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32 Cards in this Set
- Front
- Back
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DOC for acute asthma attack
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B2-agonist-Bronchodilators- Albuterol 90mcg/puff
2 puffs TID PRN |
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Tx for moderate persistent asthma
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Inhaled steroid plus long acting B2 agonist(Advair)
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How do you diagnose asthma?
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Spirometry
Xray |
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DOC for nocturnal asthma?
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Long acting B2 agonist- Salmeterol: one puff before bed
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Drug given prior to exercise to prevent asthma attack
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Salmeterol- 2 puffs 20-60 min
or Cromolyn Sodium |
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This drug relaxes smooth muscle and increases diaphragm contractility
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Theophylline: used for long term control and prevention of symptoms
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What are the drug interactions of Theophylline
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Warfarin: <INR (> risk of clotting)
Tagamet: inhibitor- inc. levels Quinilones: < theo Antifungals: > theo |
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This drug acts by blocking muscarinic receptors in the lung, inhibiting bronchoconstriction and mucus secretion
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Anticholinergic: Ipratropium(atrovent)
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DOC for COPD
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Atrovent
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What is the DOC ofr asthma prophylaxis?
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Inhaled corticosteroids: QVAR
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Name a Mast cel stabilizer that is the DOC in children for asthma
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Cromolyn Sodium (Intal)
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Name two leukotriene inhibitors
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Accolate
Singulair |
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A peak flow measurement less than this is a medical alert
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< 50
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Name 2 drugs that can induce asthma attacks
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NSAIDS/ASA
Beta-Blockers |
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Name a long acting B2 agonist
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Formeterol
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Corticosteroid Tx in an acute asthma attack
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IV Dexamethasone
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what are the side effects of Theophyline
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Tachy
Head ache Arrythmias GI Insomnia N/V Seizures |
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what do you monitor with leukotriene inhibitors?
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LFTs
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What are the side effects of Leukotriene Inhib?
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Hepatotoxicity
Head ache GI |
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What are the drug interactions of leukotriene Inhib?
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Warfarin
Erythromycin Theophyline |
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this drug is used for allergy related asthma attack and inhibits IgE binding to mast cells and basophils
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Xolair
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3 moths of the year for at least 2 years
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Chronic bronchitis
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permanent enlargement of the air spaces in the lung
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Emphysema
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Genetic condition that inhibits neutrophil elastase
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Alpha 1 antitrypsin deficiency
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COPD pt with symptoms of bronchial infection; what's the bug and how do you treat?
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Strep pneumoniae
Tx: Amoxicillin If PCN allergic- Bactrim |
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Tx for Mild Intermittent asthma
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No daily meds needed
For quick relief of ALL asthma classifications, use short-acting B2 agonists |
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Tx for Mild Persistent asthma
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Low dose inhaled corticosteroids; Alternative Tx- Cromolyn, Leukotriene modifiers
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Tx for Moderate Persistent asthma
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Low to medium dose inhaled corticosteroids AND long-acting B2 agonist (ADVAIR)
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Tx for Severe Persistent asthma
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High dose inhaled corticosteroids AND long-acting B2 agonist AND if needed, corticosteroid tablets or syrup long term
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List the Asthma classification according to frequency of day Sx
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Mild intermittent: <2 sx/wk
Mild Persistent: >2 sx/wk Moderate Persist: Daily sx Severe Persist: Continual Sx |
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List the Asthma classification according to frequency of night Sx
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Mild intermittent: <2 sx/mo
Mild Persistent: >2 sx/mo Moderate Persist: > 1/wk Severe Persist: Frequent |
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List the Asthma classification according to FEV1
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Mild intermittent: >80% Predicted
Mild Persistent: > >80% Moderate Persist: 60-80% Severe Persist: <60% |
