Respiratory

Front 1

pts w/ mild/intermittant asthma or EIA (exercise induced asthma) should use these meds before exercise/exposure

Back 1

B2-agonists

Front 2

this B2-agonist is used by Pts with exercise induced asthma

Back 2

cromolyn (Intal)

Front 3

these meds are the preferred tx as daily long-term control asthma meds

Back 3

inhaled corticosteroids (ICS)

Front 4

if desired effect is not reached with low-dose ICS, mild-persistant asthma uses these 2 meds

Back 4

cromolyn (Intal)
-or-
montelukast (Singulair)

Front 5

mod-persistant asthma requires daily use of what?

Back 5

low/medium dose ICS

Front 6

what strength of dose of ICS is always used when possible to minimize adverse reactions

Back 6

lowest dose

Front 7

low/med dose ICS may be combined with what - either as separate meds or in a combo med

Back 7

long-acting inhaled B2-agonists - -
like salmeterol (Serevent)
-or-
fluticosone/salmeterol (Advair Diskus)

Front 8

montelukast (Singulair) or xanthines (theophylline) can be used in conjunction with what?

Back 8

ICS

Front 9

for severe-persistant asthma, a combo of what 2 drugs is used to alleviate symptoms

Back 9

high-dose ICS and inhaled B2-agonists (Advair)

Front 10

which catagory of resp drugs should not be the first med used to treat asthma, but should only be added to the treatment plan if other controller meds do not work

Back 10

long-acting B2-agonist (salmeterol/Serevent)

Front 11

you do not use this class of meds to treat wheezing that is getting worse

Back 11

long-acting B2-agonists (salmeterol/Serevent)

Front 12

you should always use this class of meds to treat sudden wheezing

Back 12

short-acting B2-agonists
(metaproterenol/Alupent -or- abuterol/Proventil)

Front 13

with an acute exacerbation of asthma - after starting O2 therapy; you would give this class of meds first

Back 13

short-acting B2-agonists by MDI with spacer; or by nebulizer

Front 14

these 2 meds would be given with acute asthma

Back 14

abuterol/Proventil
-or-
metaproterenol/Alupent

Front 15

if the asthma exacerbation is severe, this short-acting anticholinergic is nebulized with albuterol

Back 15

ipratropium (Atrovent)

Front 16

what class of meds are indicated if response to B2-agonists is insufficient?

Back 16

systemic corticosteroids
(e.g. prednisone)

Front 17

this meds is used to gain prompt control in exacerbations & also to manage severe persistant asthma that is not controlled with maximal inhaled therepy

Back 17

prednisone

Front 18

this class & these 2 meds are the 1st-line therapy for pts w/ asthma

Back 18

inhaled corticosteroids, like: fluticasone (Flovent) & budesonide (Pulmicort)

Front 19

this class & 2 meds are the preferred tx in long-term control of persistent asthma

Back 19

inhaled corticosteroids, like: fluticasone (Flovent) & budesonide (Pulmicort)

Front 20

this class of meds reduce symptoms by suppressing the inflammatory response

Back 20

corticosteroids

Front 21

this med reduces bronchial hyperresponsiveness by decreasing inflammation; and reduces mucus production

Back 21

corticosteroids - prednisone, fluticasone (Flovent), budesonide (Pulmicort)

Front 22

these meds increase the bronchial responsiveness to B2-agonists

Back 22

corticosteroids - prednisone, fluticasone (Flovent), budesonide (Pulmicort)

Front 23

these meds are not used for prophylaxis of chronic asthma

Back 23

corticosteroids - prednisone, fluticasone (Flovent), budesonide (Pulmicort)

Front 24

these 2 ICS begin to have therapeutic effects w/in 24hrs, unlike most ICS

Back 24

fluticasone (Flovent), budesonide (Pulmicort)

Front 25

b/c ICS can cause oropharyngeal candidiasis, Pts should do what after adminiatration

Back 25

gargle/rinse mouth w/ water or mouthwash after each use to help prevent yeast infections

Front 26

cromolyn (Intal) is this class of resp meds

Back 26

mast cell stabilizer

Front 27

this med inhibits the immediate response related to exercise & allergens, but is not used to treat acute bronchospasms

Back 27

cromolyn (Intal)

Front 28

cromolyn (Intal) should be used how long b/f exercise to help reduce EIA

Back 28

10-20 min

Front 29

how is cromolyn (Intal) administered

Back 29

inhaled/nebulized

Front 30

this drug is a leukotriene modifier

Back 30

montelukast (Singulair)

Front 31

this med has both a bronchodilator & antiinflammatory effect

Back 31

montelukast (Singulair)

Front 32

montelukast (Singulair) is used for what 2 types of asthma therapy?

Back 32

prophylatic & maintenance

Front 33

when Singulair is used as an add-on to ICS, what happens to the ICS doses?

Back 33

can reduce the doses of ICS

Front 34

which meds are more effective than Singulair when used as an add-on to ICS?

Back 34

long-acting B2-agonists, like salmeterol (Serevent)

Front 35

what 3 classes of resp meds are bronchodilators?

Back 35

- B2-agonists
- methylxanthines
- anticholinergics

Front 36

which class/meds are most effective for relieving acute bronchospasm?

Back 36

short-acting B2-agonists:
metaproterenol (Alupent) & abuterol (Proventil)

Front 37

which class/meds are used for acute exacerbations of asthma?

Back 37

short-acting B2-agonists:
metaproterenol (Alupent) & abuterol (Proventil)

Front 38

this short-acting B2-agonist, used for exacerbation of asthma, has an onset of 5-10 min

Back 38

metaproterenol (Alupent)

Front 39

this short-acting B2-agonist, used for exacerbation of asthma, has a duration of 3-4 hrs

Back 39

metaproterenol (Alupent)

Front 40

this short-acting B2-agonist, used for exacerbation of asthma, should not be used in Pts with cardiac disorders

Back 40

metaproterenol (Alupent)

Front 41

this short-acting B2-agonist, used for exacerbations of asthma, has a onset of 1-3 mins.

Back 41

albuterol (Proventil)

Front 42

this short-acting B2-agonist, used for exacerbations of asthma, has a duration of 4-8 hrs.

Back 42

albuterol (Proventil)

Front 43

this short-acting B2-agonist, used for exacerbations of asthma, should be used CAUTIOUSLY in patients with cardiac disorders

Back 43

albuterol (Proventil)

Front 44

what class/meds produces bronchodilation; increases mucociliary clearance; are not the 1st choice of meds for long-term asthma control; should not be used alone; and do not have antiinflammatory effects

Back 44

metaproterenol (Alupent) & albuterol (Proventil)

Front 45

this class/med should only be used in Pts taking a med for long-term control & only if that med has been inadequate by itself

Back 45

long-acting inhaled B2-agonist
salmeterol (Serevent)

Front 46

when dealing with acute asthma, when should salmeterol/Serevent be added?

Back 46

1st - short-acting B2-agonists - -
if need more, then ICS - -
if need more, then can add the salmeterol/Serevent

Front 47

if used incorrectly, this med can increase the risk of severe asthma & asthma-related deaths

Back 47

salmeterol (Serevent)

Front 48

this drug should only be used 1x/12hrs and NEVER used for quick relief of bronchospasms

Back 48

salmeterol (Serevent)

Front 49

salmeterol/Serevent comes in this form only

Back 49

DPI (dry powder inhaler)

Front 50

this is a combo drug of ICS & inhaled long-acting B2-agonists

Back 50

Advair Diskus

Front 51

this combo drug results in improved lung function, decreased nocturnal asthma, decreased need for short-acting B2s, decreased asthma symptoms, & decreased # of exacerbations

Back 51

Advair Diskus (fluticasone & salmeterol)
[combo of an ICS & inhaled long acting B2]

Front 52

this med is used as an alternative bronchodilator is no other agents are effective

Back 52

theophylline

Front 53

this med has a high incidence of interactions with other meds & has a narrow margin of safety - serum blood levels s/b monitored regularly

Back 53

theophylline

Front 54

this class/med block the bronchochonstricting influence of acetycholine & is usually used in combo w/ B2s (or other bronchodilators)

Back 54

anticholinergics - -
ipratropium/Atrovent

Front 55

this anticholinergic is short-acting & therefore is usually admin'd 3-4x's/day

Back 55

ipratropium/Atrovent

Front 56

this anticholinergic is usually admin'd with albuterol

Back 56

ipratropium/Atrovent

Front 57

this anticholinergic has a peak of 30-60 min

Back 57

ipratropium/Atrovent

Front 58

this anticholinergic has a duration of 4-6 hrs

Back 58

ipratropium/Atrovent

Front 59

what is the most common side effect of ipratropium/Atrovent?

Back 59

dry mouth

Front 60

nasal corticosteroids are used with allergic rhinitis & sinusitus - top 3 are:

Back 60

flonase, rhinocort, nasonex

Front 61

this therapeutic for allergies, colds & cough is an expectorant & works by thinning the secretions

Back 61

guaifenesin/Mucinex