Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
134 Cards in this Set
- Front
- Back
|
Do you use PFM before or after meds? How many times per week should this be used?
|
Before meds
daily |
|
|
How often should PFM be cleaned?
|
weekly
|
|
|
How often do you clean a spacer?
|
weekly
|
|
|
How many times do you prime albuterol?
|
3
|
|
|
WHen do you shake abluterol?
|
EACH SPRAY
|
|
|
how long do you hold your breath for albuterol?
|
10 seconds
|
|
|
can you take a second dose of albuterol right away? or do you need to wait?
|
wait 1 minute
|
|
|
How often should you wash the advair diskus mouthpiece?
|
neva
|
|
|
when must you reprime albuterol
|
14 days of non use
this should conceptually make sense. this is a PRN medication whose use may be quite sporadic. from a formulation design standpoint it doesnt make sense to have an inhaler that must be freqeuently primed in the case of an emergency. |
|
|
when must you reprime flovent? what about symbicort
|
2 situations
dropped it been more than 7 days (should nto happen) same regimen (of pain) for symbicort |
|
|
how long should you shake flovent
|
5 seconds
|
|
|
how often should flovent be cleaned?
|
on the weekly
|
|
|
symbicort, what is different about this rinse and spit action?
|
do it twice, once after each dose
|
|
|
how many times do you prime flovent? symbicort? albuterol
|
4; 2; 3
|
|
|
who gets the singulair pillz
|
15 yo plus
|
|
|
who gets the singular pillz for EIB
|
15 yo plus
|
|
|
when do you take singulair in relation to exercise
|
2 hours
|
|
|
how do you give the granules
|
right in the mouth
in about a tsp of breastmilk in some applesauce |
|
|
whats gonna happen if you get atrovent in yo eyes fool
|
DILATED
anticholenergic = dilated |
|
|
how often should you wash atrovent
|
1/wk
|
|
|
in whom would it be prudent to avoid the use of combivent (NOT RESPIMAT)
|
peanut or soya allergy
|
|
|
Paradoxical rxn of combivent
|
may cause narrowing of airways in some patients may be life threatent
|
|
|
how many times do you prime combivent
|
3 times
juat like proair....it has proair in it |
|
|
how long do you shake combivent for
|
10 secs
|
|
|
how long must you wait if youre gonna do a second inhaler of combivent
|
2 minutes
1 minute with albuteor, have another durg adds another minute |
|
|
how many times must you breahe in with spiriva
|
twi times
breath rattle 10 second hold breathe rattle take the cap out and throw away |
|
|
how many times to clean handi haler
|
1ce per month or prn
|
|
|
how to let handihaler dry
|
air dry
|
|
|
atrovent
|
IPRA
|
|
|
combivent
|
IPRA + ALB
|
|
|
common sense precautions with antichlenergics
|
bph
nag bladder obstruction |
|
|
not so common precaution with anticholnergics
|
myasthenia gravis
|
|
|
spiriva
|
TIO
|
|
|
tudorza
|
aclidinum
|
|
|
aclidinum
|
turdoza
|
|
|
how does aclidinum work
|
long acting antichol
|
|
|
how do antichol work
|
block ach and decreas cgmp
|
|
|
arcapta
|
indacaterol
|
|
|
brovana
|
arformoteroil
|
|
|
what is the once daily saba
|
indercaterol
arcapta |
|
|
Dailpesp
|
roflumilast
|
|
|
how does roflumilast work
|
pde4i
increases camp |
|
|
contrainidication to daliresp
|
liva
|
|
|
which 2 ics/sabas are indicated for copd
|
symbicort
advair |
|
|
deos drug therapy slow progression of copd?
|
nope
only smoking cessation |
|
|
fev/fvc1 for copd
|
<0.7
|
|
|
copd risk factors besides smoking
|
pollutants, chemicals/occupational dusts, alpha1antitryupsna
|
|
|
green vs red vs yellow zones asthma
|
green 80+
red lessthan 50 yeller is inbtw |
|
|
how do you technique the pfm
|
gotta do it hard
gotta do it twice gotta record highest value |
|
|
how are you going to rememebr which leukotriene drug for astham isnt good for liver
|
one of these things is not like the other one of these things just doesnt belowg
if it doesnt end in -kast, uts not good for the liver i.e., zyflow i.e., ziluton |
|
|
what bodyweight to use for theo
|
ib-dubya
|
|
|
who getz da granulz singulair
|
12 months to 5
|
|
|
who getz da chewable singulair
|
5-14
|
|
|
how does theo work
|
increases camp
remember, without the camp, you're (lungs are) gonna get clamped. |
|
|
loading dose equation
|
(Cp-Cpo) times Vd
alz ur doin is re-rangin da vd eqiation |
|
|
the md does the h and p
|
Corisone 25
Hydrocortisone 20 Prednisone 5 Methlyprednisolone 4 Budesonide 0.6 Dexamethasone 0.75 |
|
|
what does theo do to lithium
|
decrease
|
|
|
anticho cho's role in asthma
|
mostly in ED
|
|
|
xolair
|
omallyzumab
|
|
|
in whom is omallyzumab indicated
|
5 and 6 with allergies
|
|
|
where in the house should you tell patients to take omallyzumab
|
only at the doctas
|
|
|
what are the rescue meds for asmar
|
roids
saba anticoco |
|
|
qvar
|
beclomethasone
|
|
|
pulmicort
|
budesonide
|
|
|
symbicort
|
budesonide
formotoroil |
|
|
alvesco
|
cicleonide
|
|
|
which 2 asmar drugs dont you shake
|
alvesco and qvar
|
|
|
aerospan
|
flunisolide
|
|
|
advair
|
sal motor oil and
fluticasone |
|
|
asmanex
|
mometasone
|
|
|
dulera
|
mometasone and for motor oil
|
|
|
cortef
|
hydrocortisone
|
|
|
rayos
|
predna
|
|
|
orapred
|
prednis
|
|
|
pediapred
|
prednis
|
|
|
veripred
|
prednis
|
|
|
prelone
|
syzzurp or prednis
|
|
|
flopred
|
susp of prednis
|
|
|
aristospan
|
triamcin
|
|
|
kenalog
|
triamcin
|
|
|
trivaris
|
triamcin
|
|
|
EIP options
|
albut right before
formotoroil 15 mins before salmeterialoil 30 minutes before singulair 2 hours before |
|
|
how long can you keep foradil out of fridge
|
4 months
|
|
|
maxair
|
pirbuterol
|
|
|
levalbuterol is ____ isomer
|
R not the left
|
|
|
accuneb
|
albuterol
|
|
|
vospire
|
albuterol
|
|
|
asthmanefrin
|
racepinephrine
do NOT USE |
|
|
how many times can you use your saba without "needing" as per the guidelines a long term controller
|
2
anymore than 2 you need a ltc |
|
|
fev1/fvc for asmar
|
normal
|
|
|
when do you step down for asthmar?
|
3 months
|
|
|
Qnasl
|
beclomethasone
|
|
|
beconase
|
beclomethasone
|
|
|
vancenase
|
beclomethasone
|
|
|
rhinocort
|
budesonide nasl
|
|
|
omnairis
|
ciclesonide nasl
|
|
|
zetonna
|
ciclesonide nasl
|
|
|
nasarel
|
flunisolide
|
|
|
nasalide
|
flunisolide
|
|
|
veramyst
|
fluticasone
|
|
|
dymista
|
fluticasone + azelastine
|
|
|
nasonex
|
mometasone
|
|
|
nasacort
|
triamcinolone nasl
|
|
|
azmacort
|
triacinolone inh
|
|
|
privine
|
naphazoline
|
|
|
afrin
|
oxymetazoline
|
|
|
neo-synephrine nighttime vs 4 hour
|
oxymeta vs PE
|
|
|
when do you avoid cough and cold aghents in children
|
below 4
|
|
|
promethazine in kids absolutely do not use vs FDA reccomendations?
|
2 vs 6
|
|
|
ibup infant drops dosing
|
50/1.25 or 40mg/ml
|
|
|
apap kids drops dosing
|
160/5 or 32mg/ml
|
|
|
3 most common organisms of CF
|
staph aureus
h influ pseudo |
|
|
Cayston
|
Aztrenam inhalor nebs
|
|
|
how often must you disinfect CF nebs? How?
|
EOD, 10 minutes boil.
|
|
|
differences in dosing btw tobi and cayston
|
BID vs TID
|
|
|
lenght of inhaled ABX tx for tobi or cayston
|
28 days on/ 28 off
|
|
|
whats the order of operations for CF patients
|
bronco dilator
PT other meds abx are always last |
|
|
can tobi be stored at rt?
|
yes, 28 days
|
|
|
can cayston be stored at rt?
|
yes 28 days
|
|
|
can pulmozyme be stored at rt?
|
nope, not for >24 hours
|
|
|
pertzye
|
pancrealipase
|
|
|
ultresa
|
pancrealipase
|
|
|
viokace
|
pancrealipase
|
|
|
if a kid cant swallow pancrealipase whatdda do
|
open up caps and sprinkle on low ph foods (apple acuse)
dont chew or crush |
|
|
what type of food dont you mix the pancrealipase with
|
milk or yogurts because they have a higher ph
|
|
|
major dose limiting toxicity of pancrealipase. what dose does that occur?
|
colonic stricture
6000 units per meal |
|
|
pancrealipase can deplete
|
adek and iron and folate
|
|
|
kalydeco
|
ivacaftor
|
|
|
ivacaftor
|
kalydeco
|
|
|
how is kalydeco admin?
|
with high fat foods
|
|
|
whats up with viokace formulation?
|
not enteric coated
MUST GIVE WITH PPI |
|
|
how does kalydeco work
|
CFTR potentiator, keeps them chloride channels open for love you long time
|
|
|
likely important allergy for pancrealipase
|
pig
|
|
|
its okay to mix dornase alfa with other things in the nebz right
|
no
|
