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30 Cards in this Set
- Front
- Back
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Brand name for bitolterol
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Tornalate
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Brand name for formoterol
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Foradil Aerolizer
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Brand name for arformoterol
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Brovana
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Brand names for racemic epinephrine
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VapoNefrin, microNefrin, AsthmaNefrin
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What is the clinical application for inhaled, sympathomimetic bronchodilators?
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Bronchodilation, specifically targeting obstruction caused by bronchospasm
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What are the three common causes of bronchoconstriction?
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Bronchospasm, airway adema, and increased secretions
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Effects of bronchoconstriction on the respiratory system
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Increased airway resistance, increased work of breathing, and dyspnea
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Alpha effects
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1.Vasoconstriction-- including the arteries and veins within the lungs and large and small airways
2. Reduced blood flow 3. Decreased swelling 4. Decongestant for supraglottic and subglottic swelling |
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salmeterol and fluticasone (brand name?)
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Advair Diskus
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Brand names for terbutaline
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Brethaire MDI, Brethine injection
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Brand name for salmeterol
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Serevent Diskus
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Beta1 effects
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Cause an increase in the rate and force of contraction of the heart
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Beta2 effects
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Relaxes smooth muscles in the airway; Bronchodilation; Inhibits inflammation; Causes an increase in mucociliary clearance
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What is the effect of stimulation of the sympathetic nervous system in the lungs?
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Relaxation of the bronchial smooth muscle
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What is the effect of stimulation of the parasympathetic nervous system in the lungs?
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Bronchospasm and increased mucus secretions
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Mode of action for sympathomimetic adrenergic bronchodilators
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1. Relaxes bronchial smooth muscle
2. Inhibits an inflammatory response 3. Increases mucociliary clearance |
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Brand names for albuterol
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Proventil, Ventolin, AccuNeb, ProAir HFA
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Brand name for pirbuterol
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Maxair
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Brand names for combination albuterol and ipratropium
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DuoNeb SVN, Combivent pMDI
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Brand name for levalbuterol
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Xopenex
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Brand name for combination of budesonide and formoterol
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Symbicort
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Dose range for AsthmaNefrin SVN
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0.25-0.5 mL
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Dose range for bitolterol (Tornalate) SVN
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1.25-1.75 mL
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Brovana SVN dosage
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15 mcg
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Dosages for albuterol SVN
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0.25-0.5mL or 1.25-2.5mg
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Dosages for levalbuterol (Xopenex) SVN
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0.31, 0.63, or 1.25 mg
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Cardiac side effects of beta adrenergic bronchodilators
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Tachycardia, arrythmias, palpitations, and hypertension
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Central Nervous System side effects of beta agonists
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Nervousness, insomnia, dizziness, headache, tremors, and nausea
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What is downregulation?
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The long-term process of decreasing the sensitivity of beta-receptors to beta-agonists because of a reduction in the number of receptors
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What are the 9 signs of a good response to bronchodilators?
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1. Improved appearance
2. Decreased use of accessory muscles 3. Improved vital signs 4. Less dyspnea 5. Decreased wheezing 6. Increased intensity of breath sounds 7. Increased sputum production 8. Increased PEVR or FEV1 9. Improved oxygenation (SpO2 or PaO2) |
