COPD Asthma Flashcards
What are your first line drugs for asthma?
Beta- agonst
Anticholinergic
– should be given together
What is the mechanism of action of short acting Beta 2 agonists?
aton of Albuterol
will get you tachycardia
Inhaled B agonist therapy chart
Systemic B agonist therapy chart
B agonist Side effects
- tachycardia
- Type B lactic acidosis
- Hypokalemia
- Hyperglycemia
When do you use anticholinergics?
asthma exacerbation
– Ipatropium is the drug of choice
If you have asthma exacerbation what should you do?
- Beta agonist
- Anticholinergic
- Corticosteroid –> but expect it to work 6 -8 hours from there
Uterly life threatening exacerbations:
Refractory therapy
Mg and Ketamine
Do not use this on asthma unless there is an absolute need
Antibiotic; only if there is infection
COPD
Why is there exacerbation of copd?
Management of COPD
first line
- B- agonist [first line]
- Anticholinergics
- Corticosteroids
- Antibiotics
They should be discharged with long acting stuff
Antibiotics table
What are the most common pathogens for COPD
- Streptococcis pneumoniae
- Haemophilius Influenzae
- Moraxella catarrhalis
- Pseudomonas aeruginosa
COPD: monotherapy antibiotic recommended by GOLD guidelines
- Tetracyclines (e.g., doxycycline, minocycline)
- Amoxicillin/clavulanate
- Macrolide (e.g., azithromycin)
When will you use atb with Pseudomonas coverage?
Use antibiotics with Pseudomonas spp., coverage for
certain patients
o Exacerbation requiring mechanical ventilation
o Severe airflow limitation
o Frequent exacerbations per year
Exacerbation Prevention
Prophylaxis
