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34 Cards in this Set

  • Front
  • Back
asthma is primarily due to which underlying cause
inflammation
-- bronchospasm is a part of asthma but the underlying cause is inflammation
what is the object measure for routine monitoring of asthma at home
PEF
what device requires slow inhalation
MDI
how many seconds is optimal for breath holding after inhaling from an MDI
10 seconds
when using a peak flow meter, what % of the personal best value is the yellow zone
50-79
what are the trade names for the long acting B2 agonists
foradil and servent
does the following disease state decrease theophyllin elimination and often result in reduced dosage requirements
hepatitis
yes
does the following disease state decrease theophyllin elimination and often result in reduced dosage requirements
heart failure (decompensated)
yes
does the following disease state decrease theophyllin elimination and often result in reduced dosage requirements
hypertension
no
what are preferred for long-term tx of moderate persistent asthma
an inhaled coritocsteroid and a long acting B2 agonists
(formoterol and salmeterol)
what is a once daily anticholingeric bronchodilator
spiriva
will the following drug increase decrease or have no effect on serum theophylline concnetrations
clarithromycin
increase
will the following drug increase decrease or have no effect on serum theophylline concnetrations
HCTZ
no effect
will the following drug increase decrease or have no effect on serum theophylline concnetrations
CBZ
decrease
will the following drug increase decrease or have no effect on serum theophylline concnetrations
rifampin
decrease
will the following drug increase decrease or have no effect on serum theophylline concnetrations
phenytoin
decrease
what ADR of inhaled corticosteroids is reduced by spacers
oropharyngeal candidiasis
what is the theophylline level for asthma
5-15mcg/ml
what asthma controlled drug is given qhs
singulair
if uncontrolled the following may worsen asthma T or F
CAD
false
if uncontrolled the following may worsen asthma T or F
GERD
true
if uncontrolled the following may worsen asthma T or F
Diabetes
false
if uncontrolled the following may worsen asthma T or F
HTN
false
if uncontrolled the following may worsen asthma T or F
arthritis
false
what class of drug is only indicated in COPD pts who have frequent exacerbations
inhaled corticosteroids -- these should not be routinely used in pts with COPD
pt with asthma and allergies currently on accolate and albuterol MDI and flonase what can be added to his regimen
inhaled corticosteroid
pt with asthma has HTN currently on BB what would be an alterative
switch to an ACEI/ARB CCB diuretic
if pt has CHF use a B1 selective BB at the lowest possible dose
is the following true
cirrhosis is a well documented to decrease elimination of theophylline
true
if a pt has COPD and is currently on atroven and servent
can pt have atrovent switched to spiriva
yes atrovent is a short acting and sprivia is long acting anticholingeric -- approval from MD with a new RX of course
what is the best drug for long-term managment of mild persistent asthma
an inhaled corticosteroid
what is the total daily dose of prednisone is best for a home managment of acute asthma exacerbation of asthma in an adult
60mg
is the following drug likely to cause asthma exacerbation in a pt sensitive to aspirin
ibuprofen
yes
is the following drug likely to cause asthma exacerbation in a pt sensitive to aspirin
APAP
no this would be safe
what type of inhaler would not work well in cold temp
MDI