBronchodilatorprototype)Epinephrineinhaled selective beta2-agonist would bedrug of choice in lieuof the one showingdue to beta-stimulation andincreased heart rate& force of contractionPEFRPeakexpiratoryflow ratep. 653Viral infections,EnvironmentalfactorsNSAIDS's,sulfitesTriggersforasthma p.652Diphenhydramine(Benadryl)shouldn't be takenwithin 14 days ofMAO inhibitor -risk ofoverstimulatingsympathetic nvssystem p. 640statusasthmaticusbronchodilatorfirst, followedby steroid3rdGenerationH1 ReceptorAntagonists'Azole' anitfungals(fluconazole,ketoconazole,miconazole) &Macrolides increaseits concentration p.646asthma actionplan specifyingaction to take ifsx worsen p653Collaboratew/providerMAOinhibitorsand beta-adrenergicblockersused togetherwithin 14 dayscouldprecipitatehypertensivecrisis p 659IpratropiumAtrovent)AnticholinergicPrototypeInhalershake wellbefore use holdbreath x 10 sec,exhale slowlyand rinse mouthp 660Childrenthese patients mayget paradoxicalexcitement fromH1 Gen receptorantagonistsp. 6411stGenerationH1 ReceptorAntagonistsneed to ask ptsabout glaucoma,peptic ulcer dis.pregnancy &urinary retentionb/4 use p 640

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.


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