Asthma & COPD Meds

Question 1

Facts about Asthma?

Answer 1

• Causes difficulty moving air through their airway.
• Triggered by environmental pollutantsC

Question 2

Facts about COPD ?

Answer 2

• Chronic Bronchitis & Emphysema
• Causes severe damage to the lung tissue
• Causes difficulty getting Air out of their airways

Question 3

Signs and symptoms of Asthma?

Answer 3

• Dyspnea
• Chest tightness
• Coughing
• Wheezing

Question 4

Signs and symptoms of COPD?

Answer 4

• Cyanosis (blue bloaters)
• Dyspnea
• Chronic cough
• Wheezing
• Crackles
• Hypoxemia
• Lots of sputum production
• Barrel chest (emphysema)
• Pursed lips (pink puffers)

Question 5

Asthma and COPD medication options?

Answer 5

• Beta2 agonists (long and short acting)
• Inhaled anticholinergics (long and short acting)
• Inhaled glucocorticoid
• Methylxanthines

Question 6

Facts about Beta2 Agonists

Answer 6

• The help relax the muscles making the air way bigger.

🔶 SABAs
- Albuterol and Levalbuterol
- they start working in 5 mins and lasts a few hours)
- its rescue medications

🔶 LABAs
- They have a slow onset of actions but last for 12 hours.

Question 7

Beta 2 Agonist Medications?

Answer 7

(They end with “Terol”)

• Albuterol
• Levalbuterol
• Formoterol
• Salmeterol

Question 8

High yield concepts of Beta 2 Agonist?

Answer 8

• Acute attacks
• Order of administration
• Increased Sympathetic stimulation
• LABA monotherapy warning

Question 9

Facts about Inhaled anticholinergics?

Answer 9

• These is used in Emergency situations.
• They cause bronchodilation.

Question 10

Inhaled anticholinergics Medications?

Answer 10

(They end with “tropium”)

• Ipratropium
• Tiotropium

Question 11

High yield concepts of Inhaled anticholinergics?

Answer 11

• Dry mouth
• Hoarseness

Question 12

Facts about Inhaled glucocorticoid?

Answer 12

• Used for Asthma & COPD

Question 13

Inhaled glucocorticoid medications

Answer 13

(They end with “Sone”)

• Budesonide
• Fluticasone
• Mometasone

Question 14

High yield concepts of Inhaled glucocorticoid

Answer 14

• Oral Candidiasis (Pt should rinse their mouth)
• Oral Glucocorticoids (they don’t absorb into the body)

Question 15

Facts about Montelukast?

Answer 15

• Prescribed for Asthma.
• Prescribed for seasonal Allergic Rhinitis.
• Its meant for maintenance therapy.

Question 16

High yield concepts of Montelukast

Answer 16

• Usually well tolarated.
• Causes mood changes
• Causes suicidal ideation.

Question 17

Montelukast its normally takes at ______?

Answer 17

Night
(Because Asthma worsens at night)

Question 18

Asthma worsens at __________?

Answer 18

Night

Question 19

Facts about Theophylline?

Answer 19

• Its an old respiratory drug
• Prescribed for Asthma and COPD
• Its a Narrow therapeutic index drug.
• It belongs to a small group of drugs called Methylxanthines.
• Causes brochodilation.

Question 20

High yield concepts of Theophilline?

Answer 20

• Narrow therapeutic index
• Toxicity
• Food interactions (Avoid caffeine)

Question 21

Whats the normal Theophilline blood range

Answer 21

Between 10 and 20 mcg/mL