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61 Cards in this Set

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pts w/ mild/intermittant asthma or EIA (exercise induced asthma) should use these meds before exercise/exposure
B2-agonists
this B2-agonist is used by Pts with exercise induced asthma
cromolyn (Intal)
these meds are the preferred tx as daily long-term control asthma meds
inhaled corticosteroids (ICS)
if desired effect is not reached with low-dose ICS, mild-persistant asthma uses these 2 meds
cromolyn (Intal)
-or-
montelukast (Singulair)
mod-persistant asthma requires daily use of what?
low/medium dose ICS
what strength of dose of ICS is always used when possible to minimize adverse reactions
lowest dose
low/med dose ICS may be combined with what - either as separate meds or in a combo med
long-acting inhaled B2-agonists - -
like salmeterol (Serevent)
-or-
fluticosone/salmeterol (Advair Diskus)
montelukast (Singulair) or xanthines (theophylline) can be used in conjunction with what?
ICS
for severe-persistant asthma, a combo of what 2 drugs is used to alleviate symptoms
high-dose ICS and inhaled B2-agonists (Advair)
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
long-acting B2-agonist (salmeterol/Serevent)
you do not use this class of meds to treat wheezing that is getting worse
long-acting B2-agonists (salmeterol/Serevent)
you should always use this class of meds to treat sudden wheezing
short-acting B2-agonists
(metaproterenol/Alupent -or- abuterol/Proventil)
with an acute exacerbation of asthma - after starting O2 therapy; you would give this class of meds first
short-acting B2-agonists by MDI with spacer; or by nebulizer
these 2 meds would be given with acute asthma
abuterol/Proventil
-or-
metaproterenol/Alupent
if the asthma exacerbation is severe, this short-acting anticholinergic is nebulized with albuterol
ipratropium (Atrovent)
what class of meds are indicated if response to B2-agonists is insufficient?
systemic corticosteroids
(e.g. prednisone)
this meds is used to gain prompt control in exacerbations & also to manage severe persistant asthma that is not controlled with maximal inhaled therepy
prednisone
this class & these 2 meds are the 1st-line therapy for pts w/ asthma
inhaled corticosteroids, like: fluticasone (Flovent) & budesonide (Pulmicort)
this class & 2 meds are the preferred tx in long-term control of persistent asthma
inhaled corticosteroids, like: fluticasone (Flovent) & budesonide (Pulmicort)
this class of meds reduce symptoms by suppressing the inflammatory response
corticosteroids
this med reduces bronchial hyperresponsiveness by decreasing inflammation; and reduces mucus production
corticosteroids - prednisone, fluticasone (Flovent), budesonide (Pulmicort)
these meds increase the bronchial responsiveness to B2-agonists
corticosteroids - prednisone, fluticasone (Flovent), budesonide (Pulmicort)
these meds are not used for prophylaxis of chronic asthma
corticosteroids - prednisone, fluticasone (Flovent), budesonide (Pulmicort)
these 2 ICS begin to have therapeutic effects w/in 24hrs, unlike most ICS
fluticasone (Flovent), budesonide (Pulmicort)
b/c ICS can cause oropharyngeal candidiasis, Pts should do what after adminiatration
gargle/rinse mouth w/ water or mouthwash after each use to help prevent yeast infections
cromolyn (Intal) is this class of resp meds
mast cell stabilizer
this med inhibits the immediate response related to exercise & allergens, but is not used to treat acute bronchospasms
cromolyn (Intal)
cromolyn (Intal) should be used how long b/f exercise to help reduce EIA
10-20 min
how is cromolyn (Intal) administered
inhaled/nebulized
this drug is a leukotriene modifier
montelukast (Singulair)
this med has both a bronchodilator & antiinflammatory effect
montelukast (Singulair)
montelukast (Singulair) is used for what 2 types of asthma therapy?
prophylatic & maintenance
when Singulair is used as an add-on to ICS, what happens to the ICS doses?
can reduce the doses of ICS
which meds are more effective than Singulair when used as an add-on to ICS?
long-acting B2-agonists, like salmeterol (Serevent)
what 3 classes of resp meds are bronchodilators?
- B2-agonists
- methylxanthines
- anticholinergics
which class/meds are most effective for relieving acute bronchospasm?
short-acting B2-agonists:
metaproterenol (Alupent) & abuterol (Proventil)
which class/meds are used for acute exacerbations of asthma?
short-acting B2-agonists:
metaproterenol (Alupent) & abuterol (Proventil)
this short-acting B2-agonist, used for exacerbation of asthma, has an onset of 5-10 min
metaproterenol (Alupent)
this short-acting B2-agonist, used for exacerbation of asthma, has a duration of 3-4 hrs
metaproterenol (Alupent)
this short-acting B2-agonist, used for exacerbation of asthma, should not be used in Pts with cardiac disorders
metaproterenol (Alupent)
this short-acting B2-agonist, used for exacerbations of asthma, has a onset of 1-3 mins.
albuterol (Proventil)
this short-acting B2-agonist, used for exacerbations of asthma, has a duration of 4-8 hrs.
albuterol (Proventil)
this short-acting B2-agonist, used for exacerbations of asthma, should be used CAUTIOUSLY in patients with cardiac disorders
albuterol (Proventil)
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
metaproterenol (Alupent) & albuterol (Proventil)
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
long-acting inhaled B2-agonist
salmeterol (Serevent)
when dealing with acute asthma, when should salmeterol/Serevent be added?
1st - short-acting B2-agonists - -
if need more, then ICS - -
if need more, then can add the salmeterol/Serevent
if used incorrectly, this med can increase the risk of severe asthma & asthma-related deaths
salmeterol (Serevent)
this drug should only be used 1x/12hrs and NEVER used for quick relief of bronchospasms
salmeterol (Serevent)
salmeterol/Serevent comes in this form only
DPI (dry powder inhaler)
this is a combo drug of ICS & inhaled long-acting B2-agonists
Advair Diskus
this combo drug results in improved lung function, decreased nocturnal asthma, decreased need for short-acting B2s, decreased asthma symptoms, & decreased # of exacerbations
Advair Diskus (fluticasone & salmeterol)
[combo of an ICS & inhaled long acting B2]
this med is used as an alternative bronchodilator is no other agents are effective
theophylline
this med has a high incidence of interactions with other meds & has a narrow margin of safety - serum blood levels s/b monitored regularly
theophylline
this class/med block the bronchochonstricting influence of acetycholine & is usually used in combo w/ B2s (or other bronchodilators)
anticholinergics - -
ipratropium/Atrovent
this anticholinergic is short-acting & therefore is usually admin'd 3-4x's/day
ipratropium/Atrovent
this anticholinergic is usually admin'd with albuterol
ipratropium/Atrovent
this anticholinergic has a peak of 30-60 min
ipratropium/Atrovent
this anticholinergic has a duration of 4-6 hrs
ipratropium/Atrovent
what is the most common side effect of ipratropium/Atrovent?
dry mouth
nasal corticosteroids are used with allergic rhinitis & sinusitus - top 3 are:
flonase, rhinocort, nasonex
this therapeutic for allergies, colds & cough is an expectorant & works by thinning the secretions
guaifenesin/Mucinex