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34 Cards in this Set
- Front
- Back
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Side effects of Anticholinergics
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Dry mouth, cough, eye effect
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side effects of atrovent
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most common: dry mouth, cough-atrovent
eye effect: atrovent (brand name) topical - possible pupil dilation & lens paralysis if in eyemost common when using aerosol mask delivery |
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generic name for atrovent
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Ipratropium Bromide
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When you use spiriva, what receptors do we hope to target?
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M1 & M3
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How often is spiriva given?
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once a day
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What specifically does an anticholinergic do?
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Blocks Ach from receptors
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What is the typical dosage and frequency in SVN for Ipratroprium Bromide?
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0.5 mL
3 to 4 times per day |
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What is the typical dose and frequency of Atrovent in an MDI?
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2 puffs QID
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What receptor sites do bronchodilators use? Would mucomyst work?
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B2
No - It would cause bronchospasm |
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Atropine was once used as a bronchodilator, but is no longer used. True or false?
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True
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What is the sister drug to albuterol?
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levalbuterol
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Most common frequency for levalbuterol
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3x day - last for 8 hours
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albuterol doses?
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3mL: 0.5mL (2.5mg), 0.63mg, 1.25mg
5mL: 1.25mg |
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Why is levalbuterol used?
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Less B1 Side effects
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is metaproterol a bronchodilator?
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Yes. Short acting. MDI and SVN
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What’s the advantage of giving corticosteroids by inhalation?
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no systemic affects
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How can side effects of corticosteroids be diminished?
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spacer, rinse mouth, don’t over-medicate
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What’s the basic effect corticosteroids have in the airways?
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(non-steroidal anti-inflammatory)
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most common diseases for corticosteroids
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asthma, CB
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overuse of corticosteroids causes
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Adrenal (HPA) suppression
muscle wasting immunosuppression steroid diabetes |
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some medications have combinations of long acting beta agonists and corticosteroids. What are they?
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Advair
Symbicort |
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What are the generic names that make up Advair?
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Fluticozone (flovent)
salmeterol (severent) |
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What generic drugs make up symbicort?
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budesinide
formoterol |
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SVN brand name for budesonide?
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pulmicort respules
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Which of the long acting B adrenergics for asthma has the quickest onset time?
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formoterol (foradil)
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a patient has frequent asthma attacks. What do you recommend for long term control?
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mast cell stabilizers
antileukotrienes inflammation - corticosteroids |
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What are names for long acting bronchodilators?
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Salmeterol
formoterol arformoterol |
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should you mix tobramycin with other drugs?
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no
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When should tobramycin be given?
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AFTER every other treatment
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What is the disease tobramycin addresses?
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CF
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What's the name of the nebulizer for tobramycin?
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Pari LC plus
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What precautions must be considered with Mucomyst?
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Must be given with a bronchodilator
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once Mucomyst is opened, what happens?
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date & time
96 hours |
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how does mucomyst work?
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breaks down disulfide bonds
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