Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/32

Click to flip

32 Cards in this Set

  • Front
  • Back
DOC for acute asthma attack
B2-agonist-Bronchodilators- Albuterol 90mcg/puff

2 puffs TID PRN
Tx for moderate persistent asthma
Inhaled steroid plus long acting B2 agonist(Advair)
How do you diagnose asthma?
Spirometry
Xray
DOC for nocturnal asthma?
Long acting B2 agonist- Salmeterol: one puff before bed
Drug given prior to exercise to prevent asthma attack
Salmeterol- 2 puffs 20-60 min
or
Cromolyn Sodium
This drug relaxes smooth muscle and increases diaphragm contractility
Theophylline: used for long term control and prevention of symptoms
What are the drug interactions of Theophylline
Warfarin: <INR (> risk of clotting)
Tagamet: inhibitor- inc. levels
Quinilones: < theo
Antifungals: > theo
This drug acts by blocking muscarinic receptors in the lung, inhibiting bronchoconstriction and mucus secretion
Anticholinergic: Ipratropium(atrovent)
DOC for COPD
Atrovent
What is the DOC ofr asthma prophylaxis?
Inhaled corticosteroids: QVAR
Name a Mast cel stabilizer that is the DOC in children for asthma
Cromolyn Sodium (Intal)
Name two leukotriene inhibitors
Accolate
Singulair
A peak flow measurement less than this is a medical alert
< 50
Name 2 drugs that can induce asthma attacks
NSAIDS/ASA
Beta-Blockers
Name a long acting B2 agonist
Formeterol
Corticosteroid Tx in an acute asthma attack
IV Dexamethasone
what are the side effects of Theophyline
Tachy
Head ache
Arrythmias
GI
Insomnia
N/V
Seizures
what do you monitor with leukotriene inhibitors?
LFTs
What are the side effects of Leukotriene Inhib?
Hepatotoxicity
Head ache
GI
What are the drug interactions of leukotriene Inhib?
Warfarin
Erythromycin
Theophyline
this drug is used for allergy related asthma attack and inhibits IgE binding to mast cells and basophils
Xolair
3 moths of the year for at least 2 years
Chronic bronchitis
permanent enlargement of the air spaces in the lung
Emphysema
Genetic condition that inhibits neutrophil elastase
Alpha 1 antitrypsin deficiency
COPD pt with symptoms of bronchial infection; what's the bug and how do you treat?
Strep pneumoniae

Tx: Amoxicillin
If PCN allergic- Bactrim
Tx for Mild Intermittent asthma
No daily meds needed

For quick relief of ALL asthma classifications, use short-acting B2 agonists
Tx for Mild Persistent asthma
Low dose inhaled corticosteroids; Alternative Tx- Cromolyn, Leukotriene modifiers
Tx for Moderate Persistent asthma
Low to medium dose inhaled corticosteroids AND long-acting B2 agonist (ADVAIR)
Tx for Severe Persistent asthma
High dose inhaled corticosteroids AND long-acting B2 agonist AND if needed, corticosteroid tablets or syrup long term
List the Asthma classification according to frequency of day Sx
Mild intermittent: <2 sx/wk
Mild Persistent: >2 sx/wk
Moderate Persist: Daily sx
Severe Persist: Continual Sx
List the Asthma classification according to frequency of night Sx
Mild intermittent: <2 sx/mo
Mild Persistent: >2 sx/mo
Moderate Persist: > 1/wk
Severe Persist: Frequent
List the Asthma classification according to FEV1
Mild intermittent: >80% Predicted
Mild Persistent: > >80%
Moderate Persist: 60-80%
Severe Persist: <60%