Asthma

Question 1

Adults (19-64) with asthma should get what vaccine?

Answer 1

PPSV23

Question 2

What 2 SABA’s can be used as rescuers in asthma?

Answer 2

Albuterol

Levalbuterol

Question 3

Albuterol can affect what electrolyte?

Answer 3

K

Hypokalemia

Question 4

How much use of a SABA per week would warrant increasing the asthma maintenance med?

Answer 4

> 2

Question 5

SABA is drug of choice in what situation?

Answer 5

Exercise induced bronchospasm

Question 6

What is salmeterol name brand?

Answer 6

Serevent

Question 7

What is salmeterol / fluticasone combo called?

Answer 7

Advair

Question 8

What is formoterol name brand?

Answer 8

Foradil

Question 9

What is formoterol / budesonide combo name brand?

Answer 9

Symbicort

Question 10

A LABA in asthma in contraindicated when used how?

Answer 10

Alone

Only use as add on

Question 11

What is beclomethasone HFA name brand?

Answer 11

QVAR

Question 12

What is budesonide name brand?

Answer 12

Pulmicort

Question 13

What is fluticasone name brand?

Answer 13

Flovent

Question 14

What is mometasone name brand?

Answer 14

Asmanex

Question 15

What is mometasone / formoterol combo name brand?

Answer 15

Dulera

Question 16

Don’t shake which MDI inhalers because they are a solution?

Answer 16

QVAR

Alvesco

Question 17

What are two side effects of ICS?

Answer 17

Dysphonia

Oral candidiasis

Question 18

Two ways to prevent oral candidiasis with ICS

Answer 18

Rinse mouth with warm water

Use a spacer with MDI

Question 19

What is the only mineralocorticoid?

Answer 19

Fludrocortisone

Question 20

What MOA do mineralocorticoids have?

Answer 20

Regulate sodium and water balance

Question 21

Taper steroids if used for how long?

Answer 21

Longer than 14 days

Question 22

Cushing syndrome is caused by excess what?

Answer 22

Cortisol

Question 23

What three SE will be seen in Cushing syndrome?

Answer 23

Moon face
Buffalo hump
Central fat redistribution

Question 24

Steroid dose equivalent
Cortisol = ?
Hydrocortisone = ?

Answer 24

Cortisol 25 mg

Hydrocortisone 20 mg

Question 25

Steroid dose equivalent Methylprednisolone = ? Prednisone / prednisolone = ?

Answer 25

Methylpredisolone 4 mg | Prednisone / Prednisolone 5 mg

Question 26

Steroid dose equivalents Betamethasone = ? Dexamethasone = ?

Answer 26

Betamethasone 0.6 mg | Dexamethasone 0.75 mg

Question 27

Fludrocortisone has no _______ effects

Answer 27

Inflammatory

Question 28

Give steroids at what time of day?

Answer 28

7-8 AM

Question 29

What are the three leukotriene receptor antagonists?

Answer 29

Zafirlukast Montelukast Zileuton

Question 30

Take Singulair what time of the day?

Answer 30

In the evening

Question 31

Theophylline blocks what enzyme? | This increases levels of what?

Answer 31

Phosphodiesterase | cAMP

Question 32

Only use theophylline in asthma how?

Answer 32

Add on

Question 33

What is theophylline therapeutic range?

Answer 33

5-15

Question 34

Dose theophylline based on what weight?

Answer 34

IBW

Question 35

What are theophylline's two active metabolites

Answer 35

Caffeine | 3-methylxanthine

Question 36

Aminophylline is what % theophylline?

Answer 36

80%

Question 37

Omalizumab name brand?

Answer 37

Xolair

Question 38

Xolair is a mAb that inhibits what?

Answer 38

IgE binding to mast cells and basophils

Question 39

Only use Xolair in what kind of asthma?

Answer 39

Allergic asthma

Question 40

Always administer Xolair where?

Answer 40

In doctors office

Question 41

Take SABA how soon before exercise?

Answer 41

5-15 minutes

Question 42

SABA duration for exercise

Answer 42

2-3 hours

Question 43

Taken Singulair how soon before exercise?

Answer 43

2 hours

Question 44

What is preferred SABA in pregnancy?

Answer 44

Albuterol

Question 45

What is preferred ICS in pregnancy?

Answer 45

Budesonide

Question 46

Use peak flow meters when?

Answer 46

After waking up | Before any asthma mess

Question 47

What % of personal best is green zone?

Answer 47

80-100%

Question 48

What % of personal best is yellow zone

Answer 48

50-80%

Question 49

What % of personal best is red zone?

Question 50

What zone should you increase or add on meds?

Answer 50

Yellow zone

Question 51

What zone should you go to the ED?

Answer 51

Red

Question 52

Only use spacers with which inhalers?

Answer 52

MDI

Question 53

Spacer prevent what SE of ICS?

Answer 53

Thrush

Question 54

Clean spacer how often? | With what?

Answer 54

Weekly | Warm soapy water

Question 55

MDI require what kind of breathe?

Answer 55

Slow and deep

Question 56

DPI's require what kind of breath?

Answer 56

Quick and forceful

Question 57

Prime albuterol MDI after how long of last use?

Answer 57

14 days

Question 58

Prime Flovent after how long of no use?

Answer 58

7 days

Question 59

Prime Symbicort after how long of no use?

Answer 59

7 days

Question 60

Do not take Singulair within how long of a previous dose?

Answer 60

24 hrs

Question 61

What is most effective 1st line maintenance med in asthma?

Answer 61

Inhaled CS