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Assignments, Chapter 54, Drugs Acting on the Upper Respiratory Tract
Written Assignments
1. Describe the pathophysiology of common upper respiratory
disorders.
2. What are the most common adverse effects of drugs used to Learning Objective(s)
1
3, 5 treat upper respiratory infections in children? What nursing
considerations must be implemented when using these drugs
in children?
3. What are the most common adverse effects of drugs used to 3, 5 treat upper respiratory infections in adults? What nursing
considerations must be implemented when using these drugs
in adults?
4. What are the most common adverse effects of drugs used to 3, 5 treat upper respiratory infections in older adults? What
nursing considerations must be implemented when using these
drugs in older adults?
5. What are the anticholinergic effects associated with 2, 5 antihistamines? What nursing considerations are appropriate
related to the anticholinergic effects?
6. You are assigned to care for an 83-year-old patient with 3, 5 COPD. The patient has a new order for guaifenesin. What
teaching is required for this patient?
Group Assignments
1. Construct a wall chart that compares the therapeutic Learning Objective(s)
2 actions, indications, pharmacokinetics, contraindications, the
most common adverse reactions, and the important drug–drug
interactions with antitussives, decongestants, topical nasal
steroids, antihistamines, expectorants, and mucolytics.
Discuss similarities and differences among the drug groups
used to treat upper respiratory conditions.
2. Many of the drugs used for upper respiratory disorders are
available over the counter (OTC). List the benefits and the 3 risks of using OTC drugs in children, adults, and older adults.
What impact will the use of OTC drugs have on your nursing
practice?
3. Construct a table that compares and contrasts the prototype 4 drugs dextromethorphan, ephedrine, flunisolide,
diphenhydramine, guaifenesin, and acetylcysteine with other
drugs in their classes and in other classes. Describe
similarities and differences among drugs in each classification
and across classifications.
Clinical Assignments
1. Select a patient in a clinical setting who is using a Learning Objective(s)
2 mediation to treat an upper respiratory disorder. Classify the
medication. Describe the therapeutic actions, indications,
pharmacokinetics, contraindications, the most common
adverse reactions, and the important drug–drug interactions
for the selected drug.
2. Select a patient in a clinical setting who is taking a 5 medication for an upper respiratory disorder. Based on the
patient’s condition and medication regimen, what nursing
considerations are essential? Why?
Web Assignments
1. You are a clinic nurse and you see many patients in the Learning Objective(s)
5 clinic started on inhaled steroids for seasonal allergies.
Develop an educational handout for the clinic patients on
inhaled steroids. Conduct Internet research to assist with the
completion of the handout. Include web references on the
handout.
2. You are assigned to care for a 17-year-old female patient
with cystic fibrosis. The patient uses dornase alfa daily
inhaled via a nebulizer. You do not know very much about
cystic fibrosis or this medication. Conduct Internet research to 5 learn more about cystic fibrosis. Is the dornase alfa a
reasonable treatment for this patient? What nursing
considerations are necessary when caring for this patient?
Summarize your research and include references. The Web
site http://www.cff.org is a good source of information on
cystic fibrosis.