Meds

Question 1

Asthma- Reliever Medication

Answer 1

relax bronchial muscles-
Brochodilators rescue inhaler
Beta2 agonist
ProAir, Proventil(albuterol sulfate)
may cause tachycardia, anxiety
Anticholinergics: inhibits PNS, releases norepinephrine
Atrovent(ipratropium bromide)

Question 2

Asthma- Control medications

Answer 2

Long acting Beta2 agonist- slow onset long duration
Serevent(salmeterol xinafoate)
Anti-inflammatories- decrease inflammation will not cause broncho dilation
Leukotriene modifier: prevent inflammation by bloking leukotriene receptor
Singulair(montelikast sodium)
Corticosteroids- use inhaled for long term tx
Advair, Flovent(fluticasone furoate)
Mast cell stabilizer: prevents relase of inflammatory mediators
Tilade(nedocromil) Intal(crololyn) aka cromones
Xanthines- monitor blood levels, used later in astmas attack to decrease bronchoconstriction (Theophylline) Theolair
Anti-IgE- if asthma attack does not respond to other tx use this! Xolair(omalizumab) SQ

Question 3

Inhaler MDI

Answer 3

Metered dose inhaler
shake before use
slow inspiration
spacer can be used
no counter device
clean inhaler

short acting
Proventil

Question 4

Inhaler DPI

Answer 4

Dry powder inhaler
no shaking 
take rapidly to deliver deep
no spacer
counter used
do not get wet

Albuterol

Question 5

COPD

Answer 5

Beta adrenergic
Cholinergic antagonist
Methylxathines
Corticosteroids
Cromones
Mucolytics***
Antibiotics***

Question 6

COPD pt energy conservation

Answer 6

Pace themselves ADLs
Gradually increase activity
Tri-pod position
O2 with ADLs

Question 7

COPD minimize anxiety

Answer 7

antianxiety- Lorazapam

Question 8

Cystic Fibrosis

Answer 8

Brochodilators
Anti-inflammatory 
Mucolytic agents
Antibiotics- prophylactic
Denufosol

Question 9

PAH

Answer 9

digoxin
diuretics
Calcium channel blockers(procardia, cardizem)
Endothelin receptor antagonist- relax blood vessels
IV prostacyclin- dec pul pressure, inc blood flow to lung Flolan IV or SQ continuous infusion
Coumadin therapy
Lasic and Demadex use K too

Question 10

Sarcoidosis

Answer 10

Corticosteroids!

corticosteroids will depress immune system for 6-12 months

Question 11

Pulmonary Fibrosis

Answer 11

corticosteroids

immunosuppressants

Question 12

Radiation

Answer 12

use cholinergic drugs to increase saliva production

Question 13

Chemotherapy

Answer 13

use antiemetics

Question 14

PE

Answer 14

anticoagulants(Heprin IV followed by coumadin PO)
Fibrinolytics
Heparin monitor APTT
Coumadin monitor INR