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Flashcards in Asthma Deck (61):
1

Adults (19-64) with asthma should get what vaccine?

PPSV23

2

What 2 SABA's can be used as rescuers in asthma?

Albuterol
Levalbuterol

3

Albuterol can affect what electrolyte?

K
Hypokalemia

4

How much use of a SABA per week would warrant increasing the asthma maintenance med?

> 2

5

SABA is drug of choice in what situation?

Exercise induced bronchospasm

6

What is salmeterol name brand?

Serevent

7

What is salmeterol / fluticasone combo called?

Advair

8

What is formoterol name brand?

Foradil

9

What is formoterol / budesonide combo name brand?

Symbicort

10

A LABA in asthma in contraindicated when used how?

Alone
Only use as add on

11

What is beclomethasone HFA name brand?

QVAR

12

What is budesonide name brand?

Pulmicort

13

What is fluticasone name brand?

Flovent

14

What is mometasone name brand?

Asmanex

15

What is mometasone / formoterol combo name brand?

Dulera

16

Don't shake which MDI inhalers because they are a solution?

QVAR
Alvesco

17

What are two side effects of ICS?

Dysphonia
Oral candidiasis

18

Two ways to prevent oral candidiasis with ICS

Rinse mouth with warm water
Use a spacer with MDI

19

What is the only mineralocorticoid?

Fludrocortisone

20

What MOA do mineralocorticoids have?

Regulate sodium and water balance

21

Taper steroids if used for how long?

Longer than 14 days

22

Cushing syndrome is caused by excess what?

Cortisol

23

What three SE will be seen in Cushing syndrome?

Moon face
Buffalo hump
Central fat redistribution

24

Steroid dose equivalent
Cortisol = ?
Hydrocortisone = ?

Cortisol 25 mg
Hydrocortisone 20 mg

25

Steroid dose equivalent
Methylprednisolone = ?
Prednisone / prednisolone = ?

Methylpredisolone 4 mg
Prednisone / Prednisolone 5 mg

26

Steroid dose equivalents
Betamethasone = ?
Dexamethasone = ?

Betamethasone 0.6 mg
Dexamethasone 0.75 mg

27

Fludrocortisone has no _______ effects

Inflammatory

28

Give steroids at what time of day?

7-8 AM

29

What are the three leukotriene receptor antagonists?

Zafirlukast
Montelukast
Zileuton

30

Take Singulair what time of the day?

In the evening

31

Theophylline blocks what enzyme?
This increases levels of what?

Phosphodiesterase
cAMP

32

Only use theophylline in asthma how?

Add on

33

What is theophylline therapeutic range?

5-15

34

Dose theophylline based on what weight?

IBW

35

What are theophylline's two active metabolites

Caffeine
3-methylxanthine

36

Aminophylline is what % theophylline?

80%

37

Omalizumab name brand?

Xolair

38

Xolair is a mAb that inhibits what?

IgE binding to mast cells and basophils

39

Only use Xolair in what kind of asthma?

Allergic asthma

40

Always administer Xolair where?

In doctors office

41

Take SABA how soon before exercise?

5-15 minutes

42

SABA duration for exercise

2-3 hours

43

Taken Singulair how soon before exercise?

2 hours

44

What is preferred SABA in pregnancy?

Albuterol

45

What is preferred ICS in pregnancy?

Budesonide

46

Use peak flow meters when?

After waking up
Before any asthma mess

47

What % of personal best is green zone?

80-100%

48

What % of personal best is yellow zone

50-80%

49

What % of personal best is red zone?

50

What zone should you increase or add on meds?

Yellow zone

51

What zone should you go to the ED?

Red

52

Only use spacers with which inhalers?

MDI

53

Spacer prevent what SE of ICS?

Thrush

54

Clean spacer how often?
With what?

Weekly
Warm soapy water

55

MDI require what kind of breathe?

Slow and deep

56

DPI's require what kind of breath?

Quick and forceful

57

Prime albuterol MDI after how long of last use?

14 days

58

Prime Flovent after how long of no use?

7 days

59

Prime Symbicort after how long of no use?

7 days

60

Do not take Singulair within how long of a previous dose?

24 hrs

61

What is most effective 1st line maintenance med in asthma?

Inhaled CS