4. Respiratory Therapies Flashcards

1
Q

Which is the most prescribed respiratory therapy drug?

A

Montelukast [Singulair]

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2
Q

Is Montelukast an inhale or tablet form?

A

tablet.

dosing [10mg].. 1 tab qd

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3
Q

Which class of respiratory therapy drug is Montelukast?

A

Leukotriene inhibitors

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4
Q

Which endogenous ligands do Montelukast block in their leudotriene receptors?

A

LTC4, LTD4, and LTE4, released by mast cells and eosinophils

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5
Q

What are the different respiratory therapy drug classes?

A

Leukotriene inhibitors
Beta-2 Agonists
Steroidal Anti-inflammatories

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6
Q

What is the indication for Montelukast?

A

Asthma
Bronchospasm
Allergic rhinitis

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7
Q

Is there any drug interactions with Montelukast and ocular therapeutics?

A

None

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8
Q

What is the indications for Albuterol?

A

Asthma, bronchospasm, COPD

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9
Q

T/F Albuterol is a long acting beta 2 agonist.

A

False. It’s short acting beta 2 agonist which provide quick relieves, relaxation in smooth muscle airway.

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10
Q

What is Fluticasone use for?

A

It’s a respiratory therapy. It has steroidal anti-inflammatory properties.

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11
Q

What is the mechanism of action of Fluticasone?

A

It acts through classic steroid pathway inhibiting arachidonic acid-based eicosanoid production

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12
Q

What is Salmeterol [Advair Diskus] use for?

A

It’s a respiratory therapy.

It causes bronchodilation, for asthma/COPD Maintenance

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13
Q

What is the mechanism of action of Salmeterol?

A

It’s a chemical analog of Albuterol having a lipophilic side chain that enhances duration of action; like Albuterol, this β2 Agonist produces relaxation of airway smooth muscle

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14
Q

What is the drug interaction of Salmeterol with B-Blockers?

A

Additive

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15
Q

What is the drug interaction of Salmeterol with Clyclosporine, Azole antifungals?

A

Impaired Metabolism

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16
Q

What is the drug interaction of Salmeterol with Macrolides, Amphotericins, CAIs and Steroids?

A

Hypokalemia

17
Q

What is the drug interactions of Salmeterol with Macrolides and sympathomimetics?

A

QT Prolongation

18
Q

What are the different respiratory therapies?

A

Montelukast [Singulair®]
Albuterol [ProAir HFA®]
Fluticasone/Salmeterol [Advair Diskus®]
Mometasone [Nasonex®]

19
Q

What is Mometasone use for?

A

It’s a respiratory therapy.
It uses for allergic rhinitis, nasal polyp therapy
[50 microgram/spray] - 2 sprays qd-bid

20
Q

What is the mechanism of action of mometasone?

A

Inhibits multiple inflammatory cytokines; produces multiple glucocorticoid and mineralocorticoid effects

21
Q

What are the drug interactions of Mometasone?

A

None

22
Q

Which respiratory therapies doesn’t involve any drug interactions?

A

Montelukast (None involving ocular therapeutics)

Mmetasone (None)

23
Q

What are the contraindications/cautions when taking Mometasone?

A
  • Nasal septal ulcer, recurrent epistaxis
  • TB infection
  • Ocular HSV infection, glaucoma, cataracts, vision changes