Asthma and COPD Rescue Medications

Question 1

albuterol HFA drug class

Answer 1

inhaled short acting beta2 agonists

Question 2

albuterol HFA brand names

Answer 2

ProAir, Ventolin, Proventil, ProAir Respiclick, and ProAir Digihaler

Question 3

ProAir, Ventolin, and Proventil dosage form

Answer 3

MDI

Question 4

ProAir Respiclick and ProAir Digihaler dosage form

Answer 4

aerosol powder inhaler

Question 5

albuterol HFA age groups

Answer 5

all

Question 6

albuterol drug class

Answer 6

inhaled short acting beta2 agonists

Question 7

albuterol dosage form

Answer 7

nebulizer solution

Question 8

albuterol age groups

Answer 8

all

Question 9

albuterol HFA and albuterol adverse effects

Answer 9

-tachycardia
-tremor
-hypokalemia
-irritability

Question 10

albuterol HFA and albuterol counseling tips

Answer 10

-chronic use (>2 times per day) indicates poor asthma control
-may mix nebulizer solution with cromolyn solution, budesonide inhalant suspension, or ipratropium solution
-in mild to moderate exacerbations, MDI + valved holding chamber is effective as nebulizer therapy with appropriate administration technique and coaching by trained personnel

Question 11

levalbuterol HFA drug class

Answer 11

inhaled short acting beta2 agonists

Question 12

levalbuterol HFA brand name

Answer 12

Xopenex

Question 13

levalbuterol HFA dosage form

Answer 13

MDI

Question 14

levalbuterol HFA age groups

Answer 14

all

Question 15

levalbuterol drug class

Answer 15

inhaled short acting beta2 agonists

Question 16

levalbuterol dosage form

Answer 16

nebulizer solution

Question 17

levalbuterol age groups

Answer 17

all

Question 18

levalbuterol HFA and levalbuterol adverse effects

Answer 18

-tachycardia
-tremor
-hypokalemia
-irritability

Question 19

levalbuterol HFA and levalbuterol counseling tips

Answer 19

-reserved for patients who do not respond to albuterol for quick relief
-nebulizer solution compatible with budesonide inhalant suspension
-levalbuterol administered in half the mg dose of albuterol provides comparable efficacy and safety
-has not been evaluated by continuous nebulization

Question 20

ipratropium HFA drug class

Answer 20

short-acting anticholinergics

Question 21

ipratropium HFA brand name

Answer 21

Atrovent

Question 22

ipratropium HFA dosage form

Answer 22

MDI

Question 23

ipratropium HFA age groups

Answer 23

all

Question 24

ipratropium drug class

Answer 24

short-acting anticholinergics

Question 25

ipratropium dosage form

Answer 25

nebulizer solution

Question 26

ipratropium age groups

Answer 26

all

Question 27

ipratropium HFA and ipratropium adverse effects

Answer 27

-dry mouth -urinary retention -infection -sinusitis -bronchitis

Question 28

ipratropium HFA and ipratropium counseling tips

Answer 28

-used in combo with albuterol for asthma exacerbation treatment -may mix in same nebulizer with albuterol -should not be used as first-line therapy (should be added to SABA therapy for severe exacerbations)

Question 29

ipratropium/albuterol drug class

Answer 29

short-acting anticholinergics

Question 30

ipratropium/albuterol brand names

Answer 30

Combivent Respimat and DuoNeb

Question 31

Combivent Respimat dosage form

Answer 31

MDI

Question 32

DuoNeb dosage form

Answer 32

nebulizer solution

Question 33

ipratropium/albuterol age groups

Answer 33

all

Question 34

DuoNeb counseling tip

Answer 34

may be used for up to 3 hours in initial management of severe exacerbations

Question 35

methylprednisolone drug class

Answer 35

systemic corticosteroids

Question 36

methylprednisolone dosage form

Answer 36

tablet

Question 37

methylprednisolone age groups

Answer 37

all

Question 38

prednisolone drug class

Answer 38

systemic corticosteroids

Question 39

prednisolone dosage forms

Answer 39

tablet and oral liquid

Question 40

prednisolone age groups

Answer 40

all

Question 41

prednisone drug class

Answer 41

systemic corticosteroids

Question 42

prednisone dosage forms

Answer 42

tablet and oral liquid

Question 43

dexamethasone drug class

Answer 43

systemic corticosteroid

Question 44

dexamethasone dosage forms

Answer 44

oral liquid, tablet, and injection

Question 45

dexamethasone age group

Answer 45

0-4 years old

Question 46

methylprednisolone acetate drug class

Answer 46

systemic corticosteroids

Question 47

methylprednisolone acetate dosage form

Answer 47

respiratory injection

Question 48

methylprednisolone acetate age groups

Answer 48

all

Question 49

systemic corticosteroids adverse effects

Answer 49

-hyperglycemia -increased appetite -fluid retention -demmargination of WBCs -psychiatric disturbances

Question 50

systemic corticosteroids contraindications

Answer 50

systemic fungal infections and administration of live vaccines if immunocompromised

Question 51

systemic corticosteroids drug interactions

Answer 51

-warfarin (INR increases) -efficacy of inactivated vaccines decreases

Question 52

systemic corticosteroids counseling tips

Answer 52

-may be used with ICS if patient is already taking ICS before hospitalization -may be used for chronic therapy in both asthma and COPD, but only in severe stages -"bursts" effective for establishing control when initiating therapy or during period of gradual deterioration -injection may be used in place of "burst" if adherence is an issue or patient is vomiting

Question 53

epinephrine drug class

Answer 53

systemic subcutaneous beta2 agonists

Question 54

epinephrine age groups

Answer 54

all

Question 55

epinephrine counseling tips

Answer 55

-no proven advantage of systemic therapy over aerosol -indicated in addition to standard therapy for acute asthma associated with anaphylaxis and/or angioedema

Question 56

terbutaline drug class

Answer 56

systemic subcutaneous beta2 agonists

Question 57

terbutaline age groups

Answer 57

all

Question 58

terbutaline counseling tip

Answer 58

no proven advantage of systemic therapy over aerosol

Question 59

magnesium sulfate IV age group

Answer 59

all

Question 60

magnesium sulfate IV adverse effects

Answer 60

-flushing -hypotension -vasodilation

Question 61

magnesium sulfate IV contraindications

Answer 61

-heart block -caution in renal dysfunction

Question 62

magnesium sulfate IV counseling tip

Answer 62

consider if patient remains in life-threatening exacerbation after 1 hour of therapy