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37 Cards in this Set

  • Front
  • Back
Description: DPIs
DPIs dispense a powder in a stream of inspired air.
The force of powderflow for DPI comes from where?
The inspiratory efforts of the patient
The formulation for a DPI usually consist of....
drug and carrier powder
What is a problem that can occur when drug powders get to small (micronize)?
The can become cohesive and adhesive and can stick to each other and or the device.
T or F

Carrier powders are smaller particles that "carry" the larger particles.
False. Larger particles that carry the smaller particles
What is the function of carrier powders?
They function to improve powder flow and dispersability.
Name two examples of carrier powders.
Lactose and glucose
What are the consequences of the carrier powder?
They will be less respirable - they will impact and be swallowed.
What are the three unit dose categories discussed in class and there brand names?
Rotahaler (Ventolin), HandiHaler(Spiriva) and Aerolizer (Foradil)
What is Ventolin? How is it used?
It is a unit dose DPI that falls under that category of Rotohaler.

The capsule is broken open in the device and inhaled through a screened tube.
Where is the capsule punctured in the Handihaler?

What is a brand name?
The capsule is punctured on the side in the device and teh powdered is inhaled through a screened tube

Spriva
The capsule is punctured on each end in this unit dose DPI and the powder is inhaled through a screened tube?
Aerolizer

Brand name: Foradil
What are two examples of multiple unit-dose DPIs?
-Diskhaler
-Diskus
What is an example of a diskhaler?
Relenza
Describe the contents in a dishaler?
Contains a circular disk that contains powdered charges seperately packed in aluminum blister packed which are pierced before inhalation
Serevent and Advair falls under this class of DPI.
Multiple unit-dose --Diskus
Describe the characteristics of multiple dose DPIs
The container has a reservoir of drug, from which doses are metered into an inhalation chamber
Name two types of multiple dose DPIs.

In which one does one have to twist until there is a clicking sound?
Pulmicort Flexihaler (*) and Asmanex Twisthaler
Asmanex Twisthaler shelf life is ?
45 days after opening (moisture sorption)
Key Feature of a nebulizer?
The product is admistered during a normal breathing pattern.
What are two general types of nebulizers?
Air Jet and Ultrasonic
How many thypes of air jet nebulizers are there?

What are they?
3

Coventional, Manual Flow interrupter and Open Vent
How long are nebulizers issued for?
7-10 minutes
What is an example of a Manual flow interrupter jet nebulizer?
Pari LL nebulizer
This type of nebulizer "allows patients to exercise control over the inflow of compressed air" thereby the patient can match nebulization with inhalation.
Manual flow interrupter jet nebulizer
Describe the "Open vent" jet nebulizer
It has an additional vent in the nebulizer chamber, which allows more air to be sucked into the nebulizer, which increase teh airflow out of teh nebulizer
What release aerosol products in an ultrasonic nebulizer?
Geysers
T or F

Both types of nebulizers can produce aerosols less then 5 microns
True. This is important fpr deep lung penetration.
Which type of nebulizer is somewhat more efficient at aerosol delivery?
Ultrasonic
Describe the tempurature differences between the nebulizers
Jet tends to cool (evaporative)

Ultrasonic tends to heat
Why may a solution become more concentrated during nebulization?
Water evaporation
What type of nebulizer produce more effiencient particles of Pentamine for P. Carinii
Ultrasonic-larger particles but more efficient
Why can't one use ultrasonic nebulizer for Dornase alfa?
It has been found to cause protein denaturation
Why is jet nebulizers only used for Pulmicort respule?
Because they are better at deaggregating the suspensoid
What the pH for nebulizer solutions is below 5?
Risk of brronchospasms
Solutions with out presevatives are used for what type of dose?
Single dose
Why should drug products buffer capacity be limited?
So that it would not overwhelm the bodies own