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AA Pulmonology > Medications - Asthma and COPD > Flashcards

Medications - Asthma and COPD Flashcards

1
Q

Short-acting bronchodilators, examples, brand and generic names

A

ProAir = albuterol sulfate
Proventil HFA = albuterol sulfate
Ventolin HFA = albuterol sulfate
Xopenex HFA = levalbuterol tartrate

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2
Q

Long-acting bronchodilators, examples, brand and generic names

A

Foradil Aerolizer = formoterol fumarate
Arcapta Neohaler = indacaterol
Serevent Diskus = salmeterol xinafoate

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3
Q

Anticholinergics, examples, brand and generic names

A

Anoro Ellipta = umeclidinium and vilanterol
Atrovent = ipratropium bromide
Combivent Respimat = ipratropium bromide and albuterol
Spiriva HandiHaler = tiotropium bromide
Tudorza Pressair = aclidinium bromide

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4
Q

Inhaled Corticosteroids, examples, brand and generic names

A 
Aerospan = flunisolide
Alvesco = ciclesonide
Asmanex Twisthaler = mometasone furoate
Flovent Diskus = fluticasone propionate
Flovent HFA = fluticasone propionate
Pulmicort Flexhaler = budesonide
QVAR = beclomethasone dipropionate
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5
Q

Combination medications, examples, brand and generic names

A

Advair Diskus = fluticasone propionate and salmeterol
Advair HFA = fluticasone propionate and salmeterol xinafoate
Breo Ellipta = fluticasone furoate and vilanterol
Dulera = mometasone furoate and formoterol fumarate dihydrate
Symbicort = budesonide and formoterol fumarate dihydrate

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6
Q

Short-acting bronchodilators do …?

A

Relax tight muscles in airways and offer quick relief of symptoms such as coughing, wheezing and SOB for 3 - 6 hours.

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7
Q

Long-Acting bronchodilators do …?

A

Relax tight muscles in airways an d offer lasting relief of symptoms such as coughing, wheezing, and SOB for at least 12 hours.

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8
Q

Anticholinergics do …?

A

Relieve cough, sputum production, wheeze, and chest tightness associated with chronic lung diseases.

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9
Q

Inhaled corticosteroids do …?

A

Reduce and prevent swelling or airway tissue; they do no relieve sudden symptoms of coughing, wheezing or SOB.

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10
Q

Combination medications do …?

A

Contain both long-acting bronchodilator and inhaled corticosteroid.

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11
Q 
ProAir:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A

Short-acting bronchodilator
Albuterol Sulfate
1 - 2 puffs, Q 4 - 6 hours or 15 - 30 minutes before exercise.
Use at first sign of symptoms or prior to exercise.
Asthma

Shake and spray 4 times before first use, after dropping, or after 2 weeks of non-use.

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12
Q 
Aerospan:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Inhaled corticosteroid
Flunisolide
1 - 2 puffs BID
Maintenance medication
Asthma

Other: has built in spacer
Shake and spray 2 times before first use or after 2 weeks of non-use.

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13
Q 
Anoro Ellipta:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A

Anticholinergic (& long-acting bronchodilator combo)
Umeclidinium and vilanterol
(ue me’’ kli din’ ee um vye lan’ ter ol)
1 inhalation, Q day
Maintenance medication
COPD

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14
Q 
Advair Diskus:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Combination, long-acting bronchodilator and ICS
Fluticasone propionate and salmeterol
1 inhalation, BID
Maintenance medication
Asthma
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15
Q 
Proventil HFA:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A

Short-acting bronchodilator
Albuterol sulfate
1 - 2 puffs, Q 4 - 6 hours or 15 - 30 minutes prior to exercise.
Use at first sign of symptoms or prior to exercise
Asthma

Shake and spray 4 times before first use, after dropping, or after 2 weeks of non-use.

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16
Q 
Alvesco:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Inhaled corticosteroid
Ciclesonide (sye kles' oh nide)
1 - 2 puffs BID
Maintenance medication
Asthma

Spray 3 times before first use or after 10 days of non-use.

17
Q 
Foradil Aerolizer:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Long-acting bronchodilator
Formoterol fumarate
1 dose BID or 15 minutes prior to exercise.
Maintenance medication
Asthma
18
Q 
Atrovent HFA:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Anticholinergic
Ipratropium
2 inhalations, 4 times/day
Maintenance medication
COPD

Shaking not necessary; spray 2 sprays prior to first use or after 3 days of non-use.

19
Q 
Advair HFA:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A

Combination, long-acting bronchodilator and ICS
Fluticasone propionate and salmeterol xinafoate
2 inhalations, BID
Maintenance medication
Asthma

Shake for 5 seconds and spray 4 times prior to first use. Spray twice after dropping or after 4 weeks of non-use.
Store with mouthpiece down.

20
Q 
Arcapta Neohaler:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Long-acting bronchodilator
Indacaterol (in'' da ka' ter ol)
1 dose, Q day
Maintenance medication
COPD
21
Q 
Asmanex Twisthaler:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Inhaled corticosteroid
Mometasone furoate
1 - 2 puffs once or twice daily
Maintenance medication
Asthma
22
Q 
Combivent Respimat:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Anticholinergic (& short-acting bronchodilator combo)
Ipratropium bromide and albuterol
1 inhalation, 4 times daily
Maintenance medication
COPD

Spray until aerosol cloud is visible, then repeat 3 times prior to first use or after 21 days non-use. Spray once after 3 days non-use.

23
Q 
Ventolin HFA:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A

Short-acting bronchodilator
Albuterol sulfate
1 - 2 puffs, Q 4 - 6 hours or 15 - 30 minutes prior to exercise.
Use at first sign of symptoms or prior to exercise
Asthma

Shake and spray 4 times before first use, after dropping, or after 2 weeks of non-use.

24
Q 
Flovent Diskus:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Inhaled corticosteroid
Fluticasone propionate
1 - 2 puffs BID
Maintenance medication
Asthma
25
Q 
Breo Ellipta:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Combination, long-acting bronchodilator and ICS
Fluticasone propionate and vilanterol
1 inhalation, Q day
Maintenance medication
COPD
26
Q 
Pulmicort Flexhaler:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Inhaled corticosteroid
Budesonide
1 - 2 puffs BID
Maintenance medication
Asthma

Do not shake; twist and click twice prior to first use.

27
Q 
Xopenex HFA:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Short-acting bronchodilator
Levalbuterol tartrate
1 - 2 puffs, Q 4 - 6 hours.
Use at first sign of symptoms.
Asthma

Store with mouthpiece down.
Shake and spray 4 times before first use, after dropping, or after 3 days of non-use.

28
Q 
Spiriva HandiHaler:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Anticholinergic
tiotropium
1 dose, Q day
Maintenance medication
COPD

Do not use with ipratropium because of molecule displacement.

29
Q 
Flovent HFA:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Inhaled corticosteroid
Fluticasone propionate
1 - 2 puffs BID
Maintenance medication
Asthma

Store with mouthpiece down.
Shake and spray 4 times before first use; shake and spray once after dropping or after 7 days of non-use.

30
Q 
Dulera:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A

Combination, long-acting bronchodilator and ICS
Mometasone furoate and formoterol fumarate dihydrate
2 inhalations, BID
Maintenance medication
Asthma

Shake and spray 4 times before first use or after 5 days of non-use.
Do not remove canister from actuator.

31
Q 
Serevent Diskus:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Long-acting bronchodilator
Salmeterol xinafoate
1 dose BID or 30 minutes prior to exercise.
Maintenance medication
Asthma or COPD
32
Q 
QVAR:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Inhaled corticosteroid
Beclomethasone dipropionate
1 - 2 puffs BID
Maintenance medication
Asthma

Shaking not necessary. Spray 2 times before first use or after 10 days of non-use.
Store on end with canister top down.

33
Q 
Tudorza Pressair:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A 
Anticholinergic
Aclidinium bromide (a'' kli din' ee um)
1 inhalation, BID
Maintenance medication
COPD
34
Q 
Symbicort:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -
A

Combination, long-acting bronchodilator and ICS
Budesonide and formoterol fumarate dihydrate
2 inhalations, BID
Maintenance medication
Asthma, COPD

Shake for 5 seconds and spray 2 times prior to first use, after dropping or after 7 days of non-use.
Store with mouthpiece down.

35
Q

Symbicort Doses:
Asthma -
COPD -

A

Asthma - 80/4.5 and 160/4.5 for people 12 and older. Try ICS first unless asthma is severe enough to begin treatment with Symbicort.

COPD, including chronic bronchitis and emphysema. 160/4.5

2 inhalations twice a day.

36
Q

Symbicort, SE

A
  • Pneumonia and lower respiratory tract infections
  • Serious allergic rxs - rash, hives, swelling of face, etc.
  • Immune system effect, increased chance of infection
  • Adrenal insufficiency - if PO corticosteroids are stopped in favor of ICS.
  • Too much LABA - chest pain, increased BP, fast, irregular HB, HA, tremor, nervousness.
  • Wheezing - can happen right after use.
  • Eye problems - glaucoma, cataracts - schedule reg. eye exams.
  • Lower bone mineral density - esp. in those with a high chance for low bone mineral density (osteoporosis)
  • Slowed growth in children - monitor.
  • Swelling of blood vessels - s/sx feeling of pins and needles or numbness of arms or legs, flu like symptoms, rash, pain, swelling of sinuses. Decrease in serum potassium, increase blood glucose

AA Pulmonology (14 decks)

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