Pulmonary Medications Flashcards
Asthma and COPD
What are the two main categories of pharmacotherapy in treating asthma?
Rescue medications and controller medications.
What medications fall under rescue medications for treating a pulmonary condition?
Short-Acting Beta Agonists (SABA)
What medications fall under controller medication for treating a pulmonary condition?
Long-Acting Beta Agonists (LABA)
Inhaled Corticosteroids (ICS)
Long-Acting Muscarinic Agents (LAMA)
Leukotriene-Receptor antagonists
Commonly used inhaled beta-agonsists?
Albuterol (ProAir, Ventolin, Proventil HFA) – short-acting
Levalbuterol (Xopenex HFA) – short-acting
Formoterol (Foradil Aerolizer) – long-acting
Salmeterol (Serevent) – long-acting
What inhaled beta agonist is also used in other combination inhalers?
Salmeterol
What are commonly used Inhaled Anticholinergics?
Ipratropium (Atrovent)
Tiotropium (Spiriva; Respimat; HandiHaler)
What are commonly used Inhaled (Nasal) Corticosteroids?
Mometasone (Asmanex; Nasonex)
Fluticasone (Flovent, Flonase)
Budesonide (Pulmicort; Rhinocort)
Beclomethasone (Qvar RediHaler; Beconase)
What are adverse drug reactions when using ICS?
Upper respiratory tract infection, oral thrush
What are commonly used Leukotrienes?
Montelukast (Singulair)
Zafirlukast (Accolate)
What are adverse drug reactions in leukotrienes?
Diarrhea, fever, headache, cold-like symptoms, depression/suicidal behaviors (rarely)
Fluticasone fall under what class of agents?
ICS
Beclomethasone fall under what class of agents?
ICS
Tiotropium fall under what class of agents?
LAMA
Umeclidinium fall under what class of agents?
LAMA
Salmeterol fall under what class of agents?
LABA
What are commonly used combination inhalers?
Formeterol/Fluticasone (Symbicort)
Salmeterol/Fluticasone (Advair Diskus)
Vilanterol/Fluticasone (Breo Ellipta)
Formoterol/Mometasone (Dulera)
Vilanterol/Umeclidinium (Anoro Ellipta)
Vilanterol/Fluticasone/Umeclinidium (Trelegoy Ellipta)
Formeterol/Fluticasone fall under what class of agents?
LABA/ICS
Salmeterol/Fluticasone falls under what class of agents?
LABA/ICS
Vilanterol/fluticasone
LABA/ICS
Formoterol/Mometasone falls under what class of agents?
LABA/ICS
Vilanterol/Umeclidinium falls under what class of agents?
LABA/LAMA
Vilanterol/Fluticasone/Umeclidinium falls under what class of agents?
LABA/ICS/LAMA
Albuterol and Levalbuterol fall under what class of agents?
SABA
What dosage forms are Albuterol available in?
MDI, BAI, nebulizer solution, extended-release tablets and oral solution
Levalbuterol is available in what type of dosage forms?
MDI and nebulizer solution
What dosage form is Formoterol available in?
Nebulizer solution
What dosage form is Formoterol/Fluticasone available in?
MDI
What dosage forms is Salmeterol/Fluticasone available in?
DPI and MDI
What dosage forms is Vilanterol/Fluticasone available in?
DPI
What dosage forms is Formoterol/mometasone available in?
MDI
What dosage form is Vilanterol/Umeclidinium available in?
DPI
What is the generic for Ventolin?
a. Albuterol
b. Fluticasone
c. Salmeterol/Fluticasone
d. Beclomethasone
Albuterol
What is the generic for ProAir?
a. Albuterol
b. Levalbuterol
c. Mometasone
d. Olodaterol
Albuterol
What is the generic name for Proventil?
Albuterol
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
Formoterol/fluticasone
What is the generic equivalent of Singulair?
a. Tiotropium
b. Vilanterol/fluticasone/umeclidinium
c. Formoterol/budesonide/glycopyrrolate
d. Montelukast
Montelukast
What is the generic equivalent of Singulair?
a. Anoro Ellipta
b. Incruse Ellipta
c. Trelegy Ellipta
d. Breo Ellipta
Anoro Ellipta
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
Salmeterol/fluticasone
What is the generic name of Qvar?
a. Beclomethasone
b. Mometasone
c. Fluticasone
d. Methylprednisolone
Beclomethasone
The generic name of a Trelegy Ellipta inhaler is?
a. Vilanterol/fluticasone/umeclidinium
b. Vilanterol/umeclidinium
c. Tiotropium/olodaterol
d. Aclidinium/formoterol
Vilanterol/fluticasone/umeclidinium
Which medication is approved as a rescue inhaler?
a. Spiriva
b. Xopenex
c. Advair
d. Flovent
Xopenex
Which of these inhalers in NOT approved for rescue treatment?
a. Ventolin
b. Proventil
c. Flovent
d. Xopenex
Flovent
T/F: Albuterol, Levalbuterol, and Vilanterol are all indicated to be used as rescue inhalers?
False
Which inhaler is an inhaled corticosteroid (ICS)?
a. Serevent Diskus
b. Ventolin
c. Spiriva
d. Qvar
Qvar
T/F: Spiriva HandiHaler and Incruse Ellipta are both LAMA inhalers and can be therapeutically substituted for each other.
True
Which of these agents is a SABA?
a. ProAir
b. Singulair
c. Xolair
d. Advair
ProAir
An Advair Diskus inhaler contains which class(es) of medication(s)? (check all that apply)
a. LABA
b. ICS
c. LAMA
d. SABA
LABA/ICS
What inhaler class(es) are in a Symbicort inhaler? (check all that apply)
a. LABA
b. ICS
c. LAMA
d. SABA
LABA/ICS
An Anoro Ellipta inhaler contains which class(es) of medication(s)? (check all that apply)
a. LABA
b. ICS
c. LAMA
d. SABA
LABA/LAMA
Which inhaler is considered to be a therapeutic duplication of Breo Ellipta?
a. Spiriva
b. Incruse Ellipta
c. Ventolin
d. Dulera
Dulera
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
Drug Powder Inhaler
Which of these inhalers is a DPI inhaler?
a. Spiriva
b. Symbicort
c. Qvar
d. Ventolin
Spiriva
Which of these inhalers should have a “shake well” instruction attached?
a. Qvar
b. Advair Diskus
c. Anoro Ellipta
d. Spiriva
Qvar
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
Treatment duration lasts 10-15 minutes
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
45mg
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
15
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
45
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
2g
How many milligrams of levothyroxine are in 25mcg tablets?
a. 0.025mg
b. 0.25 mg
c. 2.5 mg
d. 25mg
0.025
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
0.137mg
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
7 grams
