Pharm- Lung disease Flashcards
Short acting beta agonist- Indications
- Asthma: Immediate relief of symptoms- most effective med for acute bronchospasm
- Intermediate duration- 3-6 hrs
- Only for use <2x/ week
COPD: Long term use for bronchodilation
Short acting beta agonist- MOA
Relaxes bronchial smooth muscle- beta 2 agonist
Short acting beta agonist- AE
- Nervousness, tremor, HA, palpitations
Short acting beta agonist- Names
Albuterol, levalbuterol, metaproternol
Long acting beta agonist- Names
salmeterol, formoterol
Long acting beta agonist- Indications
- Long acting relief of symptoms- not control
Long acting beta agonist- MOA
- Long acting beta agonist- relaxes bronchial smooth muscle
Long acting beta agonist- AE
- Black box: Increased risk of death if used as long term controller
Mast cell stabilizers- Names
Cromolyn
Leukotriene modifiers- Names
montelukast, zafirlukast, zileuton
Leukotriene modifiers- Indications
Alternative controller for concern about steroids in children
Mast cell stabilizers- MOA
Inhibit inflammatory response of mast cells in lungs
Inhaled corticosteroids- Names
beclomethasone, fluticasone, triamcinolone
Inhaled corticosteroids- AE
- Low side effect profile
- HPA axis may be suppressed in children, reducing growth
Anticholinergics- MOA
Block Ach to allow relaxation of bronchial smooth muscle