DRUG TREATMENT: RESPIRATORY & DIABETES Flashcards
Name the 5 classifications of drugs used to treat Asthma and COPD.
Beta Agonists Anticholinergics Corticosteroids Xanthine Derivatives Leukotriene Modifiers
Stimulating the sympathetic nervous system to open the lung passages is how a (beta/alpha)___ agonist works.
beta
Drugs that work by blocking parasympathetic nerve transmission that causes bronchoconstriction are in which class?
Anticholinergics
Drugs that reduce inflammation and decrease mucous production are in which class?
Corticosteroids
Which of the following antihistamines should cause the least amount drowsiness?
a) diphenhydramine
b) loratadine
c) chlorpheniramine
d) carbinoxamine
b) loratadine
Which of the following drugs work by stabilizing mast cells and reducing histamine release?
a) albuterol
b) cromolyn
c) mometasone
d) psuedoephedrine
b) cromolyn
Which of the following inhalers would be appropriate for an acute asthma attack?
a) albuterol
b) tiotropium
c) beclomethasone
d) salmeterol
a) albuterol
An important warning that should be provided to patients who will be using an oral corticosteroid inhaler is they should:
a) rinse their mouth with water after each use
b) stay out of the sun
c) eat plenty of bananas
d) use caution when operating machinery
a) rinse their mouth with water after each use
Where must pseudoephedrine containing cough and cold preparations be kept?
a) on the sales floor
b) behind the pharmacy counter
c) in the refrigerator
d) in the pharmacy safe
b) behind the pharmacy counter
Most commonly used oral decongestant that is now a Schedule Listed Chemical Product must be kept behind the pharmacy counter.
Psuedoephedrine
What class of drugs works by stimulating receptors that produce vasoconstriction and reduce nasal congestion?
Decongestants
What class of drugs works by reducing inflammations and tissue secretions for Asthma and COPD?
Corticosteroids
What class of drugs will stabilize the cells containing histamine to hinder their release?
Mast Cell Stabilizers
Which generation of antihistamines has drowsiness as a side effect?
First generation
__________ work by blocking the cause of redness, swelling, itching, and increased secretions in the body tissues.
Antihistamines
This drug class works by blocking a chemical transmitter in the body that triggers asthma symptoms.
Leukotriene Modifiers
Name one of the more common side effects of inhaled corticosteroids.
Fungus infection
Which of the following would be inappropriate for an acute asthma attack?
a) levalbuterol
b) albuterol
c) metaproterenol
d) serevent
d) serevent
Name the 4 acting types of Insulin product types.
Rapid, short, intermediate, long.
What is the onset of insulin aspart and insulin lispro?
15 min
What is the onset of NPH insulin?
1-3 hr
What is the onset of regular insulin?
30-60 min
What is the onset of insulin detemir and insulin glargine?
1 hr
Which insulin is taken about 30 minutes before a meal?
a) Novolog
b) Novolin R
c) Novolin N
b) Novolin R
Which insulin is usually taken twice daily when short acting insulin can’t handle the load?
a) Humulog
b) Humulin R
c) Humulin N
c) Humulin N
Which insulin is usually taken once or twice daily?
a) Insulin Glargine
b) Insulin Aspart
c) Insulin Lispro
a) Insulin Glargine
Which insulin is usually taken before a meal to cover glucose elevation?
a) Insulin Detemir
b) Insuln Lispro
c) Insulin Glargine
b) Insuln Lispro
How should an insulin be mixed?
a) Swirled vigorously
b) Briskly shaken up and down
c) Shaken between the palms of the hands
d) Gently rolled between the palms of the hands
d) Gently rolled between the palms of the hands
U-500 strength insulin is 500 units of activity in every:
a) 1 ml
b) 0.5 ml
a) 1 ml
U-100 strength insulin is 100 units of activity in every:
a) 1 ml
b) 0.5 ml
a) 1 ml
What is the onset of Humulin 70/30 and Novolin 70/30?
a) 0-30 min
b) 30-60 min
c) 60 min
b) 30-60 min
What is the onset of Novolog 70/30?
a) 0-5 min
b) 5-10 min
c) 5-15 min
c) 5-15 min
What is the onset of Humalog 50/50 and Humalog mix 75/25?
a) 10-15 min
b) 5-15 min
c) 15-20 min
a) 10-15 min
Usually, premixed insulin products are taken _____ a meal.
before
Rate of insulin absorption depends on the _____ of the injection.
site
Once a bottle of insulin is punctured, it is usually safe to use for __ day(s) at room temperature.
30
Type I Diabetes means a person is:
a) Non-insulin dependent
b) Insulin dependent
c) Insulin resistant
b) Insulin dependent
Type II Diabetes means a person is:
a) Insulin depleted
b) Insulin dependent
c) Non-insulin dependent
c) Non-insulin dependent
Which of the following oral diabetes class inhibits the release of glucose from the liver + improve sensitivity to insulin?
a) Meglitinides
b) DPP-4 Inhibitors
c) Thiazolidinediones
d) Alpha-Glucosidase Inhibitors
b) DPP-4 Inhibitors
Which of the following oral diabetes class slows the breakdown of starches and some sugars?
a) Meglitinides
b) DPP-4 Inhibitors
c) Thiazolidinediones
d) Alpha-Glucosidase Inhibitors
d) Alpha-Glucosidase Inhibitors
Which of the following oral diabetes class stimulates insulin release only?
a) Sulfonylureas
b) DPP-4 Inhibitors
c) Thiazolidinediones
d) Alpha-Glucosidase Inhibitors
a) Sulfonylureas
Which of the following oral diabetes class inhibits the release of glucose + improve sensitivity to insulin?
a) Sulfonylureas
b) DPP-4 Inhibitors
c) Biguanides
d) Alpha-Glucosidase Inhibitors
c) Biguanides
Which of the following drugs stimulates the release of insulin and is used with metformin and sulfonylurea?
a) Symlin
b) Victoza
b) Victoza
Which of the following drugs is in the Biguanides class of diabetes?
a) Metformin
b) Acarbose
c) Glipizide
a) Metformin
Which of the following drugs is in the DPP-4 class of diabetes?
a) Saxagliptin
b) Rosiglitazone
c) Nateglinide
a) Saxagliptin
Which of the following drugs is in the Meglitinides class of diabetes?
a) Precose
b) Actos
c) Starlix
c) Starlix
Which of the following drugs is in the Alpha-Glucosidase Inhibitors class of diabetes?
a) Precose
b) Amaryl
c) Januvia
a) Precose
Which of the following drugs is in the Sulfonylureas class of diabetes?
a) Prandin
b) Glucophage
c) Diabeta
c) Diabeta
Which of the following drugs is in the Thiazolidinediones class of diabetes?
a) Pioglitazone
b) Glyburide
c) Glimepiride
a) Pioglitazone
Rank the following insulins in regard to their onset of action (quickest to slowest).
NPH insulin, insulin glargine, regular insulin, insulin aspart
insulin aspart > regular insulin > insulin glargine > NPH insulin
Which of the following is an injectable drug used in Type II diabetes?
a) exenatide
b) glyburide
c) metformin
d) pioglitazone
a) exenatide
Which of the following drugs work by increasing the body’s release of insulin?
a) glimepiride
b) metformin
c) rosiglitazone
d) acarbose
a) glimepiride
