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46 Cards in this Set
- Front
- Back
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If more than one inhalation per dose is necessary, how long must you wait between inhalations
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one minute
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How is HFA different from CFC products?
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HFA plume is softer mist-like, warmer feeling puff
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Albuteral Tabs strengths
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2&4mg ER, 4&8mg, Syrup 2mg/5ml
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How do Beta 2 agonists affect the heart?
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Positive Chronotropic effects dur to sympathetic effects and peripheral vascular dilation with reflex tachycardia
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Besides reflex tachicardia, what could be another SE from B-agonists?
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fine hand tremor (treated with low dose lorazepam)
because skeletal muscle has B2 agonists |
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T/F Use bronchodilator sprays first then use corticosterois spray 5 min later
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true
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Which is the most prompt, potent?
Corticosteroid, B-2 agoinist, Anticholinergic |
B 2 agonist
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how many sprays can a MDI inhalers can spray
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200 sprays per can
2 sprays QID = 25 days |
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What should you tell an asthmatic on B2 agonist to avoid?
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NSAIDS aspirin, yellow colored products
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These 3 HFA products are Albuterol
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Proventil, Ventolin, ProAir
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This is an enantiomer of racemic Albuterol
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Levalbuterol
(Xopenex) |
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Alternative to Proventil HFA
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Xopenex HFA (Levalbuterol)
Maxair (Pirbuterol) Serevent (Salmetrol Xinafoate) Foradil (Formoterol fumarate) |
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This is an autoinhaler thats breath activated
How many inhalations does it contain? |
Maxair (Pirbuterol)
400 inhalations |
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This is a long acting B2 agonist
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Serevent (Salmeterol Xinafoate)
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This has a BBW because it may increase the risk of asthma-related death
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Serevent (Salmeterol Xinafoate)
Foradil (Formoterol Fumarate) Advair Symbicort |
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This is an analog of albuterol with long lipophilic side chain that increases the afinity of the drug for the beta 2 adrenergic receptor
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Serevent (Salmeterol Xinafoate)
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What is the dosage of Serevent (Salmeterol Xonafoate)
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BID administration should be Q12H
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T/F take a foradil capsule PO q12h
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FALSE
do not swallow capsule! |
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This contains both Albuterol and Ipatropium
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Combivent spray
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What are 3 Anticholinergic sprays?
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Atrovent (Ipatropium), Combivent (Albuterol w Ipatropium),
Spiriva (Tiotropium Bromide) |
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This is known as "Atropine-Ventilation" because it is chemically related to atropine
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Atrovent HFA (Ipatropium)
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Theses COPD drugs have less tachycardia than B2agonists
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Anticholinergics
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What cant a person with a peanut allergy take?
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Ipatropium Aerosol Spray
CAN use the solution |
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This is used in patients with COPD on a regular arosol bronchodilator who continue to have evidence of bronchospasm and require a second bronchodilator
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Combivent spray (Albuterol with Ipratropium)
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This is a capsule anticholinergic Bronchodilator
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Spiriva (Tiotropium Bromide)
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This is a capsule B2 agonist bronchodilator
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Foradil
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These are mast cell stabilizers
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Tilade(Nedocromil)
Intal (Cromolyn Sodium) |
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This is structurally related to Caffiene
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Methylxanthine
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What is the therapeutic range of Theohylline for COPD patients
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5-15mcg/mL
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What major medications are contraindicated with Theophylline
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Quinolones (Cipro), Erythromycin, Biaxin and other CYP450 inhibitors
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Boxed Warning for Corticosteroids
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Care is needed in pts who are transferred fcrom systemically active corticosteroids to corticosteroid inhalation aerosol
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What does the M stand for in Aerobid M
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Methanol (for flavor)
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This corticosteroid is Pregnancy Category B
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Pulmicort (Budesonide)
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what is the dose of QVAR (Beclomethasone Dipropionate)
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40, 80 mcg/inhalation
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This comes with a plastic cap-activated dosing mechanism with dose counter
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Asmanex Twisthaler
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This is a combination of 2 long-acting products
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Advair (Fluticasone with Salmeterol)
Symbicort (Budesonide/Formoterol) |
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which works quicker: Symbicort or Advair?
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Advair
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what are the doses for Advair?
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100/50
250/50 500/50 |
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Symbicort Dose
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80mcg budesonide and 4.5 mcg formoterol
160/4.5 |
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Azmacort generic
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Triamcinolone
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This is a nasal corticosteroid
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Flonase (Fluticasone)
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These are Leukotriene Receptor Antagonists
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Singulair (Montelukast)
Accolate (Zafirlukast) |
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Alternative to singulair
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Accolate (Zafirlukast)
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This agent has a Interaction with Warfarin
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Accolate (Zafirlukast)
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this has a hepatotoxicity precaution
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Accolate
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Accolate had a DI with ______
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warfarin
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