COPD Asthma Flashcards

1
Q

What are your first line drugs for asthma?

A

Beta- agonst

Anticholinergic

– should be given together

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2
Q

What is the mechanism of action of short acting Beta 2 agonists?

A
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3
Q

aton of Albuterol

A

will get you tachycardia

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4
Q

Inhaled B agonist therapy chart

A
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5
Q

Systemic B agonist therapy chart

A
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6
Q

B agonist Side effects

A
  • tachycardia
  • Type B lactic acidosis
  • Hypokalemia
  • Hyperglycemia
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7
Q

When do you use anticholinergics?

A

asthma exacerbation

– Ipatropium is the drug of choice

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8
Q

If you have asthma exacerbation what should you do?

A
  1. Beta agonist
  2. Anticholinergic
  3. Corticosteroid –> but expect it to work 6 -8 hours from there
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9
Q

Uterly life threatening exacerbations:

Refractory therapy

A

Mg and Ketamine

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10
Q

Do not use this on asthma unless there is an absolute need

A

Antibiotic; only if there is infection

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11
Q

COPD

A
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12
Q

Why is there exacerbation of copd?

A
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13
Q

Management of COPD

first line

A
  • B- agonist [first line]
  • Anticholinergics
  • Corticosteroids
  • Antibiotics
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14
Q

They should be discharged with long acting stuff

A
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15
Q

Antibiotics table

A
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16
Q

What are the most common pathogens for COPD

A
  • Streptococcis pneumoniae
  • Haemophilius Influenzae
  • Moraxella catarrhalis
  • Pseudomonas aeruginosa
17
Q

COPD: monotherapy antibiotic recommended by GOLD guidelines

A
  • Tetracyclines (e.g., doxycycline, minocycline)
  • Amoxicillin/clavulanate
  • Macrolide (e.g., azithromycin)
18
Q

When will you use atb with Pseudomonas coverage?

A

Use antibiotics with Pseudomonas spp., coverage for
certain patients
o Exacerbation requiring mechanical ventilation

o Severe airflow limitation

o Frequent exacerbations per year

19
Q

Exacerbation Prevention

Prophylaxis

A