Copd Meds

Question 1

Inhaled bronchodilators

4 meds
Effect
Implication

Answer 1

Albuterol- proventil ventolin terbutaline brethaire

Acute/ emergency fast acting

Tachycardia tremor wait 2 minutes btw puff

Question 2

Anticholinergic

2 meds

Answer 2

Ipratropium
Tiotropium

Inhibit mucous secretion

Not acute, maintende mee, leaves bad taste

Question 3

Theophylline

3

Answer 3

Aminophylline, Theodur, slo bid , f

Bronchodilator

Toxic if iv quickly, level 5-15, gi tachycardia nervous

Question 4

Formoterol fumarate

Answer 4

Bronchiodialator

capsule use special inhaler may use for asthma

Question 5

Systemic corticosteroids

2 meds

Answer 5

Prednisone methylphenisolone

Decrease inflammation bronchodilator

Increase glucose take with food or milk don’t stop abruptly, Cushing effect , risk for infection

Question 6

Inhaled corticosteroid

3 meds

Answer 6

Triamcinolone beclomethasone budesomide

Good long term

Can cause fungal growth (thrush) rinse mouth out

Question 7

Combination

Answer 7

Budesomide and formoterol

Bronchodilator and anti inflammatory

Incr risk of death only use if not control w other meds

Question 8

Inhaled steroid and Servant

Answer 8

Long acting anti inflammatory and bronchiodialator

Cough and bronxhospasm may be used for asthma

Question 9

Pde4 inhibitor

Answer 9

Roflumilast

Weight loss headache flu don’t take if liver problems