Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
46 Cards in this Set
- Front
- Back
If more than one inhalation per dose is necessary, how long must you wait between inhalations
|
one minute
|
|
How is HFA different from CFC products?
|
HFA plume is softer mist-like, warmer feeling puff
|
|
Albuteral Tabs strengths
|
2&4mg ER, 4&8mg, Syrup 2mg/5ml
|
|
How do Beta 2 agonists affect the heart?
|
Positive Chronotropic effects dur to sympathetic effects and peripheral vascular dilation with reflex tachycardia
|
|
Besides reflex tachicardia, what could be another SE from B-agonists?
|
fine hand tremor (treated with low dose lorazepam)
because skeletal muscle has B2 agonists |
|
T/F Use bronchodilator sprays first then use corticosterois spray 5 min later
|
true
|
|
Which is the most prompt, potent?
Corticosteroid, B-2 agoinist, Anticholinergic |
B 2 agonist
|
|
how many sprays can a MDI inhalers can spray
|
200 sprays per can
2 sprays QID = 25 days |
|
What should you tell an asthmatic on B2 agonist to avoid?
|
NSAIDS aspirin, yellow colored products
|
|
These 3 HFA products are Albuterol
|
Proventil, Ventolin, ProAir
|
|
This is an enantiomer of racemic Albuterol
|
Levalbuterol
(Xopenex) |
|
Alternative to Proventil HFA
|
Xopenex HFA (Levalbuterol)
Maxair (Pirbuterol) Serevent (Salmetrol Xinafoate) Foradil (Formoterol fumarate) |
|
This is an autoinhaler thats breath activated
How many inhalations does it contain? |
Maxair (Pirbuterol)
400 inhalations |
|
This is a long acting B2 agonist
|
Serevent (Salmeterol Xinafoate)
|
|
This has a BBW because it may increase the risk of asthma-related death
|
Serevent (Salmeterol Xinafoate)
Foradil (Formoterol Fumarate) Advair Symbicort |
|
This is an analog of albuterol with long lipophilic side chain that increases the afinity of the drug for the beta 2 adrenergic receptor
|
Serevent (Salmeterol Xinafoate)
|
|
What is the dosage of Serevent (Salmeterol Xonafoate)
|
BID administration should be Q12H
|
|
T/F take a foradil capsule PO q12h
|
FALSE
do not swallow capsule! |
|
This contains both Albuterol and Ipatropium
|
Combivent spray
|
|
What are 3 Anticholinergic sprays?
|
Atrovent (Ipatropium), Combivent (Albuterol w Ipatropium),
Spiriva (Tiotropium Bromide) |
|
This is known as "Atropine-Ventilation" because it is chemically related to atropine
|
Atrovent HFA (Ipatropium)
|
|
Theses COPD drugs have less tachycardia than B2agonists
|
Anticholinergics
|
|
What cant a person with a peanut allergy take?
|
Ipatropium Aerosol Spray
CAN use the solution |
|
This is used in patients with COPD on a regular arosol bronchodilator who continue to have evidence of bronchospasm and require a second bronchodilator
|
Combivent spray (Albuterol with Ipratropium)
|
|
This is a capsule anticholinergic Bronchodilator
|
Spiriva (Tiotropium Bromide)
|
|
This is a capsule B2 agonist bronchodilator
|
Foradil
|
|
These are mast cell stabilizers
|
Tilade(Nedocromil)
Intal (Cromolyn Sodium) |
|
This is structurally related to Caffiene
|
Methylxanthine
|
|
What is the therapeutic range of Theohylline for COPD patients
|
5-15mcg/mL
|
|
What major medications are contraindicated with Theophylline
|
Quinolones (Cipro), Erythromycin, Biaxin and other CYP450 inhibitors
|
|
Boxed Warning for Corticosteroids
|
Care is needed in pts who are transferred fcrom systemically active corticosteroids to corticosteroid inhalation aerosol
|
|
What does the M stand for in Aerobid M
|
Methanol (for flavor)
|
|
This corticosteroid is Pregnancy Category B
|
Pulmicort (Budesonide)
|
|
what is the dose of QVAR (Beclomethasone Dipropionate)
|
40, 80 mcg/inhalation
|
|
This comes with a plastic cap-activated dosing mechanism with dose counter
|
Asmanex Twisthaler
|
|
This is a combination of 2 long-acting products
|
Advair (Fluticasone with Salmeterol)
Symbicort (Budesonide/Formoterol) |
|
which works quicker: Symbicort or Advair?
|
Advair
|
|
what are the doses for Advair?
|
100/50
250/50 500/50 |
|
Symbicort Dose
|
80mcg budesonide and 4.5 mcg formoterol
160/4.5 |
|
Azmacort generic
|
Triamcinolone
|
|
This is a nasal corticosteroid
|
Flonase (Fluticasone)
|
|
These are Leukotriene Receptor Antagonists
|
Singulair (Montelukast)
Accolate (Zafirlukast) |
|
Alternative to singulair
|
Accolate (Zafirlukast)
|
|
This agent has a Interaction with Warfarin
|
Accolate (Zafirlukast)
|
|
this has a hepatotoxicity precaution
|
Accolate
|
|
Accolate had a DI with ______
|
warfarin
|