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Pharm Ch 75 Asthma drug drill

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