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24 Cards in this Set
- Front
- Back
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Asthma Symtoms
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Remember BRONCHIAL
B-bronchial spasm/dyspnea R-restlessness O-orthopnea N-noisy breathing/wheezing C-coughing H-hypoxemia I-inflammation of airways A-anxiety, acidosis L-lethary, lung vol change |
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Metered Dose Inhalers
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use of spacers increases amount inhaled(21% vs 9%)
Rinse mouth to relieve dryness |
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Dry Powder Inhalers
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powder directly into lungs
no spacer needed exact count indicator |
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Nebulizers
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converts drugs into mist
isotonic-same pressure hypotonic(.45%) deeper penetration into alveoli hypertonic(1.8%)- stimulates productive cough |
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Albuterol vs. Serevent and Brethine
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short acting vs. long acting
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Albuterol, servent, brethine: SE
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sympathetic effects, heartburn, HA, insomnia, *hypokalemia
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Albuterol, servent, brethine: CI
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diabetes, hyperthyroidism, HTN, angina
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Glucocorticoids(the -ones): SE of inhalation
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oropharyngeal candidiasis, dysphonia(speaking difficulty), osteoporosis, retard growth in kids, cataracts, glaucoma
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Glucocorticoids(the -ones): SE of oral use
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adrenal suppresion, osteoporosis, hyperglycemia, PUD, suppression of growth, infections
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Glucocorticoids(the -ones): CI
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fungal infections, vaccinations, HTN, renal disease, diabetes
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Glucocorticoids(the -ones): NI
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gargle after every use and use a spacer
use beta agonist 5 min prior to therapy to enhance delivery |
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Intal
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PREVENTS bronchospasm
give 15 min before exercise or trigger therapeutic effects can take several weeks |
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Theophylline: therapeutic range
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5-15ug/ml
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Theophylline: SE
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jittery, hyperglycemia, convulsions, tachycardia, dysrhythmias
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Theophylline: Drug interactions
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caffeine, phenobarb/toin(decreases levels), cimetidine, fluoroquinolone(increases levels)
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Singulair, Accolate: actions
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decreases: inflammation, bronchoconstriction, airway edema, mucus production
for CHRONIC asthma |
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Singulair, Accolate: SE
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liver toxicity, dyspepsia
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Mucomyst
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decreases thickness and stickiness of secretions
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Mucomyst: SE
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unpleasant odor, stomatitis, bronchospasm, rhinorrhea
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Codeine, Hydrocodone
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cough suppressant
SE: respiratory depression |
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Dextromethorphan
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works as well as codeine, okay for children and no potential for abuse
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Antihistamines: list
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benadryl, claritin, allegra, zyrtec
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Antihistamine: SE
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sedation(except 2nd generation), paradoxical rxns, anticholinergic effects
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Antihistamine: CI
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Pt w/ asthma, prostatic hypertrophy, glaucoma, HTM
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