Respiratory Pharmacology

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NCLEX-PN › Respiratory Pharmacology

Questions 1 - 3
1

All of the following are examples of adrenergic agonists except __________.

tiotropium

salmeterol

terbutaline

albuterol

Explanation

Albuterol, terbutaline, and salmeterol are all beta-2 adrenergic agonists. Beta-2 adrenergic agonists stimulate beta-2 adrenergic receptors, causing smooth muscle relaxation in the bronchial passages.

Tiotropium (trade name Spiriva) is an anticholinergic bronchodilators.

2

Which of the following is an example of an inhaled steroid used in the treatment of asthma?

Fluticasone

Tiotropium

Ipratropium

Salmeterol

Explanation

Fluticasone (trade name Flovent) is a synthetic glucocorticoid used in the treatment of asthma and allergic rhinitis.

Tiotropium (trade name Spiriva) and Ipratropium (trade name Atrovent) are both anticholinergics, and Salmeterol (trade name Serevent) is a beta-2 adrenergic receptor agonist.

3

What class of drug is montelukast?

Leukotriene inhibitor

Corticosteroid

Anticholinergic bronchodilator

Long acting beta-2 agonist (LABA)

Explanation

Montelukast is a leukotriene inhibitor. It acts by antagonism of the leukotriene receptor sites in bronchial wall smooth muscle to prevent wheezing, chest tightness, and coughing caused by asthma, and to treat other respiratory issues to promote proper ventilation.

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