McKenna's Pharmacology for Nursing, 2e

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P A R T 1 0  Drugs acting on the respiratory system

BIBLIOGRAPHY Bostock-Cox, B. (2012). Recognising and managing allergic disease in the community. British Journal of Community Nursing, 17(7) , 302–308. Burns, D. (2012). Management of patients with asthma and allergic rhinitis. Nursing Standard, 26(32) , 41–46. Farrell, M. & Dempsey, J. (2014). Smeltzer & Bare’s Textbook of Medical-Surgical Nursing (3rd edn). Sydney: Lippincott Williams & Wilkins. Goodman, L. S., Brunton, L. L., Chabner, B. & Knollmann, B. C. (2011). Goodman and Gilman’s Pharmacological Basis of Therapeutics (12th edn). New York: McGraw-Hill. Graudins, L. V. (2009). Preventing motion sickness in children. Australian Prescriber , 32, 61–63. Irwin, R. S., Baumann, M. H., Bolser, D. C., Boulet, L. P., Braman, S. S., Brightling, C. E., et al. (2006). Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines. Chest, 129 (1 Supplement), 1S–23S.

Masel, P. (2012). Management of cystic fibrosis in adults. Australian Prescriber, 35, 118–121. McKenna, L. (2012). Pharmacology Made Incredibly Easy (1st Australian and New Zealand edn). Sydney: Lippincott Williams & Wilkins. McKenna, L. & Mirkov, S. (2014). McKenna’s Drug Handbook for Nursing and Midwifery (7th edn). Sydney: Lippincott Williams & Wilkins. Plaut, M. & Valentine, M. D. (2005). Allergic rhinitis. New England Journal of Medicine, 353(18) , 1934–1944. Porth, C. M. (2011). Essentials of Pathophysiology: Concepts of Altered Health States (3rd edn). Philadelphia: Lippincott Williams & Wilkins. Porth, C. M. (2009). Pathophysiology: Concepts of Altered Health States (8th edn). Philadelphia: Lippincott Williams & Wilkins. Salisbury-Afshar, E. (2012). Oral antihistamine/decongestant/ analgesic combinations for the common cold. American Family Physician, 86(9) , 812–813. Sung, V. (2009). Cough and cold remedies for children. Australian Prescriber, 32, 122–124. 4. A person taking an OTC cold medication and an OTC allergy medicine is found to be taking double doses of pseudoephedrine. As a result, the person might exhibit: a. ear pain and eye redness. b. restlessness and palpitations. c. sinus pressure and ear pain. d. an irritating cough and nasal drainage. 5. Antihistamines should be used very cautiously in people with: a. a history of arrhythmias or prolonged QT intervals. b. COPD or bronchitis. c. asthma or seasonal rhinitis. d. angio-oedema or low blood pressure. 6. A person is not getting a response to the antihistamine that was prescribed. Appropriate action might include: a. switching to a decongestant. b. stopping the drug and increasing fluids. 7. Dornase alfa ( Pulmozyme ), because of its mechanism of action, is reserved for use in: a. clearing secretions before diagnostic tests. b. facilitating the removal of secretions postoperatively. c. protecting the liver from paracetamol toxicity. d. relieving the buildup of secretions in cystic fibrosis. c. trying a different antihistamine. d. switching to a corticosteroid.

C H E C K Y O U R U N D E R S T A N D I N G

Answers to the questions in this chapter can be found in Appendix A at the back of this book.

MULTIPLE CHOICE Select the best answer to the following. 1. A person with sinus pressure and pain related to a seasonal rhinitis would benefit from taking:

a. an antitussive. b. an expectorant. c. a mucolytic. d. a decongestant.

2. Antitussives are useful in blocking the cough reflex and preserving the energy associated with prolonged, non-productive coughing. Antitussives are best used with: a. postoperative people. b. asthma sufferers. c. people with a dry, irritating cough. d. COPD people who tire easily. 3. People with seasonal rhinitis experience irritation and inflammation of the nasal passages and passages of the upper airways. Treatment for these people might include: a. systemic corticosteroids.

b. mucolytic agents. c. an expectorant. d. topical nasal steroids.