Ch. 40 Drug Cards - Asthma & Other Pulmonary Disorders

Question 1

albuterol (Proventil HFA, Ventolin HFA, ProAir HFA) therapeutic class

Answer 1

Bronchodilator

Question 2

albuterol (Proventil HFA, Ventolin HFA, ProAir HFA) pharmacologic class

Answer 2

Beta2-adrenergic agonist

Question 3

termination of acute bronchospasm
Facilitate mucus drainage

Answer 3

albuterol (Proventil HFA, Ventolin HFA, ProAir HFA) uses

Question 4

albuterol (Proventil HFA, Ventolin HFA, ProAir HFA) can prevent exercise-induced bronchospasm how?

Answer 4

When inhaled 15-30 minutes prior to physical activity

Question 5

palpitations
headache
throat irritation
tremor
nervousness
restlessness
tachycardia

Answer 5

Side Effects of albuterol (Proventil HFA, Ventolin HFA, ProAir HFA)

Question 6

Insomnia and dry mouth

Answer 6

less common side effects of albuterol (Proventil HFA, Ventolin HFA, ProAir HFA)

Question 7

albuterol (Proventil HFA, Ventolin HFA, ProAir HFA) may exhibit what effects?

Answer 7

cardiovascular effects in some patients

Question 8

Caution is required when administering albuterol (Proventil HFA, Ventolin HFA, ProAir HFA) to what patients?

Answer 8

History of:
Cardiac disease
Coronary artery disease
HTN

Question 9

Concurrent use with what will inhibit the bronchodilation effect of albuterol?

Answer 9

beta blockers

Question 10

Patients should also avoid what within 14 days of beginning albuterol?

Answer 10

MAOIs

Question 11

Albuterol may cause what at high doses?

Answer 11

Hypokalemia

Question 12

When taking albuterol, products containing caffeine may cause what?

Answer 12

nervousness, tremor, or palpitations.

Question 13

Dysrhythmias
Hypokalemia
Hyperglycemia

Answer 13

S&S of overdose of albuterol

Question 14

ipratropium (Atrovent) therapeutic class

Answer 14

broncodilator

Question 15

ipratropium (Atrovent) pharmacologic class

Answer 15

Anticholinergic

Question 16

ipratropium (Atrovent) is used for what when combined with albuterol

Answer 16

bronchospasms due to COPD

Question 17

received FDA approval for the treatment of asthma, it is prescribed off-label for this disorder.

Answer 17

ipratropium (Atrovent)

Question 18

The nasal spray formulation of ipratropium (Atrovent) is approved for what?

Answer 18

the symptomatic relief of runny nose associated with the common cold and allergic rhinitis.

Question 19

ipratropium (Atrovent) inhibits nasal secretion, but does not do what?

Answer 19

Have decongestant action

Question 20

How long is the treatment for ipratropium (Atrovent) intranasal limited to?

Answer 20

3 weeks

Question 21

ipratropium (Atrovent) intranasal side effects

Answer 21

may cause epistaxis and excessive drying of the nasal mucosa.

Question 22

Why does ipratropium (Atrovent) cause few systemic adverse effects?

Answer 22

B/c very little is absorbed by the lungs

Question 23

While using ipratropium (Atrovent) irritation of the upper respiratory tract may result in what?

Answer 23

cough
drying of the nasal mucosa
hoarseness

Question 24

Contraindicated in patients with hypersensitivity to soya lecithin or related food products such as soybean and peanut

Answer 24

ipratropium (Atrovent) contraindications

Question 25

beclomethasone (Qvar) therapeutic class

Answer 25

Anti-inflammatory drug for asthma and allergic rhinitis.

Question 26

beclomethasone (Qvar) pharmacologic class

Answer 26

Inhaled corticosteroid

Question 27

The patient taking beclomethasone (Qvar) should be observed for what?

Answer 27

signs of corticosteroid toxicity

Question 28

Local side effects of beclomethasone (Qvar) may include:

Answer 28

hoarseness dry mouth changes in taste

Question 29

This drug can mask the signs of infections and is contraindicated if an active infection is present

Answer 29

beclomethasone (Qvar)

Question 30

A significant percentage of patients who take beclomethasone (Qvar) on a long-term basis will develop this

Answer 30

oropharyngeal candidiasis

Question 31

Monitor the growth of pediatric patients with this drug

Answer 31

beclomethasone (Qvar)

Question 32

montelukast (Singulair) therapeutic class

Answer 32

Anti-inflammatory drug for asthma prophylaxis

Question 33

montelukast (Singulair) pharmacologic class

Answer 33

Leukotriene modifier

Question 34

A few rare cases have been reported in patients who are taking this drug

Answer 34

montelukast (Singulair)

Question 35

What patients taking montelukast (Singulair) should be treated with caution?

Answer 35

Those with preexisting hepatic impairment

Question 36

this drug may increase serum alanine amino-transferase (ALT) values)

Answer 36

montelukast (Singulair)