PA Pulmonary (Exam #3) Flashcards
What are the two initial tx options for acute Asthma?
If sxs persist, what is recommended next?
SVN of…
- Albuterol alone
- Albuterol + Ipratropium (DuoNeb)
If sxs persist, repeat SVN
What two medications can be considered for tx of acute Asthma if consistent Albuterol PRN use + nighttime sxs?
- Montelukast (Singulair) = LTRA
- Fluticasone HFA (Flovent) = ICS
What are the four AEs associated with SABA (Short-Acting Beta2 Agonist)?
- Tachycardia
- Tremor
- Nervousness
- Dizziness
What is one example of a SABA (Short-Acting Beta2 Agonist)?
Albuterol
What is an example of an Monoclonal Ab used to treat Asthma?
In what age group are they CI?
Omalizumab (Xolair)
- Must be age 6+ years
What are four major AEs associated with Oral Glucocorticoids used to treat Asthma?
- Anxiety
- Agitation
- Insomnia
- Increased appetite/weight gain
What is one example of an Oral Glucocorticoid?
Prednisone/Prednisolone
What are the two primary AEs associated with Leukotriene Receptor Antagonist (LTRA)?
- URI
- Mood swings/SI
What is one example of a Leukotriene Receptor Antagonist (LTRA)?
Montelukast (Singulair)
When can step-down therapy be considered in tx of Asthma? What may also be considered in conjunction?
After 3 months of sxs control, can consider step-down
+/- immunotherapy/allergist referral
What is the progression of meds in tx of COPD?
A. SABA or SAMA or combo (all PRN)
B. LABA or LAMA
C. LAMA
D. LABA + LAMA
If COPD presents with PNA, what two classes of medications should be considered in tx of the PNA?
- Macrolides
- Fluoroquinolones
What are two additional AEs associated with LABA (Long-Acting Beta2 Agonist) - besides the four for SABAs?
- Thrush
- Hoarseness
What are two examples of LABA (Long-Acting Beta2 Agonist)?
What are LABAs often combined with, and what are three examples?
- Salmeterol
- Formoterol
- Formoterol
Often combined with ICS
- Fluticasone
- Budesonide
- Mometasone
What is an example of a SAMA (Short-Acting Anticholinergic)?
Ipratropium Bromide
