Pulmonary Flashcards

1
Q

Short Acting B2 Agonists

SABA

A

drug of choice for quick relief of asthma attack
rescue inhaler
5-15 min onset, lasts 4-6 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Examples of SABAs

A

albuterol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Long Acting B2 Agonists

LABA

A

adjunct to SABAs

1 hr onset, lasts 12 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Examples of LABAs

A

salmeterol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

MOA of SABAs and LABAs

A

relax bronchial smooth muscle by acting on B2 receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

SE of SABAs and LABAs

A

skeletal muscle tremor, cardiac stimulations on excessive doses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Inhaled Corticosteroids

example and use

A

Fluticasone

for acute attacks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Systemic Corticosteroids

example and use

A

prednisolone, prednisone

prevent attacks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Use of Corticosteroids

A

controller medication for persistent attacks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MoA of Corticosteroids

A

act on glucocorticoid receptors and stimulate protein synthesis
anti-inflammatory
takes 4-12 hrs to work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Benefits of Corticosteroids

A

inhibit inflammation at all levels
reduce mucous production
increase B2 receptor levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

SE of Inhaled Corticosteroids

A

thrush / candidiasis

use spacer to get more to lungs; rinse out mouth after use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Example of Long Acting Muscarinic Antagonist

LAMA

A

tiotropium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Use of SAMA and LAMA

A

COPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

SE of SAMA and LAMA

A

sympathetic effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cromolyn MoA

A

antiinflammatory

inhibits pulmonary mast cell degranulation, cant release histamine, leukotrienes, TNF-a

17
Q

Least toxic drug to treat asthma

A

Cromolyn

18
Q

Leukotriene Antagonist Examples

A

montelukast

zileuton

19
Q

MoA of Leukotriene Antagonists

A

blocks leukotriene receptor cys-LT1 - montelukast

blocks 5-lipoxygenase enzyme - zileuton

20
Q

Use of Leukotriene Antagonist

A

alternatives to inhaled steroids
allergies
taken orally

21
Q

Meds to stop smoking

A

Nicotine
Bupropion
Varenicline

22
Q

Bupropion

A

blocks reuptake of NE and DA
antidepressant
smoking

23
Q

Varenicline

A

nicotinic receptor partial agonist

blocks release of dopamine- less reward from smoking

24
Q

SE of Bupropion and Varenicline

A

suicide

25
Q

Bronchodilators used to manage COPD

A

SABA- as needed

LAMA- daily preventative

26
Q

Mx for Rhinitis

A

H1 receptor antagonists
decongestants- phenylephrine
corticosteroids
cromolyn

27
Q

Dextromethorphan

A

acts on cough center in medulla to raise threshold for coughing

28
Q

SE for Dextromethorphan

A

high doses cause CNS depression

29
Q

Benzonatate

A

anesthetizes stretch receptors in respiratory passages

decreases coughing

30
Q

Example of Expectorants

A

Guaifenesin