Inhalers Flashcards

0
Q

quick-acting sympathomimetic bronchodilators (5)

A

-rescue inhalers - onset in 5 mins.
-all are MDIs
Proventil HFA
Ventolin HFA
ProAir HFA
Xopenex HFA
Maxair Autohaler

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1
Q

asthma

A

inflammatory condition of the lungs caused by inflammatory mediators

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2
Q

Proventil HFA, Ventolin HFA, ProAir HFA

A

albuterol

  • quick-acting sympathomimetic bronchodilator
  • QID
  • racemic
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3
Q

Xopenex HFA

A

levalbuterol

  • quick-acting sympathomimetic bronchodilator
  • QID
  • R-isomer of albuterol
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4
Q

Maxair Autohaler

A

pirbuterol

  • quick-acting sympathomimetic bronchodilator
  • QID
  • Autohaler=breath-activated MDI
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5
Q

long-acting sympathomimetic bronchodilators (3)

A

-only ind. for asthma prophylaxis
-all are DPIs
Serevent Diskus
Foradil Aerolizer
Arcapta NeoHaler

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6
Q

Serevent Diskus

A

salmeterol

  • long-acting sympathomimetic bronchodilator
  • BID
  • number on top = # of doses left
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7
Q

Foradil Aerolizer

A

formoterol

  • long-acting sympathomimetic bronchodilator
  • BID
  • refrigerate in pharmacy, pt. can keep at RT for 4 months
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8
Q

Arcapta NeoHaler

A

indacaterol

  • long-acting sympathomimetic bronchodilator
  • qday
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9
Q

BBW for long-acting sympathomimetic bronchodilators

A

increase the risk of asthma-related death

-applies to pts. who use these alone instead of in combination with a steroid

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10
Q

anticholinergic bronchodilators (2)

A

-block cholinergic receptors in the lungs which leads to bronchodilation
-ind. for asthma prophylaxis
-most common SE: xerostomia
Atrovent HFA
Spriva HandiHaler

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11
Q

Atrovent HFA

A

ipratropium MDI

  • anticholinergic bronchodilator
  • QID
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12
Q

Spiriva HandiHaler

A

tiotropium DPI

  • anticholinergic bronchodilator
  • qday - long-acting
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13
Q

Tudorza Pressair

A

aclidinium DPI

-long-acting bronchodilator

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14
Q

Combivent Respimat

A

albuterol, ipratropium MDI (rescue inhaler)

  • quick-acting sympathomimetic bronchodilator, anticholinergic bronchodilator
  • QID
  • contraindicated in pts. allergic to soy or peanuts - contains soya lecithin
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15
Q

bronchodilator solutions for nebulization

A

-used in an updraft machine, nebulizes liquid into a mist and pt. breathes in with a mask for about 15 min.
-drugs are diluted with normal saline
AccuNeb
Xopenex Solution for Inhalation
ipratropium
Brovana
DuoNeb

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16
Q

AccuNeb

A

albuterol

  • bronchodilator solution for nebulization
  • QID
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17
Q

Xopenex Solution for Inhalation

A

levalbuterol

  • bronchodilator solution for nebulization
  • QID
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18
Q

ipratropium

A
  • bronchodilator solution for nebulization

- QID

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19
Q

Brovana

A

arformoterol

  • bronchodilator solution for nebulization- long-acting
  • BID
  • only avail. as a solution for inhalation
  • R-isomer of formoterol
  • refrigerate in the pharmacy
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20
Q

DuoNeb

A

albuterol, ipratropium

  • bronchodilator solution for nebulization
  • QID
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21
Q

inhaled corticosteroids (6)

A

-Tx the underlying cause of asthma by decreasing inflammation in the airways
-ind. for asthma prophylaxis
-maintenance drugs
QVAR
Flovent HFA
Pulmicort Flexhaler
Pulmicort Respules
Asmanex Twisthaler
Alvesco

22
Q

QVAR

A

beclomethasone MDI

  • inhaled corticosteroid
  • BID
23
Q

pt. counseling for inhaled corticosteroids

A

rinse mouth out with water 15 min. after using inhaler

24
Q

Flovent HFA

A

fluticasone MDI

  • inhaled corticosteroid
  • BID
25
Q

Pulmicort Flexhaler

A

budesonide DPI

  • inhaled corticosteroid
  • BID
26
Q

Pulmicort Respules

A

budesonide suspension for nebulization

  • inhaled corticosteroid
  • BID
27
Q

Asmanex Twisthaler

A

mometasone DPI

  • inhaled corticosteroid
  • age 4-11 = 110mcg
  • age 12+ = 220mcg
28
Q

Alvesco

A

ciclesonide MDI

  • inhaled corticosteroid
  • BID
29
Q

main adverse side effect of inhaled corticosteroids

A

thrush

30
Q

gentian violet

A
  • topical antiseptic
  • Tx for thrush
  • OTC
31
Q

nystatin

A
  • antifungal
  • ind. for thrush
  • Rx only
32
Q

clotrimazole troches

A
  • imidazole antifungals
  • ind. for thrush
  • Rx only
  • dissolve 1 troche in the mouth 5 times a day X 14 days
33
Q

Symbicort

A

budesonide, formoterol MDI

  • bronchodilator/corticosteroid combination
  • ind. for asthma prophylaxis
  • BID
34
Q

Dulera

A

mometasone, formoterol MDI

  • bronchodilator/corticosteroid combination
  • ind. for asthma prophylaxis
  • BID
35
Q

Advair HFA

A

fluticasone, salmeterol MDI

  • bronchodilator/corticosteroid combination
  • ind. for asthma prophylaxis
  • BID
36
Q

Advair Diskus

A

fluticasone salmeterol DPI

  • bronchodilator/corticosteroid combination
  • ind. for asthma prophylaxis
  • BID
37
Q

Relenza Diskhaler

A

zanamivir DPI

  • neuraminidase inhibitor
  • ind. for Tx and prevention of flu
  • powder is in blisters (5mg/blister)
38
Q

Relenza Diskhaler dosing

A
  • Tx of flu: 10mg (2 puffs) BID X 5 days
  • prevention (household): 10mg qday X 10 days
  • prevention (community): 10mg qday X 28 days
39
Q

Tamiflu

A

oseltamivir

  • neuraminidase inhibitor
  • oral tablet so it is much easier than Relenza Diskhaler
40
Q

intranasal corticosteroids (8)

A
Beconase AQ
Nasacort AQ
Rhinocort Aqua
flunisolide
Flonase
Veramyst
Nasonex
Omnaris
41
Q

Beconase AQ

A

beclomethasone

-intranasal corticosteroid

42
Q

Nasacort AQ

A

triamcinolone

-intranasal corticosteroid

43
Q

Rhinocort Aqua

A

budesonide

-intranasal corticosteroid

44
Q

flunisolide

A

-intranasal corticosteroid

45
Q

Flonase

A

fluticasone propionate

-intranasal corticosteroid

46
Q

Veramyst

A

fluticasone furoate

-intranasal corticosteroid

47
Q

Nasonex

A

mometasone

-intranasal corticosteroid

48
Q

Omnaris

A

ciclesonide

-intranasal corticosteroid

49
Q

Nasalcrom

A

cromolyn sodium

-intranasal mast cell stabilizer

50
Q

DDAVP, Stimate

A

desmopressin acetate

intranasal pituitary hormone

51
Q

Atrovent Nasal Spray

A

ipratropium bromide

-intranasal anticholinergic

52
Q

Astelin, Astepro

A

azelastine

-intranasal antihistamine

53
Q

Miacalcin, Fortical

A

calcitonin

-intranasal medication for osteoporosis