Asthma/COPD Flashcards

1
Q

Ventolin HFA, proventil HFA, Proair HFA, ProAir Respiclick, VoSpire ER

A

ALBUTEROL

MDI, DPI, Tablet, Syrup, solution (NEB)

Respiclick > 12 yo
0.5% soln > 2 yo

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2
Q

VoSpire ER

A

Albuterol XL tablets

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3
Q

XOPENEX

A

Levalbuterol

OPEN FOIL - 2 weeks exp

DRUG OUT OF FOIL - 1 week exp

HFA : 4+ YO

NEB: 6+ YO

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4
Q

QVAR HFA

A

Beclomethasone (corticosteroid)

MDI : 5+ YO
NASAL SPRAY: ?

DONT NEED SPACER; smaller particle size

DONT NEED TO SHAKE; soln

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5
Q

VANCENASE

BECONASE

QNASL

A

Beclomethasone (corticosteroid)

Nasal spray (RX)

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6
Q

PULMICORT

A

BUDESONIDE (corticosteroids)

Pulmicort Flexhaler (DPI): 6+ YO

Pulmicort Respules (NEB): 12+ MONTHS

DOC in PREGNANCY

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7
Q

AEROSPAN

A

Flunisolide (corticosteroid)

MDI

Comes with built-in SPACER

6+ YO

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8
Q

Asmanex Twisthaler

A

Mometasone (corticosteroid)

1-2QPM (only ONCE A DAY, ICS)

DPI/MDI

5+ YO

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9
Q

Flovent HFA

A

Fluticasone

MDI/DPI/ NASAL

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10
Q

Arnuity ELLIPTA

ARMONAIR

A

Fluticasone DPI

12+ YO

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11
Q

FLONASE / VERAMYST

A

Fluticasone : (NASAL)

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12
Q

ALVESCO

A

Ciclesonide (corticosteroid)

MDI/ NASAL

1-2 puff BID

12+ YO

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13
Q

Omnaris / Zetonna

A

Ciclesonide (corticosteroid)

NASAL

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14
Q

Oral prednisone

DOSE & DURATION

A

40-60mg qd x3-10 days

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15
Q

Medrol DOSE PACK

A

Methylprednisolone

Taper 24mg to 0mg PO for 6 days

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16
Q

Corticosteroids

General INFO

A

SE: oral candidiasis
Dysphonia (difficulty speaking)
Cough

Notes: RINSE MOUTH & use a SPACER
to prevent oral candidiasis

FIRST-LINE against PERSISTENT asthma

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17
Q

SERVENT

A

Salmeterol (LABA)

4+ YO

Good for 6 WEEKS after opening

COMBO: ADVAIR (salmeterol + fluticasone) is good for ONLY 30 DAYS

18
Q

FORADIL

A

Formoterol (LABA)

5+ YO

REFRIGERATE CAPSULE

DPI: Good for 4 MONTHS

Combos: (ICS + LABA)

Symbicort: (formoterol + budesonide)

DULERA: (formoterol + mometasone)

19
Q

Methylxanthines

A

THEOPHYLLINE

300-400mg/day (MAX 900mg)

used in INFANTS up to 6 WEEKS old

LEVEL: 5-15mcg

> 15 : toxicity
30 : SVT
50 : SEIZURE

20
Q

AccoLATE

A

ZafirluKAST (Anti-leukotrienes)

20mg BID

5+ YO: 10mg BID

EMPTY STOMACH

21
Q

SINGuLAR

A

MonteluKAST (Anti-leukotriene)

4,5,10mg DAILY

CHILDREN 1+ YO (4-5mg QD)

SE: * Flu-like symptoms**

   * Restlessness**
   * watch for mood/behavioral changes

Do not mix with any LIQUIDS other than FORMULA & Breast-MILK

22
Q

ZyFLO CR

A

Zileuton

600mg BID

  • 12+ YO*
  • ELEVATED ALT* monitor before treatment
23
Q

XOLAIR

A

Omalizumab (IgG1k monoclonal AB)

SQ every 2-4 WEEKS BASED ON

1) BODY WEIGHT
2) serum IgE level

SE: MALIGNANCIES
Increase risk of CVD & Cerebrovascular & viral upper resp infection

BBW: * ANAPHYLAXIS*

6+ asthma/ 12+ chronic hives

FOR USE WHEN SYMPTOMS NOT CONTROLLED WITH ICS

Helps with ALLERGY RELATed Asthma

24
Q

CinQAIR

A

ReslizUMAB

Add on for severe asthma w/ eosinophillic phenotype

IL-5 Receptor antagonist

3mg Q4WEEKS

Compatible: NS

BBW: anaphylaxis

25
Q

Risk factors for COPD

A
Smoking
Age
Existing impaired lung fx
Occupation
Alpha1-anti trypsin deficiency
26
Q

AnticholinERGIC

GENERAL info

A

SE: HA, dizziness, DRY MOUTH, URINARY RETENTION, BLURRY vision

Caution:

  • glaucoma (worsening of narrow angle glaucoma)
  • BPH
27
Q

AtroVENT

A

Ipratropium (anticholinERGIC)

HFA

2-3 puff QID

Contraindication: * PeaNUT allergy *

28
Q

CombiVENT

A

Albuterol + Ipratropium RESPIMAT

1 spray QID

Exp: 3 MONTHS

NOT contraindicated in PEANUT AND SOYBEAN allergy

SHAKING not REQ

29
Q

DuoNEB

A

Albuterol + IpratroPIUM (NEBULIZER)

Same as combivent except for nebulizer

1 unit dose nebuliZed QID prn, max 6 doses/day

30
Q

SpiRIVA

A

Tiotropium (anticholinergic)

Handihaler (DPI) QD - Cap

Respimat (SMI) Asthma/Copd 12+ yrs

31
Q

TuDORZA Pressair

A

Aclidinium (anticholinergic)

1 DPI BID

32
Q

InCRUSE Ellipta

A

Umeclidinium (anticholinergic)

Once DAILY

33
Q

StriVERDI Respimat

A

OlodaTEROL (LABA)

Once DAILY

34
Q

ArCAPTA

A

IndaCATEROL (LABA)

75mcg Capsule DAILY

35
Q

PerFOROmist

A

FORmoterol (LABA: NEBulized soln)

Exp: 6 weeks at ROOM TEmp

REFRIGERATE

1 vial BID

36
Q

BroVANA

A

ArFORmoterol (LABA: NEBulized)

1 vial BID

ROOM TEMP: up to 6 WEEKS

Refrigerate

37
Q

SymBICORT

A

FORmoterol + BUDesonide (ICS+ LABA)

TWICE DAILY (BID)

Exp : 90 DAYS

38
Q

AdVAIR

A

SALmeterol + FLUticasone (ICS+LABA)

Advair Diskus: 4+ yrs
Advair HFA: 12+ yrs
AirDUO respiclick : 12+ yrs

Exp: 30 days

39
Q

BREO ELLipta

A

VILANterol + Fluticasone (ICS+LABA)

QD: Once DAILY

Exp: 6 WEEKS

40
Q

ANORO ELLipta

A

Umeclinidium + VilANTerol
(Anticholinergic + LABA)

1 inh DPI QD: Once daily

Exp: 6 WEEKS

41
Q

Stiolto Respimat

A

OloDATEROL + Tiotropium
(anticholinergic/ LABA)

2 puff QD: DAILY

42
Q

DALiresp

A

Roflumilast (PDE-4 inhibitor)

500mcg PO DAILY

SE: *Psychiatric events (SUICIDAL)
* WEIGHT loss

CONTRAINDICATED IN LIVER IMPAIRMENT

CYP4A4 & CYP1A2 substrate hence avoid with strong INDUCERS will decrease levels