Pulm Flashcards
(15 cards)
Name the two LABA
Salmeterol and formoterol
Theophylline is what
For asthma, and is a PDE inhib. Side effects: seizure, nervous, insomnia, arrythmia, diahhrea, with a narrow TI
Severe acute asthma Mx overview basics
O2, neb SABA, IV CS then oral course.
Can add neb SABA, IV SABA, IV aminophylline, abx
NICE asthma Mx
Step1
Step2
Step3
Step4
Step5
SABA
SABA and ICS low dose
SABA and ICS low dose and LTRA
SABA and ICS low dose and LABA
MART (medium dose ICS) and LABA
Then seek advise for other meds
SAMA (tiopropium or ipratropium) side effects
Dry mouth, dry eyes, raised IOP, metallic taste
What is roflumilast
PDE4 inhib…. Last line for COPD.
The n acetylcysteine is used for what in COPD and CF
Used as a mucolytic. Breaks down mucin polymers by breaking disulphide bond
What is dornase Alfa
A mucolytics that breaks DNAase and is used in CF
Name the first gen anti histamine
Diphenhydramine, promethazine, chlorpheniramine, meclizine, dimenhydrinate, hydroxyzine
First gen anti H1… can cause side effects by working on what system?
Muscarininc receptors and alpha (like vision issue, dry mouth, urine retention and GI issue)
Peusoephedrine and phenylephrine. What’s are they, their MOA?
Alpha agonists and both decongestants. The former causes a lot of SNS side effects….. almost meth like.
What is guaifenesin?
Expectorant. Increases volumes of resp secretion and helps make it easier to cough up
Can opioids be used as cough suppressants?
Yes
Opioids are used as cough suppressants… why do we avoid them in asthma and COPD
Because we need the cough in these illnesses! In lung cancer, we dont so much, so its more used there.
What is dextromethorphan?
Cough suppressant (opioid like).
