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