Lecture 2: Pulmonary

Question 0

What is a common cause of COPD?

Answer 0

Smoking!!!

Question 1

What is the most common asthma trigger that Fusco wants us to know?

Answer 1

Tobacco smoke

Question 2

What is a goal for pharmacology in all patients with a chronic condition like COPD

Answer 2

Try to keep them out of acute exacerbation and reduce the daily shortness of breath

Question 3

What is the preferred method of delivery of medications for patients with asthma or COPD?

Answer 3

Inhalation (reduces the effects of oral ingestion)

Question 4

Can Short Acting Beta 2 Andrenergic (SABAs) Agonists be used as a rescue inhaler?

Answer 4

Yes

Question 5

Please identify the preferred medication delivery route for a patient with asthma.

Answer 5

Inhaled

Question 6

What is the duration of action of SABAs?

Answer 6

3-4 hours

Question 7

What are two common side effects of SABAs?

Answer 7

Shaking and increased heart rate (<need to know) (jittery and increase BP are also side effects)

Question 8

What else do patients need to take with LABAs (Long acting beta2 Andrenergic agonist)?

Answer 8

-should be used in combination with an inhaled corticosteroid.

Question 9

Can you use LABA as a rescue inhaler?

Answer 9

No!!!!

Question 10

Tiotropium (spiriva) are anticholinergics. Are they indicated for asthma patients? Are they indicated for COPD?

Answer 10

Not for asthma patients

Yes for COPD patients

Question 11

What kind of schedule should muscarinic cholinergic antagonists be taken for COPD patients?

Answer 11

A routine schedule

Question 12

Can muscarinic cholinergic antagonists be used for rescue?

Answer 12

No

Question 13

Which disease process are inhaled corticosteroids more useful in: asthma? Or COPD?

Answer 13

Asthma

Question 14

What is a side effect of inhaled corticosteroids?

Answer 14

> > > Oral thrush

• headache
• growth stunting

Question 15

True/false: inhaled corticosteroids do not cause bronchodilation and are not for rescue.

Answer 15

True

Question 16

Why should you not take oral corticosteroids long term!?

Answer 16

Osteoporosis (prednisone)

Question 17

What are the goals of asthma?

Answer 17

> > control

1) reduce impairment
2) reduce risk

Question 18

What does GOLD stand for?

Answer 18

Global initiative for chronic Obstructive Lung Disease

Question 19

What are the goals for treatment of COPD?

Answer 19

1) reduce symptom

2) reduce risk

Question 20

If you see a patient with COPD, what yearly thing must they needed to be reminded to get?

Answer 20

> pneumococcal and influenza vaccination

Question 21

What is a pulmonary embolus?

Answer 21

A thrombus that usually forms in the peripheral limb (DVT) that travels through the right heart and becomes lodged in the pulmonary arteries.

Question 22

If a patient gets a pulmonary embolus and you place them on an anti platelet therapy… What is a risk factor for anti-platelet therapy?

Answer 22

Bleeding bitches

Question 23

What is the international normalized ratio (INR)?

Answer 23

The ratio between the sample being analyzed and a known specimen of normal blood
Normal is 0.9-1.1
When a patient is on warfarin for PE/DVT treatment our goal is an INR of 2-3

Question 24

What is thrombolysis?

Answer 24

Thrombus=clot
Lysis=break down
So they break down clots…ALTEPLASE (activase)

Question 25

What is a non-sedating oral antihistamine?

Answer 25

Loratadine (Claritin)

Question 26

What medication is related to tendon rupture?

Answer 26

Fluoroquinolones

Question 27

A patient suffers from asthma and allergic rhinitis that is induced by pollen in the spring. Choose an appropriate medication to prevent her asthma and allergic rhinitis.

Answer 27

Claritin/ loratidine

Question 28

You are working with a patient post MVA. The patient suddenly experiences knee pain which you find out later is a tendon rupture. What medication caused it?

Answer 28

Fluoroquinolones