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Lung Things > Asthma > Flashcards

Asthma Flashcards

1
Q

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

A

PPSV23

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2
Q

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

A

Albuterol

Levalbuterol

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3
Q

Albuterol can affect what electrolyte?

A

K

Hypokalemia

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4
Q

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

A

> 2

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5
Q

SABA is drug of choice in what situation?

A

Exercise induced bronchospasm

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6
Q

What is salmeterol name brand?

A

Serevent

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7
Q

What is salmeterol / fluticasone combo called?

A

Advair

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8
Q

What is formoterol name brand?

A

Foradil

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9
Q

What is formoterol / budesonide combo name brand?

A

Symbicort

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10
Q

A LABA in asthma in contraindicated when used how?

A

Alone

Only use as add on

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11
Q

What is beclomethasone HFA name brand?

A

QVAR

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12
Q

What is budesonide name brand?

A

Pulmicort

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13
Q

What is fluticasone name brand?

A

Flovent

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14
Q

What is mometasone name brand?

A

Asmanex

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15
Q

What is mometasone / formoterol combo name brand?

A

Dulera

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16
Q

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

A

QVAR

Alvesco

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17
Q

What are two side effects of ICS?

A

Dysphonia

Oral candidiasis

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18
Q

Two ways to prevent oral candidiasis with ICS

A

Rinse mouth with warm water

Use a spacer with MDI

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19
Q

What is the only mineralocorticoid?

A

Fludrocortisone

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20
Q

What MOA do mineralocorticoids have?

A

Regulate sodium and water balance

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21
Q

Taper steroids if used for how long?

A

Longer than 14 days

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22
Q

Cushing syndrome is caused by excess what?

A

Cortisol

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23
Q

What three SE will be seen in Cushing syndrome?

A

Moon face
Buffalo hump
Central fat redistribution

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24
Q

Steroid dose equivalent
Cortisol = ?
Hydrocortisone = ?

A

Cortisol 25 mg

Hydrocortisone 20 mg

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25
Q

Steroid dose equivalent
Methylprednisolone = ?
Prednisone / prednisolone = ?

A

Methylpredisolone 4 mg

Prednisone / Prednisolone 5 mg

26
Q

Steroid dose equivalents
Betamethasone = ?
Dexamethasone = ?

A

Betamethasone 0.6 mg

Dexamethasone 0.75 mg

27
Q

Fludrocortisone has no _______ effects

A

Inflammatory

28
Q

Give steroids at what time of day?

A

7-8 AM

29
Q

What are the three leukotriene receptor antagonists?

A

Zafirlukast
Montelukast
Zileuton

30
Q

Take Singulair what time of the day?

A

In the evening

31
Q

Theophylline blocks what enzyme?

This increases levels of what?

A

Phosphodiesterase

cAMP

32
Q

Only use theophylline in asthma how?

A

Add on

33
Q

What is theophylline therapeutic range?

A

5-15

34
Q

Dose theophylline based on what weight?

A

IBW

35
Q

What are theophylline’s two active metabolites

A

Caffeine

3-methylxanthine

36
Q

Aminophylline is what % theophylline?

A

80%

37
Q

Omalizumab name brand?

A

Xolair

38
Q

Xolair is a mAb that inhibits what?

A

IgE binding to mast cells and basophils

39
Q

Only use Xolair in what kind of asthma?

A

Allergic asthma

40
Q

Always administer Xolair where?

A

In doctors office

41
Q

Take SABA how soon before exercise?

A

5-15 minutes

42
Q

SABA duration for exercise

A

2-3 hours

43
Q

Taken Singulair how soon before exercise?

A

2 hours

44
Q

What is preferred SABA in pregnancy?

A

Albuterol

45
Q

What is preferred ICS in pregnancy?

A

Budesonide

46
Q

Use peak flow meters when?

A

After waking up

Before any asthma mess

47
Q

What % of personal best is green zone?

A

80-100%

48
Q

What % of personal best is yellow zone

A

50-80%

49
Q

What % of personal best is red zone?

A
50
Q

What zone should you increase or add on meds?

A

Yellow zone

51
Q

What zone should you go to the ED?

A

Red

52
Q

Only use spacers with which inhalers?

A

MDI

53
Q

Spacer prevent what SE of ICS?

A

Thrush

54
Q

Clean spacer how often?

With what?

A

Weekly

Warm soapy water

55
Q

MDI require what kind of breathe?

A

Slow and deep

56
Q

DPI’s require what kind of breath?

A

Quick and forceful

57
Q

Prime albuterol MDI after how long of last use?

A

14 days

58
Q

Prime Flovent after how long of no use?

A

7 days

59
Q

Prime Symbicort after how long of no use?

A

7 days

60
Q

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

A

24 hrs

61
Q

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

A

Inhaled CS

Lung Things (3 decks)

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