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unit 3 pharmacology-
rspt 1431
| Question | Answer |
|---|---|
| Side effects of Pentamadine | cough, bronchial irritation,bronchospasm (so may need short-acting B2 if needed) |
| Ultra Short-Acting Adrenergic Bronchodilator Agents | Racemic epinephrine |
| Short-acting Adrenergic Bronchodilators | Albuterol,Pirbuterol,Levalbuterol |
| Long-acting Adrenergic Bronchodilators last how long and are used when? | all last 12 hours, used overnight |
| Long-acting Adrenergic Bronchodilators | Salmeterol, Formoterol, Arformoterol |
| Salmeterol | Serevent |
| Formoterol | Foradil |
| Arformoterol | Brovana |
| Salmeterol (serevent) adult dose | DPI-50 ug/blister twice daily |
| Formoterol (foradil)adult dose | DPI-12 ug/inhalation twice daily |
| Arformoterol (brovana) adult dose | SVN-15 ug/2 ml unit dose, twice daily |
| What are the Anticholinergic Bronchodilators? | ipratrpium(Atrovent),Tiotropium bromide (spiriva),Ipratropium bromide and albuterol (combivent, duoneb) |
| Tiotropium bromide | Spiriva |
| Tiotropium bromide (spiriva) adult dose | DPI- 18 ug/inhalation, 1 inhalation daily |
| Ipratropium bromide and albuterol | combivent, duoneb |
| What do you do after taking Aerosolized corticosteroids? | remember to rinse mouth |
| Fluticasone propionate/salmeterol | advair diskus, advair HFA |
| Fluticasone propionate/salmeterol (advair) adult dose | use twice a day |
| Budesonide/formoterol fumarate HFA | symbicort |
| Budesonide/formoterol fumarate HFA (symbicort)dose | twice a day |
| QVAR | Beclomethasone dipropionate HFA |
| Azmacort | triamcinotone acetonide |
| Flovent HFA and diskus | fluticasone propionate |
| AeroBid | flunisolides |
| Aerosolized anti-infectives | Pentamadine (nebupent) |
| Pentamadine | nebupent |
| What is Pentamadine used for? | P. carinii pneumonia prohylaxis |
| Mucoactive Agents | Acytylcysteine (mucomyst) |
| Acytylcysteine | mucomyst |
| What is Acytylcysteine (mucomyst) used for? | bronchitis, efficacy not proven |
| side effects of acytylcysteine (mucomyst)? | can produce bronchospasm, provide short-acting B2 if needed |
| Which meds are deemed "rescue" inhalers? | Short-acting adrenergic bronchodilator agents |
| What are good for noctural symptoms? | Long-acting Adrenergic bronchodilators |
| What are Inhaled corticosteroids used for? | the maintenance of persistent asthma and severe COPD |
| Sympathetic nerves have _______ receptors and the neurotransmitter is ______ | andrenergic, norepinephrine |
| Parasympathetic have _________ receptors and the neurotransmitter is ____________ | cholinergic, acetylcholine |
| What are the adrenergic receptors? | beta 1, beta 2, alpha |
| What are the cholinergic receptors? | M1,M2,M3 |
| adrenergic bronchodilators make up the: | largest group of drugs among aerosolized agents used for oral inhalation |
| what is a major indication for adrenergic bronchodilators? | reversible airway obstruction |
| if pt is getting tiotripium, they should not also be getting ipratropium bromide. They should only be getting one. Why? | It can cause drying out of secretions. |
| Adrenergic agonists act on which adrenergic receptors? | beta 1, beta 2, and alpha |
| cholinergic agonists act on which cholinergic receptors? | M1, M2, M3 |
| racemic epinephrine | MicroNefrin, Nephron |
| racemic epinephrine (micronefrin, nephron) adult dose | 0.25-.50ml |
| adverse side effects of racemic epinephrine (micronefrin, nephron) | tachycardia |
| albuterol | Proventil, ventolin, proair, accuNeb |
| albuterol (Proventil, ventolin, proair, accuNeb )adult doses | 0.63mg, 1.25mg, 2.5mg |
| side effects of short acting andrenergic bronchodilators | Tremors, headache, |
| pirbuterol | Maxair, autohaler |
| adult dose for pirbuterol (Maxair, autohaler ) | 200µ |
| levalbuterol | Xopenex |
| levalbuterol (xenopex)adult doses | 0.31mg, 0.63mg, 1.25mg |
| ipratrpium | atrovent |
| ipratrpium (atrovent) adult dose | MDI:18µg HFA MDI: 17µg SVN:500µg Nasal spray: .03%, .06% |
| tiotropium bromide (spiriva) adult dose | DPI: 18µg |
| adverse reactions of anticholinergic bronchodilators | Cough, dry mouth |
| adverse reactions of anticholinergic bronchodilators taken by MDI | nervousness, irritation, dizziness |
| adverse reactions of anticholinergic bronchodilators taken by SVN | Dyspnea, pharyngitis |
| side effect of tiotropium bromide (spiriva) | cough, dry mouth |
| after what medicine should the patient rinse out their mouth? | aerosolized steroids |