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Pharmacy Tech > Pulmonary Medications > Flashcards

Pulmonary Medications Flashcards

Asthma and COPD

1
Q

What are the two main categories of pharmacotherapy in treating asthma?

A

Rescue medications and controller medications.

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2
Q

What medications fall under rescue medications for treating a pulmonary condition?

A

Short-Acting Beta Agonists (SABA)

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3
Q

What medications fall under controller medication for treating a pulmonary condition?

A

Long-Acting Beta Agonists (LABA)

Inhaled Corticosteroids (ICS)

Long-Acting Muscarinic Agents (LAMA)

Leukotriene-Receptor antagonists

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4
Q

Commonly used inhaled beta-agonsists?

A

Albuterol (ProAir, Ventolin, Proventil HFA) – short-acting

Levalbuterol (Xopenex HFA) – short-acting

Formoterol (Foradil Aerolizer) – long-acting

Salmeterol (Serevent) – long-acting

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5
Q

What inhaled beta agonist is also used in other combination inhalers?

A

Salmeterol

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6
Q

What are commonly used Inhaled Anticholinergics?

A

Ipratropium (Atrovent)

Tiotropium (Spiriva; Respimat; HandiHaler)

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7
Q

What are commonly used Inhaled (Nasal) Corticosteroids?

A

Mometasone (Asmanex; Nasonex)

Fluticasone (Flovent, Flonase)

Budesonide (Pulmicort; Rhinocort)

Beclomethasone (Qvar RediHaler; Beconase)

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8
Q

What are adverse drug reactions when using ICS?

A

Upper respiratory tract infection, oral thrush

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9
Q

What are commonly used Leukotrienes?

A

Montelukast (Singulair)

Zafirlukast (Accolate)

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10
Q

What are adverse drug reactions in leukotrienes?

A

Diarrhea, fever, headache, cold-like symptoms, depression/suicidal behaviors (rarely)

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11
Q

Fluticasone fall under what class of agents?

A

ICS

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12
Q

Beclomethasone fall under what class of agents?

A

ICS

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13
Q

Tiotropium fall under what class of agents?

A

LAMA

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14
Q

Umeclidinium fall under what class of agents?

A

LAMA

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15
Q

Salmeterol fall under what class of agents?

A

LABA

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16
Q

What are commonly used combination inhalers?

A

Formeterol/Fluticasone (Symbicort)

Salmeterol/Fluticasone (Advair Diskus)

Vilanterol/Fluticasone (Breo Ellipta)

Formoterol/Mometasone (Dulera)

Vilanterol/Umeclidinium (Anoro Ellipta)

Vilanterol/Fluticasone/Umeclinidium (Trelegoy Ellipta)

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17
Q

Formeterol/Fluticasone fall under what class of agents?

A

LABA/ICS

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18
Q

Salmeterol/Fluticasone falls under what class of agents?

A

LABA/ICS

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19
Q

Vilanterol/fluticasone

A

LABA/ICS

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20
Q

Formoterol/Mometasone falls under what class of agents?

A

LABA/ICS

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21
Q

Vilanterol/Umeclidinium falls under what class of agents?

A

LABA/LAMA

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22
Q

Vilanterol/Fluticasone/Umeclidinium falls under what class of agents?

A

LABA/ICS/LAMA

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23
Q

Albuterol and Levalbuterol fall under what class of agents?

A

SABA

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24
Q

What dosage forms are Albuterol available in?

A

MDI, BAI, nebulizer solution, extended-release tablets and oral solution

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25
Q

Levalbuterol is available in what type of dosage forms?

A

MDI and nebulizer solution

26
Q

What dosage form is Formoterol available in?

A

Nebulizer solution

27
Q

What dosage form is Formoterol/Fluticasone available in?

A

MDI

28
Q

What dosage forms is Salmeterol/Fluticasone available in?

A

DPI and MDI

29
Q

What dosage forms is Vilanterol/Fluticasone available in?

A

DPI

30
Q

What dosage forms is Formoterol/mometasone available in?

A

MDI

31
Q

What dosage form is Vilanterol/Umeclidinium available in?

A

DPI

32
Q

What is the generic for Ventolin?

a. Albuterol
b. Fluticasone
c. Salmeterol/Fluticasone
d. Beclomethasone

A

Albuterol

33
Q

What is the generic for ProAir?

a. Albuterol
b. Levalbuterol
c. Mometasone
d. Olodaterol

A

Albuterol

34
Q

What is the generic name for Proventil?

A

Albuterol

35
Q

A patient complains of their Symbicort copay being very high. They would like to try the generic alternative because the copay would be lower. Which inhaler should be dispensed?

a. Salmeterol/fluticasone
b. Vilanterol/fluticasone
c. Formoterol/fluticasone
d. Formoterol/mometasone

A

Formoterol/fluticasone

36
Q

What is the generic equivalent of Singulair?

a. Tiotropium
b. Vilanterol/fluticasone/umeclidinium
c. Formoterol/budesonide/glycopyrrolate
d. Montelukast

A

Montelukast

37
Q

What is the generic equivalent of Singulair?

a. Anoro Ellipta
b. Incruse Ellipta
c. Trelegy Ellipta
d. Breo Ellipta

A

Anoro Ellipta

38
Q

FK presents to the pharmacy with a prescription for Advair Diskus. Which of these agents could be generically substituted?

a.
Salmeterol/fluticasone
b. Formoterol/fluticasone
c. Formoterol/glycopyrrolate
d. Beclomethasone

A

Salmeterol/fluticasone

39
Q

What is the generic name of Qvar?

a. Beclomethasone
b. Mometasone
c. Fluticasone
d. Methylprednisolone

A

Beclomethasone

40
Q

The generic name of a Trelegy Ellipta inhaler is?

a. Vilanterol/fluticasone/umeclidinium
b. Vilanterol/umeclidinium
c. Tiotropium/olodaterol
d. Aclidinium/formoterol

A

Vilanterol/fluticasone/umeclidinium

41
Q

Which medication is approved as a rescue inhaler?

a. Spiriva
b. Xopenex
c. Advair
d. Flovent

A

Xopenex

42
Q

Which of these inhalers in NOT approved for rescue treatment?

a. Ventolin
b. Proventil
c. Flovent
d. Xopenex

A

Flovent

43
Q

T/F: Albuterol, Levalbuterol, and Vilanterol are all indicated to be used as rescue inhalers?

A

False

44
Q

Which inhaler is an inhaled corticosteroid (ICS)?

a. Serevent Diskus
b. Ventolin
c. Spiriva
d. Qvar

A

Qvar

45
Q

T/F: Spiriva HandiHaler and Incruse Ellipta are both LAMA inhalers and can be therapeutically substituted for each other.

A

True

46
Q

Which of these agents is a SABA?

a. ProAir
b. Singulair
c. Xolair
d. Advair

A

ProAir

47
Q

An Advair Diskus inhaler contains which class(es) of medication(s)? (check all that apply)

a. LABA
b. ICS
c. LAMA
d. SABA

A

LABA/ICS

48
Q

What inhaler class(es) are in a Symbicort inhaler? (check all that apply)

a. LABA
b. ICS
c. LAMA
d. SABA

A

LABA/ICS

49
Q

An Anoro Ellipta inhaler contains which class(es) of medication(s)? (check all that apply)

a. LABA
b. ICS
c. LAMA
d. SABA

A

LABA/LAMA

50
Q

Which inhaler is considered to be a therapeutic duplication of Breo Ellipta?

a. Spiriva
b. Incruse Ellipta
c. Ventolin
d. Dulera

A

Dulera

51
Q

In pharmacy, what is the meaning of the “DPI” abbreviation?

a. Drug powder inhaler
b. Drug patient instruction
c. Medication side-effect
d. Insulin delivery device

A

Drug Powder Inhaler

52
Q

Which of these inhalers is a DPI inhaler?

a. Spiriva
b. Symbicort
c. Qvar
d. Ventolin

A

Spiriva

53
Q

Which of these inhalers should have a “shake well” instruction attached?

a. Qvar
b. Advair Diskus
c. Anoro Ellipta
d. Spiriva

A

Qvar

54
Q

One disadvantage of nebulizer treatments over other lung medication delivery systems is that:

a. The patient needs to have a relatively strong lung function to use them

b. The patient needs to have good coordination to use them

c. Treatment duration lasts 10-15 minutes

d. Nebulizer solutions should be shaken prior to use

A

Treatment duration lasts 10-15 minutes

55
Q

AJ is a 10 year-old patient who received a prescription for prednisolone 15mg/5mL. The patient is instructed to take one tablespoon daily in the morning for 5 days. How many milligrams of prednisolone will this patient be taking per day?

a. 15mg
b. 30mg
c. 45mg
d. 90mg

A

45mg

56
Q

AK received a prescription for docusate sodium 50mg/5mL. He is instructed to take 1 tablespoon every 12 hours. How many milliliters should AK take per dose?

a. 5
b. 15
c. 30
d. 10

A

15

57
Q

A prescription is written for lactulose 10gm/15ml solution. The patient is instructed to take 3 tablespoons twice daily. How many mL should they take per dose?

a. 30
b. 15
c. 45
d. 90

A

45

58
Q

A patient is instructed to take four 500mg amoxicillin capsules once for one dose. How many grams of Amoxicillin are they taking?

a. 1g
b. 2g
c. 4g
d. 0.2g

A

2g

59
Q

How many milligrams of levothyroxine are in 25mcg tablets?

a. 0.025mg
b. 0.25 mg
c. 2.5 mg
d. 25mg

A

0.025

60
Q

SB is a 35 year old male that takes one 137mcg levothyroxine tablet every morning on an empty stomach. How many milligrams of levothyroxine does SB take per day?

a. 0.137mg
b. 1.37 mg
c. 0.0137 mg
d. 13.7mg

A

0.137mg

61
Q

MC is a 45 year old male that presents to the pharmacy with a prescription for an antibiotic. Clarithromycin 500mg - TK 1 TAB PO Q12H x 7 days. Dispense #14.
How many grams of clarithromycin will this patient take over the course of 7 days?

a. 3.5grams
b. 7 grams
c. 14 grams
d. 35 grams

A

7 grams

Pharmacy Tech (14 decks)

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