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CPJE Preperation
| Question | Answer |
|---|---|
| List 3 drugs that may exacerbate Asthma | ***BAN Beta Blockers Aspirin NSAID's |
| How do you get a patient's Peak Expiratory Flow? | Patient has to stand up straight, hold peak flow meter horizontally, and blow into the meter. Repeat 2x and RECORD THE HIGHEST OF THREE READINGS. |
| What should be done if an Asthma Px is at Red Zone? | Take up to 3 treatments of 4-6 puffs of beta2-agonist every 20 min. Take oral steroids (40-60mg, 3-10days) Go to ER or call 911 |
| What should be done if an Asthma Px is at Yellow Zone? | 2-4 puffs of Beta2-agonist Q20 min x 3 doses. After 1 hr: If at green: beta agonist & inhaled steroid for 7-10 days If at yellow: beta agonist & oral steroid |
| What are the other names for Beclomethasone? | QVAR Vancenase/Beconase (nasal) Vancenase AQ/Beconase AQ (double strength nasal) |
| What's the age range for QVAR? | 5-11 yo: 40mcg, 1-2 puffs BID Adults: 80mcg, 1-2 puffs BID |
| What are the different brands names for Budesonide? | Pulmicort (Turbuhaler & Flexhaler) - DPI Rhinocort (allergic rhinitis) Entocort EC (caps for Crohn's) |
| What is the difference between Pulmicort Turbuhaler and Flexhaler? | Flexhaler has a dose counter |
| What is Entocort EC? | Budesonide capsules used for Crohn's. |
| List the lactose-containing inhalers (4) | Flexhaler (Pulmicort) Asmanex Foradil Advair Diskus |
| What are the other names for Flunisolide? | AeroBid AeroBid-M (with menthol) Aerospan - comes with a spacer |
| What is the strength and how is Medrol Dose Pack given? | Methylprednisolone = 4mg Dose: taper over 6 days (21 tabs total) |
| What are the medications used to prevent premature delivery? | Terbutaline Alternatives: MgSO4, Indomethacin, Makena (NEW!!!!) |
| What are the different brands for Mometasone? | Asmanex: for >12 yo Nasonex: nasal Elocon: topical |
| What are the brands for Fluticasone? | Flonase Veramyst - has fluticasone furoate instead of fluticasone propionate Flovent (MDI & DPI) |
| What is Alvesco? Dosing? | Ciclesonide, for >12 yo BID |
| What is Omnaris? | Ciclesonide for allergic rhinitis |
| What is Intal? Dosing? | Cromolyn, for >2 yo, 2 puffs QID |
| What is Tilade? Dosing? | Neodocromil, for >6 yo, 2 puffs QID |
| What the Long Acting Beta2-Agonists (LABA)? | Salmeterol (Servent) Formoterol (Foradil) |
| What is Servent? How long is it good for after opening? | Salmeterol; good for 6 weeks after opening foil |
| Dosing for Servent? | For >4 yo, 2 puffs BID or 30-60 min prior to exercise |
| Advair is good for how long after opening the foil? | 1 month; for >4 yo |
| Foradil dosing? | BID or 1 puffs 10 min prior to exercise. For >5 yo |
| What is Symbicort? Good for how long? Age range? | Formoterol with Budesonide; good for 90 days after opening; for >12 yo |
| Brand names for Theophylline? | Elixophyllin Theo-24 Uniphyl |
| Aminophylline quivalence of oral to IV theophylline? | IV aminophylline = 85% of theo PO aminophylline = 80% of theo |
| What is the max dose for Theophylline? | 900mg/day |
| What is the target serum concentration of Theophylline? | 5 - 15 mcg/mL |
| SE of theophylline? | >15mcg/mL - toxicity >30mcg/mL - SVT >50mcg/mL – seizure |
| What are the Anti-Leukotrienes used for Asthma? | Montelukast (Singulair) - QHS Zafirlukast (Accolate) - BID, empty stomach Zileuton (Zyflo) – BID |
| What is the dosing for Singulair? | 10 mg QHS > 15 yo 5 mg QHS : 6-14 yo 4 mg QHS : 2-5 yo |
| Can you use Singulair to prevent exercise induced bronchospasm? | Yes; must be taken 2 hours prior to activity |
| What do you need to check with Zyflo? | LFT's |
| Zyflo can increase concentration of what medications? | Theophylline and Warfarin |
| What is Omalizumab? Dose? | Xolair (Omalizumab) is for >12 yo, 150-375mg SQ Q2-4 weeks |
| What is the blackbox warning for Xolair? | Anaphylaxis |
| Xopenex is good for how long after opening? | Open the foil, 2 weeks. Open the vial, 1 week. |
| What is Atrovent? Dose? | Ipratropium; 2-3 puffs QID |
| Atrovent is contraindicated in what allergy? | Soy and peanut allergy |
| What are the 2 brands for Ipratropium-Albuterol combination? | Combivent - inhaler Douneb – nebulizer |
| What is Tiotropium? Advantage over Atrovent? | Spiriva; once a day dosing compared to Atrovent which is QID |
| What is Brovana? | Aformoterol; an LABA nebulizer sol'n. |
| What is Performist? | Storage?Formoterol, an LABA nebulizer sol'n.; Fridge |
| What are the Dry Powder Inhalers? | Flexhaler (Pulmicort/Budesonide) Advair Spiriva Foradil Flovent diskus Asmanex Serevent diskus |
| Patient has hyperglycemia if fasting glucose is what? | Post-prandial glucose of what?FG >126 mg/dL Post Prandial Glucose >200 |
| A pregnant patient has hyperglycemia if FG is what? | FG >105 |
| What are the two Diabetes meds for pregnant women? | Glyburide (Micronase, Diabeta) Metformin (Glucophage) |
| What are the 3 short acting insulins? | Lispro - Humalog Aspart – Novolog Glulisine – Apidra |
| What is Detemir? How long outside the fridge? | Levemir Good for 42 days outside the fridge. |
| What is Glargine? How long out of the fridge? | Lantus; good for 28 days out of the fridge. |
| What routes of injection can you give regular insulin? | IM, IV, SC |
| What routes of injection can you give Apidra? | IV and SQ |
| What is the insulin dosing for Type I & II Diabetes? | Type I: 0.5 - 0.8U/kg Type II: 0.7 - 1.5U/kg |
| What is Symlin? | Dosing? #1 SE?Pramlinitide (Symlin) Type I: 15U TID AC Type II: 60U TID AC SE: Nausea |
| Don't give Symlin to patients with? | A1C > 9% Hypersensitivity to metacresol GI motility meds Alpha glucosidase inhibitors |
| What are some of the symptoms for Diabetic Ketoacidosis? | ***FAN Fruity breat Abdominal pain N/V |
| What is the DoC for renal patients with DM? | Dose?Glipizide, 30 min AC Max: 20mg BID |
| What are the other names for Glyburide? Max? | Diabeta & Micronase, max: 10mg BID Glynase (micronized), max: 12mg |
| What is Amaryl? Max? | Glimepiride Max: 8mg |
| What are the other names for Metformin? Max dose? | Glucophage, 2550mg Glucophage ER & Glumetza, 2000mg Fortamet ER, 2500mg |
| what is Glucovance? | Glyburide-Metformin |
| What is Avandamet? | Rosiglitazone-Metformin |
| What is Prandimet? | Repaglinide-Metformin |
| Caution/contraindication for the use of Metformin | Males: SCr>1.5 Females: SCr>1.4 Liver disease, COPD, CHF |
| MoA of Thiazolidinediones? SE? | MoA: insulin sensitizers (Pioglitazone, Rosiglitazone) SE: ***DALE Decrease bone density Avoid in CHF patients Liver disease Edema |
| Patient has LFT's of >2.5x normal. Is it okay to give a thiazolidinedione? | DO NOT start medication if LFT's are >2.5x normal |
| What is Glyset? | Miglitol, alpha-glucosidase inh |
| What is Precose? | Dose? |
| What is Repaglinide? Dose? | Prandin (Repaglinide) Max: 16mg, 15 min AC |
| What is Starlix? Dose? | Nateglinide (Starlix) Max: 60-120mg, 30 minutes AC |
| What is Sitagliptin? Dosing? | Januvia (Sitagliptin) -CrCl>50mL/min: 100mg QD -CrCl 30-49mL/min: 50mg QD -CrCl <30mL/min: 25mg QD |
| What is Saxagliptin? Dose? | Onglyza (Saxagliptin) Max: 2.5mg for renal pts or if taken with inhibitors. |
| SE for Gliptins? | Pancreatitis Abdominal pain, N/V HA (headache) Upper respiratory tract infection |
| What is Byetta? Dose? | Exenatide (Byetta) Dose: 5-10mcg SC BID 60 min before meals (6 hours apart) |
Created by:
oparaMK
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