Chapter 31: Obstructive Pulmonary Diseases: Drugs

Question 1

cause tachycardia (2)

Answer 1

SABA, formoterol

Question 2

first-line agents that are most effective short-term controller drugs for asthma

Answer 2

inhaled corticosteroids

Question 3

(SABAs, SAMAs) are used first

Answer 3

SABAs

Question 4

produce bronchodilation within minutes (2)

Answer 4

SAMA, SABA

Question 5

olodaterol: class, uses, and forms

Answer 5

inhaled long-acting beta2-adrenergic agonist (LABA)
uses: COPD
forms: MDI

Question 6

Suggested options for COPD drug treatment: less than 2 exacerbations, no hospitalizations with fewer daily symptoms

Answer 6

SABA or LABA

Question 7

albuterol: class, uses, and forms

Answer 7

inhaled short-acting beta2-adrenergic agonists (SABA)
uses: asthma, COPD
forms: nebulizer, MDI

Question 8

cause dizziness (3)

Answer 8

SAMA, olodaterol, montelukast

Question 9

When LABAs are used to treat COPD, they can be used as ______________ but should not be used for rapid relief of ________

Answer 9

monotherapy, dyspnea

Question 10

cause fatigue (1)

Answer 10

montelukast

Question 11

type of inhaler: some need to be shaken before use (read package insert)

Answer 11

metered-dose inhaler (MDI)

Question 12

montelukast: class, uses, and forms

Answer 12

leukotriene modifier: leukotriene receptor antagonist
uses: asthma
forms: oral

Question 13

prednisone: class, uses, and forms

Answer 13

corticosteroid
uses: asthma, COPD
forms: oral

Question 14

first-line treatment for most patients with COPD

Answer 14

bronchodilators

Question 15

type of inhaler: often 1 inhalation per dose

Answer 15

dry powder inhaler (DPI)

Question 16

small, hand-held, pressurized devices that deliver a measured dose of drug with each activation

Answer 16

metered-dose inhaler (MDI)

Question 17

cause GI distress (2)

Answer 17

formoterol, montelukast

Question 18

contains dry, powdered medication and is breath activated

Answer 18

dry powder inhaler (DPI)

Question 19

cause hyperglycemia (1)

Answer 19

corticosteroids

Question 20

ipratropium: class, uses, and forms

Answer 20

short-acting anticholinergic (SAMA)
uses: asthma, COPD
forms: nebulizer, MDI

Question 21

cause tremors (2)

Answer 21

SABA, formoterol

Question 22

formoterol: class, uses, and forms

Answer 22

inhaled long-acting beta2-adrenergic agonist (LABA)
uses: asthma
forms: DPI, nebulizer

Question 23

When using a nebulizer, the patient must breathe (slowly, quickly) and (shallowly, deeply) through the mouth and hold each inspiration for _________, breathing normally in between.

Answer 23

slowly, deeply, 2-3 seconds

Question 24

cause nausea (1)

Answer 24

SABA

Question 25

Suggested options for COPD drug treatment: more than 2 exacerbations, 1 hospitalization with fewer daily symptoms

Answer 25

LAMA

Question 26

When LABAs are used to treat asthma, they are never used as ______________ but in combination with _______________

Answer 26

monotherapy, inhaled corticosteroids

Question 27

oral albuterol is _____________ and not used for acute situations

Answer 27

long-acting

Question 28

type of inhaler: often 2 inhalations per dose

Answer 28

metered-dose inhaler (MDI)

Question 29

albuterol: use with caution in patients with __________ disorders due to increased BP and HR, CNS stimulation, and increased risk for dysrhythmias

Answer 29

cardiac

Question 30

type of inhaler: do not shake

Answer 30

dry powder inhaler (DPI) (some MDIs- read insert)

Question 31

Suggested options for COPD drug treatment: more than 2 exacerbations, 1 hospitalization with more daily symptoms

Answer 31

LAMA or LABA and LAMA or LABA and ICS

Question 32

Asthma: In most circumstances, a _____________ drug is used first, followed by a _____________ drug

Answer 32

quick-acting drug, reliever

Question 33

cause palpitations (1)

Answer 33

SAMA

Question 34

cause headache (3)

Answer 34

SAMA, SABA, montelukast

Question 35

use with caution in diabetes, can increase glucose levels

Answer 35

formoterol

Question 36

albuterol: (MDI, nebulizer) is more effective and delivers drug more quickly to the lungs

Answer 36

MDI

Question 37

cause dry mouth (1)

Answer 37

SAMA

Question 38

type of inhaler: slow inspiration

Answer 38

metered-dose inhaler (MDI)

Question 39

type of inhaler: rapid inspiration

Answer 39

dry powder inhaler (DPI)

Question 40

type of inhaler: spacer may be used

Answer 40

metered-dose inhaler (MDI)

Question 41

cause cold symptoms (1)

Answer 41

olodaterol

Question 42

effects of albuterol last ______ hours

Answer 42

2-5

Question 43

(SABAs, SAMAs) are used in worse situations

Answer 43

SAMAs

Question 44

SAMAs are only used for __________ acute asthma attacks

Answer 44

severe

Question 45

Suggested options for COPD drug treatment: less than 2 exacerbations, no hospitalizations with more daily symptoms

Answer 45

LAMA or LABA

Question 46

type of inhaler: spacer is not used

Answer 46

dry powder inhaler (DPI)

Question 47

can be used to prevent wheezing and shortness of breath caused by asthma during exercise (not in acute attack)

Answer 47

montelukast

Question 48

cause fluid retention (1)

Answer 48

corticosteroids