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Pharma > DRUGS FOR RESPIRATORY SYSTEM > Flashcards

DRUGS FOR RESPIRATORY SYSTEM Flashcards

1
Q

Blocks cough reflex

A

ANTITUSSIVES

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2
Q

Decrease blood flow to
the upper respiratory tract and decrease the
over production of secretion

A

DECONGESTANTS

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3
Q

Block the release or action
of histamine

A

ANTIHISTAMINES

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4
Q

Increase productive cough
to clear the airway.

A

EXPECTORANTS

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5
Q

Liquefy respiratory secretion to
aid the clearing of the airways.

A

MUCOLYTICS

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6
Q

Adverse effects: drying effect on the mucous
membrane, (nausea, constipation), increased
respiratory tract secretion, feelings of
congestion, drowsiness, sedation.

A

MUCOLYTICS

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7
Q

It is the treatment of non productive
cough

A

ANTITUSSIVES

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8
Q

MOA: act directly on the medullary cough
center of the brain to depress the cough reflex

A

ANTITUSSIVES

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9
Q

codeine (generic only)

A

ANTITUSSIVES

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10
Q

guaifenesin & codeine

A

ANTITUSSIVES

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11
Q

hydrocodone bitartrate

A

ANTITUSSIVES

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12
Q

dextromethorphan (Benylin, Robitussin):
does not cause respiratory depression,
neither cause physical dependence nor
tolerance

A

ANTITUSSIVES

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13
Q

CI: head injury, CNS depression

A

ANTITUSSIVES

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14
Q

Other Antitussives
MOA: directly act on respiratory tract

A

ambot basta other antitussives

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15
Q

stimulates secretory cells in the respiratory tract lining = more copious
secretion = buffers the irritation in the
respiratory tract wall that stimulate the
cough

A

terpin hydrate ( generic only) = OTHER ANTITUSSIVES

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16
Q

acts as a local anesthetic on the respiratory passages, lung, pleura, blocking the effectiveness
of stretch receptors that stimulate cough
reflex

A

benzonatate (Tessalon) = OTHER ANTITUSSIVES

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17
Q

CI: post op; asthma, emphysema

A

BASTA OTHER ANTITUSSIVES BUSIT BUSIT

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18
Q

NURSING ACTIONS: Do not take longer than the
recommended

A

ANTITUSSIVES

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19
Q

NURSING ACTIONS: Further medical evaluation of cough

A

ANTITUSSIVES

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20
Q

NURSNG ACTIONS: Wait 15- 20 minutes after taking the syrup before drinking any liquid

A

ANTITUSSIVES

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21
Q

NURSING ACTIONS: Other measures to relieve cough (humidity, cool temperatures, fluids,
topical lozenges)

A

ANTITUSSIVES

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22
Q

For common colds, sinusitis, allergic
rhinitis, otitis media

A

DECONGESTANTS

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23
Q

Usually adrenergic or sympathomimetics( local
vasoconstriction = decrease blood flow to the irritated and dilated capillary on the mucous membranes lining the nasal passages and sinus cavities

A

DECONGESTANTS

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24
Q

Rhinitis medicamentosa = –rebound
congestion that accompany frequent
and prolonged use of these drugs

A

DECONGESTANTS

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25
Q

Sympathomimetic, immediate onset, less chance of systemic effects, available in nasal spray

A

TOPICAL NASAL DECONGESTANTS

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26
Q

ephedrine (Kondon’s nasal)

A

DECONGESTANTS

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27
Q

oxymetazoline (Aftrin)

A

DECONGESTANTS

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28
Q

phenylephrine(Coricidin)

A

DECONGESTANTS

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29
Q

tetrahydrozoline (Tyzine)

A

DECONGESTANTS

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30
Q

xylometazoline (Otrivin)

A

DECONGESTANTS

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31
Q

CI: lesion or erosion on the mucous
membrane, HPN, DM, thyroid disease,
coronary disease

A

DECONGESTANTS

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32
Q

AE: local stinging and burning sensation,
rebound congestion ( longer than 3-5 days),sympathomimetic effects ( increased
pulse, BPand urinary retention

A

DECONGESTANTS

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33
Q

DI:
+ cyclopropane/ halothane anesthesia=serious
cardiovascular effects
+ other sympathomimetics =toxic effects
+ other sympatholytics = noneffective

A

DECONGESTANTS

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34
Q

Directly block the effect of inflammation

A

TOPICAL NASAL STEROID DECONGESTANTS

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35
Q

Takes several weeks to be real effective and are more often used in cases of chronic rhinitis and post nasal polyps removal

A

TOPICAL NASAL STEROID DECONGESTANTS

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36
Q

Beclomethasone, budesonide,
dexamethasone, flunisolide, fluticasone,
triamcinolone

A

TOPICAL NASAL STEROID DECONGESTANTS

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37
Q

CI: acute infections (candida albicans infections),airborne infection (chicken pox,
measles)pulmonary tuberculosis

A

TOPICAL NASAL STEROID DECONGESTANTS

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38
Q

AE: same with topical + post nasal surgery or
trauma = monitor closely for it suppresses
healing

A

TOPICAL NASAL STEROID DECONGESTANTS

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39
Q

Shrink the nasal mucous membrane by stimulating the alpha adrenergic receptors in the nasal mucous membrane

A

ORAL DECONGESTANT

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40
Q

pseudoephedrine

A

ORAL DECONGESTANT

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41
Q

CI: conditions exacerbated by sympathetic
activity

A

ORAL DECONGESTANT

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42
Q

AE: rebound congestion, sympathetic effects (
anxiety, tenseness, restlessness, tremors
arrhythmias, sweating, pallor)

A

ORAL DECONGESTANT

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43
Q

NURSING ACTIONS:
- Clear nasal passages before using
- Tilt the head back when applying the drops or spray
- Keep it tilted back for a few seconds
after administration
- Not to use more than 5 days (topical), not more than 7 days (PO), not more than 3 weeks ( topical steroids), seek medical care if s/sy persist
- OTC, do not inadvertently combine drugs leading to overdose
- Provide safety measures

A

DECONGESTANTS

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44
Q

Other measures to help relieve the discomfort of congestion:
- Humidity
- Fluids
- Cool environment
- Avoid smoke – filled areas
- Peppermint may be used as nasal decongestant

A

DECONGESTANTS

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45
Q

MOA: selectively block the effect of histamine – 1 receptor sites = decrease allergic response (itchy eyes, swelling, congestion, drippy nose) - Have anti- cholinergic and anti- pruritic effects

A

ANTIHISTAMINES

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46
Q

have greater anti- cholinergic effect with resultant drowsiness

A

FIRST GENERATION (ANTIHISTAMINES)

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47
Q

azatadine (Optimine)

A

FIRST GENERATION (ANTIHISTAMINES)

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48
Q

cetirizine ( Reactine)

A

FIRST GENERATION (ANTIHISTAMINES)

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49
Q

diphenhydramine (Benadryl)

A

FIRST GENERATION (ANTIHISTAMINES)

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50
Q

promethazine (Phenergan)

A

FIRST GENERATION (ANTIHISTAMINES)

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51
Q

desloratadine (Clarinex)

A

SECOND GENERATION (ANTIHISTAMINES)

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52
Q

fexofenadine (Allegra)

A

SECOND GENERATION (ANITHISTAMINES)

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53
Q

loratadine (Claritin)

A

SECOND GENERATION (ANTIHISTAMINES)

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54
Q

CI: pregnancy & lactation, hepatic & renal impairment, caution with cardiac arrhythmias (increase Q-T intervals)

A

ANTIHISTAMINES

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55
Q

AE: drowsiness & sedation, drying of respiratory and GI mucous membrane (skin eruption and itching), arrhythmias, dysuria, urinary hesitancy, GI upset, nausea, thickening of mucous, difficulty coughing, tightening of the chest

A

ANTIHISTAMINES

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56
Q

NURSING ACTIONS:
➔ Administer on an empty stomach

A

ANTIHISTAMINES

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57
Q

NURSING ACTIONS:
➔ Response is individualized

A

ANTIHISTAMINES

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57
Q

NURSING ACTIONS:
➔ Response is individualized

A

ANTIHISTAMINES

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58
Q

NURSING ACTIONS:
➔ Frequent mouth care (dry mouth may
lead to anorexia & nausea) ex.
sugarless candy and lozenges

A

ANTIHISTAMINES

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59
Q

NURSING ACTIONS:
Take at bedtime or safety measures if
taken during the day

A

ANTIHISTAMINES

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60
Q

NURSING ACTIONS:
➔ Do not drive

A

ANTIHISTAMINES

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61
Q

NURSING ACTIONS:
Do not operate dangerous machinery
Increase humidity

A

ANTIHISTAMINES

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62
Q

NURSING ACTIONS:
➔ Place pans of water throughout the
house

A

ANTIHISTAMINES

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63
Q

NURSING ACTIONS:
Avoid smoke filled area

A

ANTIHISTAMINES

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64
Q

NURSING ACTIONS:
➔ Increase oral fluid intake

A

ANTIHISTAMINES

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65
Q

NURSING ACTIONS:
➔ Void before each dose

A

ANTIHISTAMINES

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66
Q

NURSING ACTIONS
➔ Skin care

A

ANTIHISTAMINES

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67
Q

NURSING ACTIONS:
➔ Caution to avoid excessive dosage of
other OTC

A

ANTIHISTAMINES

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68
Q

NURSING ACTIONS:
➔ Avoid alcohol

A

ANTIHISTAMINES

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69
Q
  • It is used for dry, non productive cough
A

EXPECTORANTS

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70
Q

MOA: liquefy the lower respiratory tract secretions= reducing viscosity =easier to
cough out

A

EXPECTORANTS

71
Q

AE : N/A/V, HA, dizziness

A

EXPECTORANTS

72
Q

Enhances The Output Of respiratory tract fluids by reducing adhesiveness and surface tension of these fluids = easier movement of less viscous secretions

A

GUAIFENESIN (ROBITUSSIN) = EXPECTORANTS

73
Q

iodine preparation, bitter taste. Stimulates the
glands of the respiratory tract to increase the amount of fluid secreted

A

TERPIN HYDRATE (GENERIC) = EXPECTORANTS

74
Q

NURSING ACTIONS:
Assess lung sounds, secretions(color, consistency, amount), know the underlying cause, should not
be used for more than one week, seek consultation if persistent

A

EXPECTORANTS

75
Q

NURSING ACTIONS:
Deep breathing and coughing exercises

A

EXPECTORANTS

76
Q

NURSING ACTIONS:
Increase oral fluid intake

A

EXPECTORANTS

77
Q

NURSING ACTIONS:
Small frequent meal

A

EXPECTORANTS

78
Q

NURSING ACTIONS:
Avoid driving or operating hazardous
machinery

A

EXPECTORANTS

79
Q

NURSING ACTIONS:
Avoid excessive use of OTC

A

EXPECTORANTS

80
Q

MOA: break down mucus in order to aid the
high risk respiratory patient in coughing out
thick, tenacious secretion.

A

MUCOLYTICS

81
Q

INDICATION:
- COPD
- Cystic fibrosis
- Pneumonia
- Atelectasis
- Post tracheostomy
- Diagnostic bronchoscopy

A

MUCOLYTICS

82
Q

PO Protects the liver from being damaged during episodes of acetaminophen toxicity. Affects the
mucoproteins in the respiratory secretions by
splitting apart disulfide bonds that are responsible for holding the mucous together

A

ACETYLCYSTEINE (MUCOMYST) = MUCOLYTICS

83
Q

Prepared by recombinant DNA techniques that selectively breaks down respiratory tract mucus by separating extracellular DNA of proteins. Long
duration of action, store in refrigerator & protect
from light

A

DOMASE ALFA (PULMOZYME) = MUCOLYTICS

84
Q

CI: bronchospasm, peptic ulcer, esophageal
varices

A

MUCOLYTICS

85
Q

AE: GI upset, stomatitis, rhinorrhea,
bronchospasm

A

MUCOLYTICS

86
Q

NURSING ACTIONS:
Assess lung sounds and respiratory
status

A

MUCOLYTICS

87
Q

NURSING ACTIONS:
May be given through nebulization, IV,
PO or instilled in ET tube

A

MUCOLYTICS

88
Q

NURSING ACTIONS:
Avoid combining with other drugs in the
nebulizer

A

MUCOLYTICS

89
Q

NURSING ACTIONS:
Dilute with sterile water for injection

A

MUCOLYTICS

90
Q

NURSING ACTIONS:
Patients receiving by face mask should
have the residue wiped off the face mask and off their face with plain water

A

MUCOLYTICS

91
Q

NURSING ACTIONS:
Use cautiously in adults or individuals
with severe respiratory insufficiency

A

MUCOLYTICS

92
Q

NURSING ACTIONS:
Administer PO mix with iced liquid, about 17 doses over a 4- day period of acetaminophen overdose

A

MUCOLYTICS

93
Q

AKA: Methylxanthine Derivatives PO, IV

A

XANTHINES

94
Q

MOA: have direct effect on the smooth muscles
of the respiratory tract, both in the bronchi and
in the blood vessels through directly affecting
the mobilization of calcium within the cell
(stimulating prostaglandins resulting in smooth
muscle relaxation thus increasing the vital
capacity that has been impaired by
bronchospasm or air trapping

A

XANTHINES

95
Q

Inhibit release of slow - reacting substance of
anaphylaxis (SRSA) and histamine, decreasing
bronchial swelling and narrowing

A

XANTHINES

96
Q

aminophylline

A

XANTHINES

97
Q

caffeine

A

XANTHINES

98
Q

dyphylline oxtriphylline

A

XANTHINES

99
Q

theophylline

A

XANTHINES

100
Q

USES: bronchial asthma, bronchospasm
associated with COPD

A

XANTHINES

101
Q

CI: GI problems, coronary disease, respiratory
dysfunction, renal/ hepatic disease, alcoholism,
hyperthyroidism

A

XANTHINES

102
Q

AE: above therapeutic level: GI upset,
irritability, tachycardia, seizure, brain damage,
death

A

XANTHINES

103
Q

DI: + nicotine = increase metabolism in the
liver + smoking = dosage must be increased

A

XANTHINES

104
Q

NURSING ACTIONS:
Caution if taken with coffee, cola,
chocolate and tea

A

XANTHINES

105
Q

NURSING ACTIONS:
Monitor blood level for toxicity (
therapeutic level 10-20 ug/mL); first sign
of toxicity = NAUSEA; late sign=
TREMORS

A

XANTHINES

106
Q

NURSING ACTIONS:
➔ Instruct client as follows
➔ Be compliant with dosing, schedule and
blood work
➔ Do not crush or alter dosage form
➔ Take with milk or food if with GI upset
➔ Avoid smoking

A

XANTHINES

107
Q

MOA: mimic the effects of the SNS at therapeutic level = beta 2 selective agonist (dilation of bronchi with increased rate and depth of respiration)

A

SYMPATHOMIMETICS

108
Q

epinephrine (Adrenaline)

A

SYMPATHOMIMETICS

109
Q

terbutaline sulfate (Brethine)

A

SYMPATHOMIMETICS

110
Q

salbutamol ( Ventolin)

A

SYMPATHOMIMETICS

111
Q

isoproterenol HCL ( Isuprel)

A

SYMPATHOMIMETICS

112
Q

isoetharine HCL (Bronkosol)

A

SYMPATHOMIMETICS

113
Q

metaproterenol sulfate (Alupent)

A

SYMPATHOMIMETICS

114
Q

AE: anxiety, tremors, HA, tachycardia, restlessness, palpitations, rebound
bronchospasm, hyperglycemia, insomnia,
dysrhythmias, urinary retention

A

SYMPATHOMIMETICS

115
Q

DI: + theophylline = increase cardiac effect

A

SYMPATHOMIMETICS

116
Q

NURSING ACTIONS:
Assess respiratory, cardiac status & ABG

A

SYMPATHOMIMETICS

117
Q

NURSING ACTIONS:
Instruct how to use inhaler or respiratory
apparatus at home

A

SYMPATHOMIMETICS

118
Q

Administer with meal if with GI upset

A

SYMPATHOMIMETICS

119
Q

NURSING ACTIONS:
Emphasize compliance with dosage and
schedule (minimal amount needed for
the shortest period necessary)

A

SYMPATHOMIMETICS

120
Q

NURSING ACTIONS:
Drug of choice vary with each individual

A

SYMPATHOMIMETICS

121
Q

NURSING ACTIONS:
For exercise induced asthma: take
30-60 minutes before exercising

A

SYMPATHOMIMETICS

122
Q

MOA: blocks the action of neurotransmitter
acetylcholine at vagal mediated receptor sites

A

ANTICHOLINERGIC BRONCHODILATOR

123
Q

Ipratropium bromide (Atrovent) –less systemic
effect + albuterol sulfate (Combivent) more
effective and longer duration of action

A

ANTICHOLINERGIC BRONCHODILATOR

124
Q

AE: anticholinergic effects (dizziness, HA,
fatigue, nervousness, dry mouth, sore throat,
palpitations, and urinary retention

A

ANTICHOLINERGIC BRONCHODILATOR

125
Q

NURSING ACTIONS:
➔ Adequate hydration
➔ Void before each use
➔ Safety measures
➔ Review use of inhalator with the patient
(caution not to exceed 12 inhalations in
24 hours)
➔ Small frequent meal & lozenges

A

ANTICHOLINERGIC BRONCHODILATOR

126
Q

MOA: decrease inflammatory response in the airway : promotion of beta 2 adrenergic receptor activity

A

INHALED STEROIDS

127
Q

Inhaled: beclomethasone
Tablet: triamcinolone, dexamethasone, prednisone, prednisolone,
methylprednisolone
IV: dexamethasone, hydrocortisone

A

INHALED STEROIDS

128
Q

CI: emergency, infection of respiratory system

A

INAHLED STEROIDS

129
Q

AE: sore throat, hoarseness, coughing, dry
mouth, pharyngeal & laryngeal fungal infection

A

INHALED STEROIDS

130
Q

NURSING ACTIONS:
Rapidly absorbed but tale 1-4 weeks to
reach effective level

A

INHALED STEROIDS

131
Q

Do not administer to treat an acute asthma attack or status asthmaticus

A

INAHALED STEROIDS

132
Q

NURSING ACTIONS:
Taper systemic steroid carefully

A

INHALED STEROIDS

133
Q

NURSING ACTIONS:
Use decongestant drops before using
the inhaled steroids

A

INHALED STEROIDS

134
Q

NURSING ACTIONS:
Rinse mouth after using inhaled steroid

A

INHALED STEROIDS

135
Q

NURSING ACTIONS:
Monitor signs of respiratory infection

A

INHALED STEROIDS

136
Q

MOA: blocks receptors for the production of
leukotrienes D4 and E4 (components of
SRSA): block
Neutrophil & eosinophil migration
Neutrophil & monocyte aggregation
Leukocyte adhesion
Increased capillary permeability
Smooth muscle contraction

A

LEUKOTRIENE RECEPTOR ANTAGONIST

137
Q

Zafirlukast (Accolate)

A

LEUKOTRIENE RECEPTOR ANTAGONIST

138
Q

montelukast (Singulair)

A

LEUKOTRIENE RECEPTOR ANTAGONIST

139
Q

zileuton (Zyflo)

A

LEUKOTRIENE RECEPTOR ANTAGONIST

140
Q

CI: hepatic / renal impairment, pregnancy &
lactation

A

LEUKOTRIENE RECEPTOR ANTAGONIST

141
Q

AE: HA, dizziness, myalgia, N/V, diarrhea, abdominal pain, increase liver enzyme

A

LEUKOTRIENE RECEPTOR ANTAGONIST

142
Q

NURSING ACTIONS: Oral granule packets should not be opened until ready for use (max 15 min)

A

LEUKOTRIENE RECEPTOR ANTAGONIST

143
Q

NURSING ACTION: If + aspirin hypersensitivity / NSAIDS
=bronchoconstriction

A

LEUKOTRIENE RECEPTOR ANTAGONIST

144
Q

NURSING ACTIONS: Recommended for prevention

A

LEUKOTRIENE RECEPTOR ANTAGONIST

145
Q

NURSING ACTIONS: Chewable tablets = swallowing whole
altered absorption

A

LEUKOTRIENE RECEPTOR ANTAGONIST

146
Q

NURSING ACTIONS: Take during evening = maximum effectiveness

A

LEUKOTRIENE RECEPTO ANTAGONIST

147
Q

neonates with RDS; birth wt1350g with
evidence of lung immaturity

A

LUNG SURFACTANT

148
Q

MOA: naturally occurring compounds of
lipoproteins containing lipids and opoproteins that reduce the surface tension within the alveoli = expansion of the alveoli for gas exchange

A

LUNG SURFACTANT

149
Q

(instilled into the trachea) beractant

A

LUNG SURFACTANT

150
Q

(Survanta) calfactant

A

LUNG SURFACTANT

151
Q

(Infasurf) colfosceri

A

LUNG SURFACTANT

152
Q

(Exosurf Neonatal) poractant(Curosurf)

A

LUNG SURFACTANT

153
Q

AE: patent ductus arteriosus, hypotension,
intraventricular hemorrhage,pneumothorax,
hyperbilirubinemia, sepsis

A

LUNG SURFACTANT

154
Q

NURSING ACTIONS:
➔ Continuous monitoring
➔ Ensure: proper placement of ETT,
bilateral chest movement and sounds
➔ Suction before administration; do not
suction for 2 hours after administration
➔ Provide support and encouragement to
parents
➔ Continue other supportive measures
related to the immaturity of the infant

A

LUNG SURFACTANT

155
Q

MOA: prevents the release of inflammatory
and bronchoconstriction substances when
mast cells are stimulated to release these
substances because of irritation or presence of antigen.

A

MAST CELL STABILIZER

156
Q

cromolyn – inhaled , may not reach
its peak effect for 1 week, pt>2 yo,
maintenance

A

MAST CELL STABILIZER

157
Q

nedocromil – prevent
bronchospasm and acute asthma attack; pt>
12yo, more effective

A

MAST CELL STABILIZER

158
Q

CI: hypersensitivity, pregnancy, lactation

A

MAST CELL STABILIZER

159
Q

AE: occasional (cromolyn) = swollen eyes,
HA, nausea, dry mucosa (nedocromil)= HA,
dizziness, fatigue, tearing, GIupset, cough

A

MAST CELL STABILIZER

160
Q

NURSING ACTIONS:
➔ Avoidance of dry and smoky
environment,humidifier, fluids
➔ Do not abruptly discontinue
➔ Po administer before meal and at
bedtime
➔ Safety precautions

A

MAST CELL STABILIZER

161
Q

INDICATIONS:
- Increase production of secretions or
thick, sticky secretions. With impaired
removal of secretions Ineffective
coughing

A

CHEST PHYSIOTHERAPY

162
Q

Techniques of chest physiotherapy

A
  • postural drainage
  • percussion
  • vibration
163
Q

Hand is pressed firmly over the
appropriate segment of chest wall, and
muscles of upper arm and shoulder are
tensed(isometric contraction), done with
flattened, none cupped hands

A

VIBRATION

164
Q

Involves clapping with cupped hands on
the chest wall

A

PERCUSSION

165
Q

Uses gravity and various positions

A

POSTURAL DRAINAGE

166
Q

Nursing Considerations o
● Perform 3 hours AC or PC
● Bronchodilators 20 minutes prior
● Remove tight/ constricting clothing
● Each prescribed position for postural
drainage = 3- 5 minutes
● Place towel over the area percussed
(approx 3 minutes during inspiration
expiration)
● Vibrate each area during exhalation of
4-5 deep breaths

A

CHEST PHYSIOTHERAPY

167
Q

Any process that limits airflow expiration
, a group of chronic lung diseases
associated with persistent or recurrent
obstruction of airflow

A

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

168
Q

The air sacs (alveoli) of the lungs are
enlarged and damaged, which reduces
the surface area for the exchange of
oxygen and carbon dioxide

A

PULMONARY EMPHYSEMA (PINK PUFFERS)

169
Q

Is a condition when
repeated lung inflammation damages
the lungs.

A

CHRONIC BRONCHITIS

170
Q

Chronic inflammation in the lungs
causes scarring of the airways and
excessive production of mucus that
results in a chronic cough.

A

CHRONIC BRONCHITIS

171
Q

Some call it a “smoker’s” cough.

A

CHRONIC BRONCHITIS

172
Q

Chronic, irreversible dilation of the
bronchi and bronchioles

A

BRONCHIECTASIS

173
Q

Pulmonary infections and obstruction in
the bronchus; aspiration of foreign
bodies or any material from the
respiratory system; pressure from
tumors, dilated blood vessels and
enlarged lymph nodes

A

BRONCHIECTASIS

174
Q

Inflammatory disorder that involves the
hyperresponsiveness characterized by
bronchospasm, wheezing, mucus
secretions and dyspnea.

A

ASTHMA

175
Q

DRUGS USED TO TREAT OBSTRUCTIVE
PULMONARY DISEASE:

A

● XANTHINES
● SYMPATHOMIMETICS
● ANTICHOLINERGICS
● INHALED STEROID
● LEUKOTRIENE RECEPTOR
ANTAGONISTS
● SURFACTANTS
● MAST CELL STABILIZERS

Pharma (4 decks)

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