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Pharm Clinical Correlates > Pulm > Flashcards

Pulm Flashcards

1
Q

spirometry is not recommended age < ______ and during acute exacerbations

A

< 5 yo

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2
Q

Tx of acute asthma exacerbation via SNV

A

Albuterol +/- Ipratropium SVN q 20-30 min PRN up to 3 doses

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3
Q

recommended dosage of albuterol SVN < 12 yo

A

0.15-0.3 mg/kg

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4
Q

How long does albuterol last?

A

4 hours

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5
Q

Tx of acute asthma exacerbation via MDI

A

Albuterol MDI 90 mcg/puff 2-6 puffs q 20 minutes

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6
Q

Tx of acute asthma exacerbation via oral GCs…

A

1-2 mg/kg/day, QD or BID x 3-5 days

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7
Q

when to f/u for acute asthma exacerbation?

A

2-3 days

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8
Q

Mild persistent asthma/STEP 2

A

SABA + low dose ICS OR Montelukast

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9
Q

2 major indications for montelukast

A

asthma

allergic rhinitis

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10
Q

dosing for montelukast 1-6 yo

A

4mg QD

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11
Q

dosing for montelukast 6-15 yo

A

5mg QD

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12
Q

dosing for montelukast > 15 yo

A

10 mg QD

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13
Q

When can you step down asthma therapy?

A

after 3 mo of sxs control

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14
Q

Omalizumab cannot be prescribed to pts < _____ yo

A

6 yo

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15
Q

Tiotropium is a _______ used for tx of ______

A

long acting anticholinergic

tx of COPD

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16
Q

which is a short acting bronchodilator/anticholiergic?

A

ipratropium

17
Q

2 major SEs of tiotropium

A

dry mouth

cough

18
Q

purpose of using anticholinergics like tio/ipratropium?

A

sx relief

19
Q

purpose of combo bronchodilator + anti-inflammatory agents…

A

control

20
Q

ICS have what 2 major SEs

A

thrush

hoarseness

21
Q

3 tx options for acute exacerbation of COPD

A

intensification of bronchodilator

short course GCs

Abx (macrolide or FLQ)

22
Q

Acute exacerbation of COPD: bronchodilator…

A

albuterol 2 puffs q 6 hours x 48 hours

23
Q

Acute exacerbation of COPD: GCs

A

prednisone 40 mg PO QD x 5 days

24
Q

Acute exacerbation of COPD: Abx

A

Azithromycin 500 mg PO QD x 3 days

OR

Levaquin 500-750 mg PD QD x 5-7 days

25
Q

4 1st line tx for stable COPD

A

SABA/SAMA

LABA/LAMA

LABA + LAMA

26
Q

SABA should be available for COPD patients in which categories?

A

B-D

Pharm Clinical Correlates (9 decks)

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