Drugs, Sex and Rock n' Roll

Question 1

For the treatment of asthma, this drug class provides the most RAPID relief of symptoms (5-30 mins)

Answer 1

beta-agonist (bronchodilators)

Question 2

Tachycardia and tremor is an AE of which drug class?

Answer 2

SABA

Question 3

Hyperglycemia, hypokalemia can be seen in this drug class

Answer 3

SABA

Question 4

salmeterol and formoterol are in what drug class?

Answer 4

Long acting beta agonist (LABA)

Question 5

How long do LABA’s work for?

Answer 5

at least 12 hrs but have slower onset than SABA

Question 6

Long term drug of choice for asthma

Answer 6

inhaled corticosteroid

Question 7

This medication is contraindicated as a monotherapy due to increased risk of asthma related death

Answer 7

salmeterol and formterol

Question 8

Drug of choice for persistent asthma

Answer 8

ICS

Question 9

This drug has no anti-inflammatory process and should not be used alone in persistent asthma

Answer 9

SABA

Question 10

How does an ICS work?

Answer 10

directly targets underlying airway inflammation

Question 11

How would you instruct your patient to administer a ICS inhaled?

Answer 11

breath in slowly and deeply

Question 12

What are some AE’s commonly seen with ICS?

Answer 12

oral candidiasis and hoarseness; rare but potentially stunts bone growth

Question 13

How can AE’s in ICS be avoided?

Answer 13

patient can rinse her mouth after with swish and spit method with water

Question 14

What can be seen in high doses of nicotine replacement therapy?

Answer 14

CNS paralysis and severe hypotension; lethal dose is 60 mg

Question 15

When is nicotine replacement therapy contraindicated?

Answer 15

angina, post MI

Question 16

How should nicotine therapy be administered?

Answer 16

at a tapered dose for many weeks

Question 17

Bupropion is contraindicated when?

Answer 17

patients with seizures or eating disorders

Question 18

what kind of drug is bupropion?

Answer 18

antidepressant

Question 19

This drug has a black box warning for suicidal thoughts, nightmares and mood changes

Answer 19

varenicline

Question 20

naltrexone

Answer 20

new drug used for smoking cessation, alcohol or opiod dependence; might be good for female smokers

Question 21

When should you consider stepping up in the step wise approach to asthma?

Answer 21

symptoms more than twice a week or 60-80% FEV

Question 22

When can you step down with asthma treatment>

Answer 22

if symptoms are well controlled for 3 months

Question 23

What should be taken in conjunction with oral corticosteroids that are used long term?

Answer 23

vit D and calcium

Question 24

most effective for acute asthma exacerbation

Answer 24

SABA

Question 25

Treatment for CAP

Answer 25

macrolide

Question 26

treatment of choice for strep

Answer 26

amoxicillin

Question 27

treatment of choice for klebsiella

Answer 27

ceph

Question 28

tx for MRSA

Answer 28

vanc

Question 29

tx for MSSA

Answer 29

nafacillin

Question 30

Tx for mycoplasma PNA

Answer 30

clarithromycin, azithromycin or doxy

Question 31

Tx for chlamydia PNA

Answer 31

doxy or macrolide

Question 32

Tx for H influenza

Answer 32

macrolide (TMP-SMZ)