Quick-Relief Medications in Asthma - SAMA

Question 1

Ipratropium HFA brand name

Answer 1

Atrovent

Question 2

Ipratropium HFA dosage form

Answer 2

MDI

Question 3

ipratropium HFA/nebulizer dosing ages

Answer 3

0-4, 5-11, adults

Question 4

Ipratropium/albuterol brand names

Answer 4

• Combivent Respimat (MDI)
• DuoNeb (nebulizer)

Question 5

Ipratropium/albuterol dosage forms

Answer 5

• MDI
• nebulizer

Question 6

Ipratropium/albuterol dosing ages

Answer 6

0-4, 5-11, adult

Question 7

ipratropium HFA adverse effects

Answer 7

*dry mouth
* urinary retention
* infection
* sinusitis
* bronchitis

Question 8

ipratropium HFA clinical pearls:
* used in combo with ___ for asthma exacerbation treatment
* may mix in same nebulizer with albuterol
* should not be used as first line therapy; should be added to ___ therapy for severe exacerbation

Answer 8

• albuterol
• SABA

Question 9

ipratropium/albuterol nebulizer clinical pearl:
* May be used for up to ___ hours in initial management of severe exacerbations

Answer 9

3 hours

Question 10

how do SAMAs work?

Answer 10

competitively inhibit cholinergic receptors in bronchial smooth muscle à ↓cGMP leading to bronchodilation

Question 11

what are the 5 corticosteroids on the chart and their dosage forms?

Answer 11

methylprednisolone (tab)
prednisolone (tab)
prednisone (tab, liquid)
dexamethasone (tab, liquid, inj)
methylpresnisolone acetate (repository inj)

Question 12

corticosteroid adverse effects:

Answer 12

• hyperglycemia
• increased appetite
• fluid retention
• demargination of WBC
• mood disturbances

Question 13

corticosteroid clinical pearls:
* Contraindicated: systemic ___ infections, do not administer ___ vaccines
* May be used with ___ is patient is already taking ___ before hospitalization
* may be used for severe ___ and ___

Answer 13

• fungal, live
• ICS, CIS
• asthma, COPD

Question 14

systemic corticosteroids work by

Answer 14

decreasing inflammation and increasing response to B2 agonists