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NURS 572 Pharm Ch 75
Pharm Ch 75 Asthma drug drill
Question | Answer |
---|---|
we only use a spacer on this type of delivery | only with MDI medtered dose inhalers |
2 classes that are preventative bwo anti-inflammation MOA | glucocorticosteroids----non-steroidal anti-inflammatory |
What class of drugs is effetive for both anti-inflammation (prevention) and acute attacks | Beta-2 agonists |
what class is most effective for prevention | glucocorticosteroids - but not for acute |
which class is safest, also where we generally start kids | non-steroidal anti-inflamms |
what class is less effective than, but also used in conjunction with B-2 agonists for difficult to control patients | anticholinergics - they block normal bronchoCON resulting in bronchDIL |
name 4 inhaled 'sone steroidals | beclomethasone --- flucticasone ---mometesone ---triamcinalone |
beclomethasone | inhaled 'sone steroid anti-inflamm most effective prevention class |
fluticasone | inhaled 'sone steroid anti-inflamm most effective prevention class |
mometasone | inhaled 'sone steroid anti-inflamm most effective prevention class |
triamcinolone | inhaled 'sone steroid anti-inflamm most effective prevention class |
name 3 inhaled 'ide steroids | budenoside --- ciclenoside --- flunisolide |
budenoside | inhaled 'ide steroid anti-inflamm most effective prevention class |
ciclenoside | inhaled 'ide steroid anti-inflamm most effective prevention class |
flunisolide | inhaled 'ide steroid anti-inflamm most effective prevention class |
name 4 oral/systemic steroids-antiinflamm | prednisone --- prednisolone---methylpredisolone---dexamethasone |
of the 4 oral/systemic steroids, which are also IV admin for most acute cases | methylprednisolone---dexamethasone |
pt education for inhaled steroids | must gargle after use and use spacer to increase drug delivery and minimize SEs |
name 2 drugs in saftest of all class - NSAIDs for asthma | cromolyn---nedocromil |
cromolyn class | NSAID-asthma-safest-kids |
nedocromil class | NSAID-asthma-safest-kids |
Name 4 beta agonists - used both for prevention and acute - that are inhaled/quick/short | albuterol---levalbuterol---bitolterol---pirbuterol |
albuterol | quick/short inhaled Beta -2 agonist |
levalbuterol | quick/short inhaled Beta -2 agonist |
bitolterol | quick/short inhaled Beta -2 agonist |
pirbuterol | quick/short inhaled Beta -2 agonist |
name 3 beta agonists - used for prevention and acute - inhaled/long acting | salmeterol---formoterol---alformoterol |
salmeterol | inhaled/long acting/ Beta-2 agonist |
formoterol | inhaled/long acting/ Beta-2 agonist |
alformoterol | inhaled/long acting/ Beta-2 agonist |
name 2 rarely used oral B-2 agonists acute/prevention | albuterol---terbutaline |
albuterol - other admin | also oral, rarely used, B-2 agonist |
terbutaline | oral, rarely lused B-2 agonist |
Name 2 anticholinergics usually used for additive effect with B-2 agonist (MDI/nebulizer) | ipratropium --- tiotoprium |
ipratropium | anticholinergic |
titoproprium | longer-acting anticholinergic |
name 1 methylxanthine with very narrow TI | theophylline -- also with CNS/CV SEs. rarely used |
name 1 leukotriene modifier | montelukast |