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PHRM825 > Asthma and COPD Rescue Medications > Flashcards

Asthma and COPD Rescue Medications Flashcards

1
Q

albuterol HFA drug class

A

inhaled short acting beta2 agonists

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2
Q

albuterol HFA brand names

A

ProAir, Ventolin, Proventil, ProAir Respiclick, and ProAir Digihaler

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3
Q

ProAir, Ventolin, and Proventil dosage form

A

MDI

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4
Q

ProAir Respiclick and ProAir Digihaler dosage form

A

aerosol powder inhaler

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5
Q

albuterol HFA age groups

A

all

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6
Q

albuterol drug class

A

inhaled short acting beta2 agonists

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7
Q

albuterol dosage form

A

nebulizer solution

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8
Q

albuterol age groups

A

all

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9
Q

albuterol HFA and albuterol adverse effects

A

-tachycardia
-tremor
-hypokalemia
-irritability

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10
Q

albuterol HFA and albuterol counseling tips

A

-chronic use (>2 times per day) indicates poor asthma control
-may mix nebulizer solution with cromolyn solution, budesonide inhalant suspension, or ipratropium solution
-in mild to moderate exacerbations, MDI + valved holding chamber is effective as nebulizer therapy with appropriate administration technique and coaching by trained personnel

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11
Q

levalbuterol HFA drug class

A

inhaled short acting beta2 agonists

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12
Q

levalbuterol HFA brand name

A

Xopenex

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13
Q

levalbuterol HFA dosage form

A

MDI

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14
Q

levalbuterol HFA age groups

A

all

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15
Q

levalbuterol drug class

A

inhaled short acting beta2 agonists

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16
Q

levalbuterol dosage form

A

nebulizer solution

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17
Q

levalbuterol age groups

A

all

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18
Q

levalbuterol HFA and levalbuterol adverse effects

A

-tachycardia
-tremor
-hypokalemia
-irritability

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19
Q

levalbuterol HFA and levalbuterol counseling tips

A

-reserved for patients who do not respond to albuterol for quick relief
-nebulizer solution compatible with budesonide inhalant suspension
-levalbuterol administered in half the mg dose of albuterol provides comparable efficacy and safety
-has not been evaluated by continuous nebulization

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20
Q

ipratropium HFA drug class

A

short-acting anticholinergics

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21
Q

ipratropium HFA brand name

A

Atrovent

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22
Q

ipratropium HFA dosage form

A

MDI

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23
Q

ipratropium HFA age groups

A

all

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24
Q

ipratropium drug class

A

short-acting anticholinergics

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25
Q

ipratropium dosage form

A

nebulizer solution

26
Q

ipratropium age groups

A

all

27
Q

ipratropium HFA and ipratropium adverse effects

A

-dry mouth
-urinary retention
-infection
-sinusitis
-bronchitis

28
Q

ipratropium HFA and ipratropium counseling tips

A

-used in combo with albuterol for asthma exacerbation treatment
-may mix in same nebulizer with albuterol
-should not be used as first-line therapy (should be added to SABA therapy for severe exacerbations)

29
Q

ipratropium/albuterol drug class

A

short-acting anticholinergics

30
Q

ipratropium/albuterol brand names

A

Combivent Respimat and DuoNeb

31
Q

Combivent Respimat dosage form

A

MDI

32
Q

DuoNeb dosage form

A

nebulizer solution

33
Q

ipratropium/albuterol age groups

A

all

34
Q

DuoNeb counseling tip

A

may be used for up to 3 hours in initial management of severe exacerbations

35
Q

methylprednisolone drug class

A

systemic corticosteroids

36
Q

methylprednisolone dosage form

A

tablet

37
Q

methylprednisolone age groups

A

all

38
Q

prednisolone drug class

A

systemic corticosteroids

39
Q

prednisolone dosage forms

A

tablet and oral liquid

40
Q

prednisolone age groups

A

all

41
Q

prednisone drug class

A

systemic corticosteroids

42
Q

prednisone dosage forms

A

tablet and oral liquid

43
Q

dexamethasone drug class

A

systemic corticosteroid

44
Q

dexamethasone dosage forms

A

oral liquid, tablet, and injection

45
Q

dexamethasone age group

A

0-4 years old

46
Q

methylprednisolone acetate drug class

A

systemic corticosteroids

47
Q

methylprednisolone acetate dosage form

A

respiratory injection

48
Q

methylprednisolone acetate age groups

A

all

49
Q

systemic corticosteroids adverse effects

A

-hyperglycemia
-increased appetite
-fluid retention
-demmargination of WBCs
-psychiatric disturbances

50
Q

systemic corticosteroids contraindications

A

systemic fungal infections and administration of live vaccines if immunocompromised

51
Q

systemic corticosteroids drug interactions

A

-warfarin (INR increases)
-efficacy of inactivated vaccines decreases

52
Q

systemic corticosteroids counseling tips

A

-may be used with ICS if patient is already taking ICS before hospitalization
-may be used for chronic therapy in both asthma and COPD, but only in severe stages
-“bursts” effective for establishing control when initiating therapy or during period of gradual deterioration
-injection may be used in place of “burst” if adherence is an issue or patient is vomiting

53
Q

epinephrine drug class

A

systemic subcutaneous beta2 agonists

54
Q

epinephrine age groups

A

all

55
Q

epinephrine counseling tips

A

-no proven advantage of systemic therapy over aerosol
-indicated in addition to standard therapy for acute asthma associated with anaphylaxis and/or angioedema

56
Q

terbutaline drug class

A

systemic subcutaneous beta2 agonists

57
Q

terbutaline age groups

A

all

58
Q

terbutaline counseling tip

A

no proven advantage of systemic therapy over aerosol

59
Q

magnesium sulfate IV age group

A

all

60
Q

magnesium sulfate IV adverse effects

A

-flushing
-hypotension
-vasodilation

61
Q

magnesium sulfate IV contraindications

A

-heart block
-caution in renal dysfunction

62
Q

magnesium sulfate IV counseling tip

A

consider if patient remains in life-threatening exacerbation after 1 hour of therapy

PHRM825 (5 decks)

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