Lower Respiratory Tract.pptx Flashcards
Asthma _ LGE- Mask cell go to which?
Neutrophils
Eosinophils
Inflammatory soup- Histamine, leukotrienes,
Inflammatory soup- Histamine, leukotrienes,
Chronic Inflammation Does or Does not cause - COPD
It does cause COPD
Which is your primary rescue inhaler
Formoterol (LABA) or Albuterol (SABA)
Albuterol (SABA)
Which of the following is Short-acting beta2 agonist (SABA) inhalers
albuterol, arformoterol, levalbuterol, salmeterol
albuterol
levalbuterol
Which of the following is Long-acting beta2 agonist (LABA) inhalers
albuterol, arformoterol, levalbuterol, salmeterol
arformoterol
salmeterol
Which of the following is Shake before use
DPI- Dry Powder Inhaler ,MDI- Metered Dose Inhaler
MDI- Metered Dose Inhaler
Which of the following is No need to shake
DPI- Dry Powder Inhaler ,MDI- Metered Dose Inhaler
DPI- Dry Powder Inhaler
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
Exhale
3 to 5
5 to 10
You Wait 1 to 2 minutes between puffs for?
Different or Same Inhaler
Same
You wait between 2 to 5 min When using different inhalers for?
Different or Same Inhaler
Different
Use the SABA or an ICS- Inhaled Corticosteroid first
SABA
Do you take the Bronchodilation or streriod first
Bronchodilation (albuterol)
Spacers can be used to help (children or Adults) inhale more of the drug
childeren
? can also be used to help reduce how much of an inhaled corticosteroid adheres to a patients mouth/oropharyngeal tract, (Flush)?
Nebulizers or Spacer
Spacer
Turns liquid drugs into a mist to be inhaled
Nebulizers or Spacer
Nebulizers
SHORT ACTING- meant to prevent or treat asthma attacks
albuterol, arformoterol, levalbuterol, salmeterol
albuterol
levalbuterol
PRN to stop an attack or prevent one from occurring
albuterol, arformoterol, levalbuterol, salmeterol
albuterol
levalbuterol
or acute asthma exacerbation and prevention of exercise induced bronchospasm
albuterol
levalbuterol
Which causes this adverse side effect
activate Beta 1 receptors•T
achycardia/palpitations, angina
SABA or LABA
Both
Which causes Beta 2 receptors are also found on skeletal muscles
Tremors (skeletal muscle), excitability/nervousness
SABA or LABA
Both
Which causes Throat irritation/hoarseness
SABA or LABA
Both
Which cause Hypokalemia
SABA or LABA
SABA
Which Causes QTc prolongation= Torsades de Pointes
SABA or LABA
LABA
Which prevents Asthma attacks
SABA or LABA
LABA
Which are BRONCHODILATORS:Anticholinergic Agents
Ipratropium, tiotropium, aclidinium
Ipratropium, tiotropium, aclidinium
Which of the following are Short-acting muscarinic antagonist(SAMA) inhalers
Ipratropium, tiotropium, aclidinium
Ipratropium
Which of the following are Long-acting muscarinic antagonist (LAMA) inhalers
Ipratropium, tiotropium, aclidinium
tiotropium, aclidinium
Duoneb®/Combivent®- Ipratropium + Albuterol
What is this?
SABA and SAMA combines
Most common is dry mouth–Throat irritation/hoarseness is common in which
SABA, LABA, SAMA, LAMAMethylxanthine/Xanthine
ALL
What are used to treat bronchospasm with COPD/Asthma
SABA, LABA, SAMA, LAMA, Methylxanthine/Xanthine
SAMA, LAMA
Methylxanthine/Xanthine - theophylline is similar to Cocaine or Caffeine
Caffeine
Can Methylxanthine/Xanthine - theophylline be given in (Po or IV)
Both
Which treats chronic COPD/Asthma
SABA, LABA, SAMA, LAMA, Methylxanthine/Xanthine
Methylxanthine/Xanthine
Methylxanthine/Xanthine Derivatives:theophylline
Which one is CHF- Milrinone
PDE-3, PDE 4, PDE-5
PDE-3,
Methylxanthine/Xanthine Derivatives:theophylline
Which one is COPD- Theophylline
PDE-3, PDE 4, PDE-5
PDE 4
Methylxanthine/Xanthine Derivatives:theophylline
Which one is PENIS- Erectile Dysfunction -Viagra
PDE-3, PDE 4, PDE-5
PDE-5
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
Theophylline
Which do you have to check therapeutic index drug for
Montelukast or Theophylline
Theophylline
The therapeutic index drug range for Theophylline is
5-10 mcg/ml or 5-15 mcg/ml
5-15 mcg/ml
Which of the following are Anti-inflammatory Drugs
Slow down Inflammation
Theophylline
Leukotriene modifiers
Corticosteroids
Leukotriene modifiers
Corticosteroids
Montelukast is approved for who?
Pediatrics
Adult
Geariatic
pediatrics and adults
Which is the prevention of exercise induced bronchoconstriction
Asthma
Seasonal Allergies
Corticosteroids, Montelukast
Montelukast
Montelukast is a Pill or Inhaler?
Pill
Montelukast is which
Leukotriene modifiers
Corticosteroids
Leukotriene modifiers
Which has this adverse side effect
Headaches (18% of users)
neuropsychiatric events such as depression/anxiety/sleep disorders
Corticosteroids, Montelukast
Montelukast
A patient should take Montelukast in the morning or evening?
evening
A patient should Montelukast take 2 hours prior or after to exercise
prior
Which are Inhaled Corticosteroids: (ICS)fluticasone, beclomethasone budesonide Montelukast
(ICS)fluticasone,
beclomethasone
budesonide
Does Inhaled Corticosteroids chronic COPD/Asthma
Yes
Inhaled Corticosteroids
INHALED (?)
IV (?)
Oral (?)
TREATMENT, PREVENTION, STABILIZE
PREVENTION
TREATMENT
STABILIZE
Can nasal spray treat help asthma/COPD?
Y/N
NO
What Supresses prostaglandins?
Leukotriene modifiers
Inhaler Corticosteroids
Inhaler Corticosteroids
With any steriod Inhaler a patient should or shouldn’t rinse their mouth to avoid thrust
Should
Which causes this adverse side effect?
Delayed Growth in children/adolescents
Bone Mineral Density loss
Leukotriene modifiers
Inhaler Corticosteroids
Inhaler Corticosteroids
Which is Mast Cell Stabilizers
Leukotriene modifiers
Inhaler Corticosteroids
Cromolyn
Cromolyn
Which treat Asthma Prevent EIB (Exercise Induced Bronchospasms)
Leukotriene modifiers
Inhaler Corticosteroids
Cromolyn
Cromolyn
Is Cromolyn inhaled or a pill
pill
Should which be Taken 10 minutes up to 1 hour prior to Exercise for EIB
Montelukast or Cromolyn
Cromolyn
