respiratory Flashcards

1
Q

antihistamine nomenclature for h1 1st gen

A

-en/-ine or -en/-ate or -zine (with exception of cetirizine)

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2
Q

nomenclautre for antihistamine h1 2nd gen

A

end in -adine and cetirizine. vs h2 which is -dine

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3
Q

1st gen uses

A

urticaria, motion sickness, sleep aid

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4
Q

adverse effects of 1st gen

A

sedtation, antimuscarinic, anti a adrenergic

(u) caution in elderly with cognitive or fxnal impairment

antimuscarinic action with cross BBB and can cause sedation and decreased cognition

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5
Q

second gen uses

A

urticaria and allergy

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6
Q

second gen adverse effects

A

far less sedating that first because decreased BBB

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7
Q

guaifenesin

A

648

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8
Q

n-acetylcysteine

A

648

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9
Q

dextromethorphan mech

A

648

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10
Q

dextromethorphan use

A

648

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11
Q

dextromethorphan analog of?

A

648

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12
Q

dextromethorphan extra effect

A

648

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13
Q

dextromethorphan OD

A

remember mild abuse potential

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14
Q

dextromethorphan can cause?

A

serotonin syndrome

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15
Q

pseudophedrine use

A

648

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16
Q

pseudophedrine mech

A

648

17
Q

pseudophedrine adverse effects

A

648

18
Q

bosentan use, mech, side effect

A

648

19
Q

sildenafil use, mech, side effect

A

648

20
Q

epoprostenol, iloprost use, mech, side effect

A

648

21
Q

albuterol use

A

acute exacerbation of asthma/copd

22
Q

albuterol adverse effects

A

649

23
Q

salmeterol/ formoterol use

A

copd/asthma long acting (always with glucocorticoid)

24
Q

salmeterol/ formoterol adverse effects

A

649

25
Q

fluticasone, budesonide mech and use

A

649 copd and asthma

26
Q

fluticasone, budesonide adverse effect

A

649

27
Q

tiotropium/ipratropium use

A

copd and asthma

28
Q

ipratropium lenght

A

649

29
Q

tiotropium length

A

649

30
Q

montelukast, zafirlukast mech and use

A

649

31
Q

zileuton use and side effect

A

649

32
Q

omalizumab mech and use

A

649

33
Q

methylxanthines

A

theophylline

34
Q

theophylline mechanism

A

blocks phosphdiestarese and icnreases camp

also looks like adenosine receptor atagonism (this is why adenosine wouldnt break a tachy)

35
Q

theophylline adverse

A

narrow therapeutic index (cardiotoxic and neurotoxic)

mateabolized by p450

36
Q

theophylline use

A

asthma and copd

37
Q

theophylline toxicity

A

(u) mild maybe only cortical arousal and insomnia

more serious nausea, vomiting, tachyarrythmias, seizures and abdominal pain

38
Q

treat theophylline toxicity with

A

charcoal (reduce absorption)

b blockers for tachy arrythmia

benzos, barbituates, for seizure

39
Q

methacholine

A

used in the bronchial challenge for diagnosis of asthma