Respiratory meds (pharm)

Question 0

Long lasting adrenergic
Not for acute attacks; not a rescue inhaler
Used as prophylaxis

Answer 0

formoterol (Foradil) or salmeterol (Serevent)

Question 1

Adrenergic
Stimulates beta 2 receptors;
Causes bronchodilation
Rescue inhaler
Contra: tachy dysrhythmia, CAD

Answer 1

Albuterol (Proventill)

Question 2

Anticholinergic
Blocks muscarinic acetylcholinergic receptors
Causes bronchodilation
Minor side effects
Contra: enlarged prostate, bladder neck obstruction

Answer 2

Ipratropium (Atrovent)

Question 3

Anticholinergic
Given once daily,
Do not oral; crush in inhaler, breathe powder

Answer 3

tiotropium (Spiriva)

Question 4

Xanthine
Asthma maintenance therapy
Relaxes smooth muscle in bronchioles
Given IV for severe constriction
Not 1st choice; causes dysrhythmia 
Contra: peptic ulcers, seizures
5-15mcg/ml ideal ; >20mcg causes seizures, dysrhythmia

Answer 4

Theophylline (Aminophylline)

Question 5

Corticosteroid
Suppresses inflammatory mediators like histamine, prostaglandins and leukotrienes
Prevents asthma attacks
Rinse mouth after use to avoid thrush
Taper off to 'wake up' adrenal glands 
Can cause bone loss

Answer 5

Beclomethasone (Beconase)