07 Flashcards
Ultra-short Acting Adrenergic drug and brand name
Racemic Epinephrine - MicroNefrin and Nephron
Racemic Epinephrine (MicroNefrin or Nephron) method
SVN
Long Acting Adrenergic drug names
Salmeterol, Aformoterol, Formoterol
Salmeterol brand name
Serevent
Tachyphylaxis
Built up tolerance, increased dosage
Salmeterol (Serevent) methods and adult dose/frequency
MDI: 2 puffs QID
DPI: BID
Arformoterol brand name
Brovana
Arformoterol (Brovana) method and adult dose/frequency
SVN: 15 mcg/2ml BID/Q12
Formoterol brand name
Foradil Perforomist
Formoterol (Foradil Perforomist) methods and adult dose/frequency
DPI: BID
SVN: 20 mcg/2ml BID
Long Acting Adrenergic drugs
Salmeterol (Serevent)
Arformoterol (brovana)
Formoterol (Foradil Perforomist)
Short acting Adrenergic drugs
Albuterol (proventil ventolin) Levalbuterol HCL (Xopenex)
Albuterol brand name
Proventil ventolin
Albuterol (proventil ventolin) methods and adult dosage/frequency
SVN: 2.5 mg QID (0.5%)
MDI: 2 puffs QID
Levalbuterol HCL brand name
Xopenex
Levalbuterol HCL (Xopenex) method and adult dose/frequency
SVN: 0.31mg/3ml
0.63mg/3ml
1.25mg/3ml
TID
Quick/rapid acting LABAs that last up to 12 hours
Arformoterol (Brovana) and Formoterol (Foradil, Perforomist)
Adrenergic most common side effect
Tremor
Adrenergic adverse reaction
Tachycardia
Other side effects of Adrenergic drugs
Headache Insomnia Dizziness Nervousness HYPOKALEMIA Nausea Tachyphylaxis
Mucoactive drugs
Dornase Alpha (pulmozyme) Acetylcysteine (mucomyst)
Dornase alpha brand name
Pulmozyme
Acetylsysteine brand name
Mucomyst
Dornase alpha (pulmozyme) method and adult dose/frequency
SVN: 2.5 mg/ampule/day
0.1%
Dornase alpha (pulmozyme) side effects
Voice alteration/pharyngitis
Mucomyst method and adult dose/frequency
SVN: 3-5 ml QID
10 or 20%
Mucomyst side effects
Bronchospasm
Administer with mucomyst to decrease bronchospasm
Bronchodilator
Anticholinergic drugs
Ipratropium Bromide (Atrovent) Tiotropium Bromide (Spiriva)
Ipatropium Bromide brand name
Atrovent
Tiotropium bromide brand name
Spiriva
Ipatropium bromide (Atrovent) methods and adult dose/frequency
MDI: 2 puffs QID
SVN: 0.5 mg QID
Tiotropium Bromide brand name
Spiriva
Tiotropium bromide (Spiriva) method/adult dose/frequency
DPI: 18mcg once a day
Anticholinergic major side effect
Dryness of mouth
Xopenex dosage/strength
- 31 mg/3mcl
- 63 mg/3mcl
- 25 mg/3mcl
Anticholinergic and Adrenergic drugs
Ipratropum bromide and albuterol
Ipratropium bromide and Albuterol brand names
Combivent
DuoNeb
Combivent/DuoNed methods/ adult dos/frequency
MDI: 2 puffs QID
SVN: 0.5 mg Atrovent QID
2.5 mg Albuterol QID
Anticholinergic and Adrenergic side effects
Dryness of mouth, increased HR, and increased BP
Corticosteroids
Beclomethasone dipropionate (QVAR) Fluticasone Propionate (Flovent (discus)) Budesonide (pulmicort)
Beclomethasone dipropionate brand name
QVAR
Fluticasone propionate brand name
Flovent (discus)
Budesonide brand name
Pulmicort
QVAR method and adult dose/frequency
MDI: 1 puff QID
Flovent methods and adult dose/frequency
MDI: >12 yo, 2 puffs BID
DPI: BID
Pulmicort methods and adult doses/frequency
SVN: BID
MDI: 2 puffs BID
Corticosteroids main side effect
Oral thrush
Anti-infective drug plus brand name
Pentamidine isethionate (Nebupent)
Nebupent method
SVN
High pitched crowing sound tx
Racemic epinephrine
Drug that relieves bronchospasm associated with respiratory disorders
Adrenergic and anticholinergic
Treats upper airway edema
Alpha, Beta2 stimulating drugs (Racemic epinephrine)
Bronchiectasis tx with 5ml/20% of acetylcisteine, after tx, wheezing is present what should u do?
Add 2.5 mg Albuterol
Short acting B2 agonists (SABA) treat what
Acute exacerbation of COPD, asthma, etc
Long acting B2 agonists (LABA) treat what
Long term maintenance of COPD, asthma, etc
Pt with sulfa allergy should not use
Mucomyst (acetylcysteine)
Tx for prophylaxis of chronic asthma
Corticosteroids and/or cromoglycates
Nebupent dosage
300 mg/6 ml
Pentamidine isethionate frequency
Every 4 wks
Pentamidine isethionate side effects
Bronchial irritation -> cough