Chapter 20

Question 1

1. Bronchodilators

Answer 1

Bronchodilators Beta agonists
Beta II agonists
Beta adrenergic Sympathomimetic See table on page 420
-Albuterol and Levalbuterol
-Usually use regular unit dose unless child is less than one year old, even then many time use full dose.

Question 2

2. Anticholinergic

Answer 2

• Parasympatholytics
• Atrovent
• Remember not to use Atrovent on an asthmatic with allergies to peanuts

Question 3

3. Antiinflammatory

Answer 3

1. Corticosteroids Inhaled Steroids
   - Inhaled Steroids
   - Still controversial, many practitioners do not like to use on kids. Will try Intal, oral anti-inflammatory, and/or theophylline

Question 4

4. Cromolyn Sodium/Nedocromyl Sodium (Antiiflammatory)

Answer 4

1. Inhaled for asthma, maintenance drug, do not give in acute situation.
2. Mast cell stabilizer stops the allergic reaction from getting started.

Question 5

6. Mucolytics

Answer 5

1. Mucomyst

2. Pulmozyme

Question 6

6. Antibiotics/antiviral

Answer 6

1. Tobramycin
2. Pentamidine
3. Ribaviron

Question 7

7. Systemic Drugs Steroids

Answer 7

1. Steroids

• Solumedrol, IV
• Prednisone, oral
• Decadron, IV

2. Leukotrienes
   - Zileuton
   - Zafirlukast

Methylxanthines
-Theophyline

Magnesium Sulfate, VI
-Promotes bronchodilation in asthmatic children

Question 8

8. Misc

Answer 8

• RespiGam and Synagis, prevent RSV

- Omalizumab, reduce inflammation in asthma