Respiratory Pharm

Question 1

Bronchodilator Classes

Answer 1

beta 2 agonists and anticholinergics

Question 2

Long acting bronchodilators

Answer 2

Salmeterol
Formoterol
Tiotropium

Question 3

Short acting bronchodilators

Answer 3

Albuterol(Proventil)
Levalbuterol(Xopenex)
Ipratropium(Atrovent)

Question 4

Anticholinergic bronchodilators

Answer 4

Ipratropium(Atrovent)
Tiotropium

Question 5

Beta2 agonist bronchodilators

Answer 5

Albuterol(Proventil)
Levalbuterol(xopenex)
Salmeterol
Formoterol

Question 6

Oral Corticosteroids

Answer 6

For short term exacerbations
Prednisone
Dexamethasone
Methylprednisoline

Question 7

IV/IM Corticosteroids

Answer 7

For short term exacerbations
Dexamethasone
Methylprednisoline

Question 8

Inhaled corticosteroids

Answer 8

Taken daily
Fluticasone(flovent)
memetasone(Asmanex)
budesonide(Pulmicort)

Question 9

Corticosteroids MOA

Answer 9

Prevent or suppress inflmmation

Question 10

3 stages of inflammation

Answer 10

Vasodilation and increased blood vessel permeability
Emigration
Tissue repair

Question 11

Indications for corticosteroids

Answer 11

Anaphylaxis
Anaphylactoid reactions
Asthma

Question 12

Adverse effects of corticosteroids

Answer 12

Related to long term use
Fluid retention
Hyperglycemia
Immune suppression
Adrenal suppresion

Question 13

Drug of choice for asthma sedation

Answer 13

Ketamine

Question 14

Montelukast

Answer 14

Singulair
Leukotriene receptor antagonist
asthma prophylaxis and maintenance

Question 15

Magnesium sulfate

Answer 15

For severe asthma to relax the smooth muscles

Question 16

Dexamethasone

Answer 16

asthma, croup, MS, allergic reaction, cerebral edema, shock

Question 17

Prolonged use of corticosteroids can lead to what disease?

Answer 17

Cushing’s disease

Question 18

POND

Answer 18

For Pulmonary Edema
Position/PPV
Oxygen
Nitroglycerin
Diuretics

Question 19

Nitroglycerin MOA

Answer 19

Systemic vasodilation which decreased preload
At high doses reduces afterload

Question 20

Dose for nitro

Answer 20

0.4 mg SL or IV infusion at 10-200 mcg/min

Question 21

Nitro adverse effects

Answer 21

Headache
Hypotension
Reflex tachycardia
Dizzy
Syncope

Question 22

When not to use nitrgo

Answer 22

If pt has taken the following in the last 24-48 hrs
Phosphodiesterase inhibitor(PDE):
sildenafil(viagra)
vardenafil(levitra)
tadalafil(cialis)

Question 23

Types of diuretics

Answer 23

Thiazide
Loop
Potassium sparing

Question 24

Furosemide

Answer 24

Lasix
Loop diretic

Question 25

Types of loop diuretics

Answer 25

Furosemide(Lasix)
torsemide
bumetanide(burmex)

Question 26

Types of thiazide diuretics

Answer 26

Hydrochlorothiazide
Chlothalidone

Question 27

Potassium sparing diuretics

Answer 27

Spironolactone(aldactone)

Question 28

Indications for furosemide

Answer 28

Edema, HTN, hyperkalemia

Question 29

Adverse effects of furosemide

Answer 29

Hypokalemia, dizzy, hypocalcemia, hypotension, urination a lot

Question 30

How do loop diuretics work?

Answer 30

They block the Na/L/2Cl transporter at the loop of henly
results in these substances being retained

Question 31

Epinephrine MOA

Answer 31

Strong alpha adrenergic effects
Strong beta 1
Meh beta 2

Question 32

Tell all you know about benadryl

Answer 32

first generation antihistamine
MOA: competes with free histamines for binding at H1 receptor sites
Contraindications: asthma and lactating females
Adverse effects: dryness