Drugs, Sex and Rock n' Roll Flashcards
For the treatment of asthma, this drug class provides the most RAPID relief of symptoms (5-30 mins)
beta-agonist (bronchodilators)
Tachycardia and tremor is an AE of which drug class?
SABA
Hyperglycemia, hypokalemia can be seen in this drug class
SABA
salmeterol and formoterol are in what drug class?
Long acting beta agonist (LABA)
How long do LABA’s work for?
at least 12 hrs but have slower onset than SABA
Long term drug of choice for asthma
inhaled corticosteroid
This medication is contraindicated as a monotherapy due to increased risk of asthma related death
salmeterol and formterol
Drug of choice for persistent asthma
ICS
This drug has no anti-inflammatory process and should not be used alone in persistent asthma
SABA
How does an ICS work?
directly targets underlying airway inflammation
How would you instruct your patient to administer a ICS inhaled?
breath in slowly and deeply
What are some AE’s commonly seen with ICS?
oral candidiasis and hoarseness; rare but potentially stunts bone growth
How can AE’s in ICS be avoided?
patient can rinse her mouth after with swish and spit method with water
What can be seen in high doses of nicotine replacement therapy?
CNS paralysis and severe hypotension; lethal dose is 60 mg
When is nicotine replacement therapy contraindicated?
angina, post MI
How should nicotine therapy be administered?
at a tapered dose for many weeks
Bupropion is contraindicated when?
patients with seizures or eating disorders
what kind of drug is bupropion?
antidepressant
This drug has a black box warning for suicidal thoughts, nightmares and mood changes
varenicline
naltrexone
new drug used for smoking cessation, alcohol or opiod dependence; might be good for female smokers
When should you consider stepping up in the step wise approach to asthma?
symptoms more than twice a week or 60-80% FEV
When can you step down with asthma treatment>
if symptoms are well controlled for 3 months
What should be taken in conjunction with oral corticosteroids that are used long term?
vit D and calcium
most effective for acute asthma exacerbation
SABA
Treatment for CAP
macrolide
treatment of choice for strep
amoxicillin
treatment of choice for klebsiella
ceph
tx for MRSA
vanc
tx for MSSA
nafacillin
Tx for mycoplasma PNA
clarithromycin, azithromycin or doxy
Tx for chlamydia PNA
doxy or macrolide
Tx for H influenza
macrolide (TMP-SMZ)
