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PHARM > E3: respiratory > Flashcards

E3: respiratory Flashcards

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1
Q

Albuterol (Ventolin) class

A

short acting beta 2- adrenergic agonist (SABA)

bronchodilator

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2
Q

Albuterol (Ventolin) action

A

relaxes smooth muscle in airway (dilates bronchioles)

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3
Q

Albuterol (Ventolin) use

A

rescue therapy:

treat asthma attack or immediate prevention (workout)

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4
Q

Albuterol (Ventolin) SE

A

adrenaline type side effects (ie tachy)

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5
Q

use Albuterol (Ventolin) cautiously in

A

cardiovascular disease
diabetes
hyperthyroidism

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6
Q

Salmeterol (Serevent Diskus) class

A

LONG acting beta 2- adrenergic agonist

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7
Q

Salmeterol (Serevent Diskus) use

A

used as a controller med

works for 12 hours

no longer firstline therapy

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8
Q

risk with Salmeterol (Serevent Diskus)

A

increased chances of death compared to other controller meds

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9
Q

SE of Salmeterol (Serevent Diskus)

A

adrenaline type side effects

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10
Q

Beclomethasone Dipropionate (QVAR) class

A

inhaled corticosteroid

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11
Q

Beclomethasone Dipropionate (QVAR)use

A

firstline preventative/controller med

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12
Q

Beclomethasone Dipropionate (QVAR) action

A

antiinflammatory on lining of bronchioles

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13
Q

when to take Beclomethasone Dipropionate (QVAR)

A

taken daily as controller med

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14
Q

what to do after taking Beclomethasone Dipropionate (QVAR)

A

rinse mouth after use to avoid thrush

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15
Q

Beclomethasone Dipropionate (QVAR) not for

A

status asthmaticus

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16
Q

Montelukast (Singulair) class

A

oral antiinflammatory

leukotriene modifier

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17
Q

Montelukast (Singulair) action

A

prevent effect of leukotrienes suppressing inflammation and mucus production

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18
Q

Montelukast (Singulair) use

A

prevention of asthma and seasonal allergy

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19
Q

SE of Montelukast (Singulair)

A
  • HA
  • Gi disturbance
  • liver enzyme elevation
  • suicidal thoughts
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20
Q

Montelukast (Singulair) interactions

A

interacts with theophylline

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21
Q

Ipratropium (Atrovent) class

A

inhaled anticholinergic

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22
Q

Ipratropium (Atrovent) action

A

blocks accetylcholine from binding to the ACh receptors of bronchi

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23
Q

Ipratropium (Atrovent) causes

A

bronchodilator and decreases mucus production

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24
Q

Ipratropium (Atrovent) can be used how

A

as an adjunct to rescue or as controller

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25
SE of Ipratropium (Atrovent)
- dry mouth - irritation - pharynx
26
Ipratropium (Atrovent) is contraindicated in
- BPH - narrow angle glaucoma - peanut allergy
27
Theophylline (Theo-24) class
methylxanthine oral bronchodilator
28
Theophylline (Theo-24) MOA
unclear likely blocks adenosine receptors
29
Theophylline (Theo-24) use
asthma maintenance therapy (controller med)
30
Theophylline (Theo-24) has what
a narrow therapeutic index that may need serum monitoring
31
Theophylline (Theo-24) interacts
with many meds
32
Theophylline (Theo-24) contraindications
- CV disease - seizure disorder - PUD
33
Cromolyn (NasalCrom) class
mast cell stabilizer inhaled antiinflammatory (nasalcrom intranasal)
34
Cromolyn (NasalCrom) action
inhibits histamine release by stablizing mast cells
35
Cromolyn (NasalCrom) use
asthma prevention and seasonal allergies
36
safest asthma med
Cromolyn (NasalCrom) few side effects
37
only side effect of Cromolyn (NasalCrom)
throat irritation
38
Cromolyn (NasalCrom) contraindication
dysrhythmias
39
Epinephrine class
adrenaline alpha 1, beta 1 and 2 adrenergic
40
Epinephrine action
dilates bronchioles, increases BP and HR
41
best and recommended med for anaphylaxis
Epinephrine
42
Epinephrine is also used in
cardiac arrest
43
Epinephrine interacts with which med
beta blockers
44
dosing preferred for anaphylaxis with Epinephrine
IM
45
SE of Epinephrine
think adrenaline
46
EPIPEN
carry with you at all times use once known exposure to anaphylactic allergen or earliest symptoms of anaphylaxis
47
Diphenhydramine (Benadryl) class
1st gen H1 receptor antagonist
48
Diphenhydramine (Benadryl) crosses the
BBB, CNS and peripheral effects
49
Diphenhydramine (Benadryl) has some
anticholinergic effects which causes sedatation which is a very common SE
50
Diphenhydramine (Benadryl) use
allergy
51
dosing for Diphenhydramine (Benadryl)
requires multiple doses for all day coverage
52
Diphenhydramine (Benadryl) will not do what
will not knock out histamine that is already in receptor
53
Loratadine (Claritin) class
2nd Generation H1 Receptor Antagonist
54
Loratadine (Claritin) working site
only works peripherally (doestn cross the BBB)
55
Loratadine (Claritin) doesnt have this side effect
non sedating (but it is for some)
56
Loratadine (Claritin) dosing
once daily dosing for allergy prevention- increases compliance
57
Loratadine (Claritin) doesnt do what
knock out histamine that is already in receptor
58
Phenylephrine (Neo-Synephrine) class
alpha adrenergic decongestant and vasoconstrictor
59
Phenylephrine (Neo-Synephrine) action
vasoconstricts vessels in nasal passages, reducing mucus production
60
Phenylephrine (Neo-Synephrine) dosing
oral or intranasal for runny nose
61
Phenylephrine (Neo-Synephrine) side effect
intranasal can cause rebound nasal congestion upon DC
62
Phenylephrine (Neo-Synephrine) contraindication
- cv disease | - children
63
Acetylcysteine (Mucomyst) class
mucolytic
64
Acetylcysteine (Mucomyst) action
reacts directly with mucus to make it more wattery
65
Acetylcysteine (Mucomyst) admin
inhaled with nebulizer
66
Acetylcysteine (Mucomyst) used for
cystic fibrosis COPD
67
CI for Acetylcysteine (Mucomyst)
- respiratory insufficiency - asthma - hx of bronchospasm
68
Acetylcysteine (Mucomyst) SE
aspiration and bronchospasm
69
smells like rotten eggs
Acetylcysteine (Mucomyst)
70
Guaifenesin (Mucinex) class
expectorant
71
Guaifenesin (Mucinex) used for
relief of productive cough
72
Guaifenesin (Mucinex) action
helps loosen, thin and remove mucus
73
Guaifenesin (Mucinex) admin with
drink water/push fluids to aid in thinning process
74
use caution with Guaifenesin (Mucinex) in
- older adults - those with asthma - respiratory disease
75
Dextromethorphan (Delsym) class
antitussive
76
Dextromethorphan (Delsym) action
suppress the cough reflex by direct action on the cough center in the medulla
77
Dextromethorphan (Delsym) used to
suppress non productive cough during times when cough is dangerous
78
Dextromethorphan (Delsym) SE
- dizziness - drowsiness - nausea
79
ci for Dextromethorphan (Delsym)
- resp depression | - kids under age 4-6

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