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