Lower Respiratory Tract.pptx Flashcards

1
Q

Asthma _ LGE- Mask cell go to which?

Neutrophils
Eosinophils
Inflammatory soup- Histamine, leukotrienes,

A

Inflammatory soup- Histamine, leukotrienes,

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2
Q

Chronic Inflammation Does or Does not cause - COPD

A

It does cause COPD

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3
Q

Which is your primary rescue inhaler

Formoterol (LABA) or Albuterol (SABA)

A

Albuterol (SABA)

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4
Q

Which of the following is Short-acting beta2 agonist (SABA) inhalers

albuterol, arformoterol, levalbuterol, salmeterol

A

albuterol

levalbuterol

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5
Q

Which of the following is Long-acting beta2 agonist (LABA) inhalers

albuterol, arformoterol, levalbuterol, salmeterol

A

arformoterol

salmeterol

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6
Q

Which of the following is Shake before use

DPI- Dry Powder Inhaler ,MDI- Metered Dose Inhaler

A

MDI- Metered Dose Inhaler

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7
Q

Which of the following is No need to shake

DPI- Dry Powder Inhaler ,MDI- Metered Dose Inhaler

A

DPI- Dry Powder Inhaler

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8
Q

For both inhalers
1. Exhale or Inhaler!
2Deep slow inhale 2 to 3 or 3 to 5 seconds,
getting full amount of drug deep in lungs
Hold breath for 3 to 5 or 5 to 10 seconds to allow drug to be deposited in lungs

A

Exhale
3 to 5
5 to 10

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9
Q

You Wait 1 to 2 minutes between puffs for?

Different or Same Inhaler

A

Same

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10
Q

You wait between 2 to 5 min When using different inhalers for?

Different or Same Inhaler

A

Different

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11
Q

Use the SABA or an ICS- Inhaled Corticosteroid first

A

SABA

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12
Q

Do you take the Bronchodilation or streriod first

A

Bronchodilation (albuterol)

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13
Q

Spacers can be used to help (children or Adults) inhale more of the drug

A

childeren

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14
Q

? can also be used to help reduce how much of an inhaled corticosteroid adheres to a patients mouth/oropharyngeal tract, (Flush)?

Nebulizers or Spacer

A

Spacer

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15
Q

Turns liquid drugs into a mist to be inhaled

Nebulizers or Spacer

A

Nebulizers

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16
Q

SHORT ACTING- meant to prevent or treat asthma attacks

albuterol, arformoterol, levalbuterol, salmeterol

A

albuterol

levalbuterol

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17
Q

PRN to stop an attack or prevent one from occurring

albuterol, arformoterol, levalbuterol, salmeterol

A

albuterol

levalbuterol

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18
Q

or acute asthma exacerbation and prevention of exercise induced bronchospasm

A

albuterol

levalbuterol

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19
Q

Which causes this adverse side effect
activate Beta 1 receptors•T
achycardia/palpitations, angina

SABA or LABA

A

Both

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20
Q

Which causes Beta 2 receptors are also found on skeletal muscles
Tremors (skeletal muscle), excitability/nervousness

SABA or LABA

A

Both

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21
Q

Which causes Throat irritation/hoarseness

SABA or LABA

A

Both

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22
Q

Which cause Hypokalemia

SABA or LABA

A

SABA

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23
Q

Which Causes QTc prolongation= Torsades de Pointes

SABA or LABA

A

LABA

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24
Q

Which prevents Asthma attacks

SABA or LABA

A

LABA

25
Q

Which are BRONCHODILATORS:Anticholinergic Agents

Ipratropium, tiotropium, aclidinium

A

Ipratropium, tiotropium, aclidinium

26
Q

Which of the following are Short-acting muscarinic antagonist(SAMA) inhalers

Ipratropium, tiotropium, aclidinium

A

Ipratropium

27
Q

Which of the following are Long-acting muscarinic antagonist (LAMA) inhalers

Ipratropium, tiotropium, aclidinium

A

tiotropium, aclidinium

28
Q

Duoneb®/Combivent®- Ipratropium + Albuterol

What is this?

A

SABA and SAMA combines

29
Q

Most common is dry mouth–Throat irritation/hoarseness is common in which

SABA, LABA, SAMA, LAMAMethylxanthine/Xanthine

A

ALL

30
Q

What are used to treat bronchospasm with COPD/Asthma

SABA, LABA, SAMA, LAMA, Methylxanthine/Xanthine

A

SAMA, LAMA

31
Q

Methylxanthine/Xanthine - theophylline is similar to Cocaine or Caffeine

A

Caffeine

32
Q

Can Methylxanthine/Xanthine - theophylline be given in (Po or IV)

A

Both

33
Q

Which treats chronic COPD/Asthma

SABA, LABA, SAMA, LAMA, Methylxanthine/Xanthine

A

Methylxanthine/Xanthine

34
Q

Methylxanthine/Xanthine Derivatives:theophylline
Which one is CHF- Milrinone

PDE-3, PDE 4, PDE-5

A

PDE-3,

35
Q

Methylxanthine/Xanthine Derivatives:theophylline
Which one is COPD- Theophylline

PDE-3, PDE 4, PDE-5

A

PDE 4

36
Q

Methylxanthine/Xanthine Derivatives:theophylline
Which one is PENIS- Erectile Dysfunction -Viagra

PDE-3, PDE 4, PDE-5

A

PDE-5

37
Q

Which has these side effects
Nausea/Vomiting, Anorexia, headache,dizziness
Increased Urination•palpitations, tachycardia, dysrhythmias
Seizures•Known to cause Stomach Pain (epigastric pain)

Montelukast or Theophylline

A

Theophylline

38
Q

Which do you have to check therapeutic index drug for

Montelukast or Theophylline

A

Theophylline

39
Q

The therapeutic index drug range for Theophylline is

5-10 mcg/ml or 5-15 mcg/ml

A

5-15 mcg/ml

40
Q

Which of the following are Anti-inflammatory Drugs
Slow down Inflammation

Theophylline
Leukotriene modifiers
Corticosteroids

A

Leukotriene modifiers

Corticosteroids

41
Q

Montelukast is approved for who?

Pediatrics
Adult
Geariatic

A

pediatrics and adults

42
Q

Which is the prevention of exercise induced bronchoconstriction
Asthma
Seasonal Allergies

Corticosteroids, Montelukast

A

Montelukast

43
Q

Montelukast is a Pill or Inhaler?

A

Pill

44
Q

Montelukast is which

Leukotriene modifiers
Corticosteroids

A

Leukotriene modifiers

45
Q

Which has this adverse side effect
Headaches (18% of users)
neuropsychiatric events such as depression/anxiety/sleep disorders

Corticosteroids, Montelukast

A

Montelukast

46
Q

A patient should take Montelukast in the morning or evening?

A

evening

47
Q

A patient should Montelukast take 2 hours prior or after to exercise

A

prior

48
Q
Which are Inhaled Corticosteroids: 
(ICS)fluticasone, 
beclomethasone 
budesonide
Montelukast
A

(ICS)fluticasone,
beclomethasone
budesonide

49
Q

Does Inhaled Corticosteroids chronic COPD/Asthma

A

Yes

50
Q

Inhaled Corticosteroids
INHALED (?)
IV (?)
Oral (?)

TREATMENT, PREVENTION, STABILIZE

A

PREVENTION
TREATMENT
STABILIZE

51
Q

Can nasal spray treat help asthma/COPD?

Y/N

A

NO

52
Q

What Supresses prostaglandins?

Leukotriene modifiers
Inhaler Corticosteroids

A

Inhaler Corticosteroids

53
Q

With any steriod Inhaler a patient should or shouldn’t rinse their mouth to avoid thrust

A

Should

54
Q

Which causes this adverse side effect?
Delayed Growth in children/adolescents
Bone Mineral Density loss

Leukotriene modifiers
Inhaler Corticosteroids

A

Inhaler Corticosteroids

55
Q

Which is Mast Cell Stabilizers

Leukotriene modifiers
Inhaler Corticosteroids
Cromolyn

A

Cromolyn

56
Q
Which treat Asthma 
Prevent EIB (Exercise Induced Bronchospasms)

Leukotriene modifiers
Inhaler Corticosteroids
Cromolyn

A

Cromolyn

57
Q

Is Cromolyn inhaled or a pill

A

pill

58
Q

Should which be Taken 10 minutes up to 1 hour prior to Exercise for EIB

Montelukast or Cromolyn

A

Cromolyn