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Pharm Exam 2 review 2

HEAL100 Health Care — exam and revision material · Other

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Health Care study guide material, 6 pages. Originally published on StudyMerit.

Pages
6
Academic year
2025/2026
Language
English

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Pharm Exam 2 review 2 Review for Exam 2 Pharm Inhaler education- how to use, how many puffs, glucocorticoids (steroids) • Depress the inhaler and breathe in • Hold that in for as long as they can • Wait about 1min between 1st and 2nd puff • If 2 inhalers are being used, use the bronchodilator 1st • Complete the puffs from the 1st inhaler before using the 2nd one ● 1-2 puffs. ● Rinse mouth after using glucocorticoids inhalers (Fluticasone, Prednisone, Beclomethasone) ● Steroids are the most effective meds for long-term control of airway inflammation Asthma rescue medications Ex: Beta-2 Agonists - Albuterol / Salmeterol- Bronchodilators • Rescue inhalers, use 1st • Opens airways, increase HR and BP • Causes constipation, urinary retention • Albuterol (short acting) / Salmeterol (long acting) Anticholinergic education Ex: Ipratropium Bromide • Dry mouth • Urinary retention • High BP ● high heart rate ● thirsty • Stops the parasympathetic nervous system • Used as preventive or secondary (maintenance) inhaler Over-the-counter product education (Cough meds) • Read labels • Risk for overdose, most meds have the same components • Avoid meds that treat multiple symptoms / problems

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Medication to prevent ulcers ● PPIs (Omeprazole, Pantoprazole) - Blocks acid production & reduces acid secretion - takes q day / AM / empty stomach) ● Histamine2 Receptor Antagonists (Cimetidine) - Reduces volume of gastric acid by blocking H2 receptors pg. 1 2 ● Antacids (Aluminum Hydroxide / Mag. Hydroxide) - Neutralizes stomach acid and can stimulate prostaglandins to protect mucosa. (Tums) ● Mucosal protectant (Sucralfate)- Forms a protective barrier to the stomach and duodenum. Timing of antacids with other medications ● Do not take other medications at the same time. Wait at least 1-2 hours (1h before or 2h after) ● Safe for renal patients (calcium carbonate) Side effects of PPIs ● Diarrhea ● Nausea ● Osteoporosis (in Pts taking it for a long period of time) ● Hypomagnesemia Magnesium hydroxide contraindications ● Patients with CHF cannot deal with the fluid retention side effect of magnesium hydroxide. ● Renal failure and elderly patients may develop hypermagnesemia. ● Chew tabs w/ 8oz H2O, wait 1h to take other meds Action of Sucralfate ● Forms a protective barrier to the stomach and duodenum (coats stomach lining) ● AKA: Mucosal Protectant ● It is not absorbed by the body, but can alter the absorption of other meds ● Take before meals and HS. 30min - 1h prior to eating Laxatives caution and education » Risk for abuse

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