Pharm airflow disorder meds

Bronchodilator meds

Beta 2 agonist

Anticholinergics

Methylxanthines

DOC for beta 2 agonist

Albuterol

DOC for anticholinergics

Ipratropium

DOC for Methylxanthines

Theophylline

Anti inflammatory meds

Steroids

Leukotriene inhibitors

Mast cell stabilizer

DOC of steroids

Beclomethasone

DOC for leukotriene inhibitors

Montelukast

DOC of mast cell stabilizer

Cromolyn

Route for beta 2 agonist

Inhaled

Oral

What is the purpose of inhaled beta 2 agonist

Prevention or rescue inhaler

Duration of inhaled beta 2 agonist

Short acting

What is the purpose of oral beta 2 agonist

Control

Duration of oral beta 2 agonist

Long acting; albuterol

Purpose of beta 2 adrenergic agonist

It selectively activates the beta 2 receptors in the bronchi smooth muscle

Tx for inhaled beta 2 agonist

Tx for bronchospams and asthma

Tx for oral beta 2 agonist

For long term control of asthma in pt with severe asthma

Complications of beta 2 agonist

Tachycardia

Angina

Tremors

What is the sequence for asthma attacks

During asthma attacks, we take AIM

What meds are in the AIM sequence

Albuterol

Ipratropium

Methyl-prednisolone

AIM sequence duration

Albuterol is first because it acts the quickest

Ipratropium is 2nd as duration is 5 hrs and onset is 15 - 20 mins

Methyl-prednisolone is last because it acts the slowest

What type of med is formoterol and saleterol

Beta 2 adrenergic agonist

Therapeutic uses for formoterol and salmeterol

Long term control of asthma

How does the formoterol and salmeterol work

Works locally in the lung as a bronchodilator and relaxes smooth muscle

What does formoterol/ salmeterol possess

A rapid onset and long duration

Complication of formoterol/ salmeterol

Tachycardia/ palpitation

Angina

Tremors

What type of bronchodilator is used for an acute asthma attack

Short acting bronchodilator

How many times should an ALBUTEROL meter dose inhaler be cleansed

1 - 2 times every week

What DOC is methylxanthines

Theophylline

Therapeutic level of theophylline

10 - 20

How many times should a steroid metered dose inhaler be cleansed

After every use

Therapeutic use of ORAL theophylline

Long term control of chronic asthma or COPD

Complication of theophylline

Dysrhythmias and seizures

What should you monitor for with theopylline

Therapeutic ranges (10-20 mcg/mL)

What is activated charcoal used for

Decreases absorption

What is lidocaine used for

Treat dysrhythmias

What is diazepam used for

To control seizures

Interactions for theophylline

Caffeine and Cimetdine: increases theophylline levels

Client ed for theophylline

If you missed a dose, do not double the following dose

Inhaled anticholingerics med

Ipratropium (atrovent)

What type of inhaler is ipratropium

Meter dosed inhaler (MDI)

Pharmacological action of inhaled anticholingreics

Blocks muscarinic receptors and results in bronchodilation

Therapeutic uses of inhaled anticholinergics

Relieve bronchospasms associated with COPD

Allergen induced and exercise induced bronchospasm

What med is FDA approved for COPD

Inhaled anticholingerics; ipratropium

What med is considered an off box use for asthma

Inhaled anticholingerics; ipratropium

Complications of Inhaled anticholingerics; ipratropium

Dry mouth

Hoarseness

How do you control dry mouth

Sip on fluids or hard candy

What do you NOT do with tiotropium

DO NOT swallow tiotropium capsules as a inhalation device (DPI) is used for admin

Pharmacological action of glucocorticoid; inhaled/ oral

Prevents inflammation

Reduction in airway mucosa edema

Decreases the frequency of attack

Glucocorticoid meds: inhaled

Beclomethasone (QVAR)

Glucocorticoids oral med

Prednisone (deltasone)

Complications of Beclomethasone

Difficulty speaking

Hoarseness

Candidiasis

Complication of prednisone

Suppression of adrenal gland

Osteoporosis

Hyperglycemia

Leukotriene modifiers med

Zafirlukast

Zileuton

Montelukast

Leukotriene med are used for

Children aged 5 years and older

Montelukast are used for

Children as young as 12 months of age

What kind of tablet is Montelukast

Chewable

Therapeutic uses for leukotriene modifiers

Long term therapy of asthma

What does leukotriene modifiers used to prevent

Excercise induced bronchospasm

Complications on Montelukast

Despreesion, SI

Complications with ziluteon and zafirlukast

Liver damage