Asthma Medications and Inhaler Administration

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Questions and Answers

For a patient with asthma and allergic rhinitis, which medication would be LEAST appropriate as a controller add-on therapy, considering its specific FDA approval?

  • Inhaled corticosteroid (ICS)
  • Omalizumab (correct)
  • Leukotriene receptor antagonist
  • Long-acting beta-agonist (LABA)

What is the primary mechanism of action of omalizumab in treating asthma?

  • Acts as a direct bronchodilator, relaxing airway smooth muscle
  • Blocks IgE from binding to mast cells and basophils (correct)
  • Inhibits leukotriene production, reducing airway inflammation
  • Stimulates the release of epinephrine, opening the airways

A patient is prescribed both a bronchodilator and an inhaled corticosteroid (ICS). What is the generally recommended order of administration and why?

  • ICS and bronchodilator can be taken at the same time with similar efficacy.
  • ICS first, to open the airways for better bronchodilator penetration.
  • Bronchodilator first, to open the airways for better ICS penetration. (correct)
  • Alternate daily to reduce potential side effects.

What is the most significant potential adverse effect associated with Omalizumab, as highlighted by its black box warning?

<p>Anaphylaxis (D)</p> Signup and view all the answers

Which of the following is NOT typically considered a risk factor for the development or exacerbation of asthma?

<p>Regular cardiovascular exercise (B)</p> Signup and view all the answers

Which route of administration is used for Omalizumab?

<p>Subcutaneous (A)</p> Signup and view all the answers

In monitoring a patient who is on a long-term asthma controller medication, which of the following parameters is LEAST relevant to assess the medication's effectiveness?

<p>Blood pressure (C)</p> Signup and view all the answers

What is one key clinical consideration when initiating Omalizumab therapy for a patient with severe allergic asthma?

<p>Confirming the patient has a positive skin test or in vitro reactivity to a relevant perennial aeroallergen (B)</p> Signup and view all the answers

Which of the following adverse effects is MOST commonly associated with inhaled corticosteroids (ICS) used in asthma management?

<p>Oral candidiasis (thrush) (C)</p> Signup and view all the answers

A patient is using multiple inhalers, including a short-acting beta-agonist (SABA), an inhaled corticosteroid (ICS), and a long-acting beta-agonist (LABA). What is the recommended order of administration?

<p>SABA, ICS, LABA (D)</p> Signup and view all the answers

Flashcards

Asthma

A chronic respiratory disease characterized by inflammation and narrowing of the airways, leading to difficulty breathing, wheezing, coughing, and chest tightness.

Asthma Risk Factors

Genetics, allergies, exposure to irritants (like smoke or pollution), and respiratory infections.

Omalizumab MOA

Omalizumab is a monoclonal antibody that binds to IgE, reducing free IgE levels and preventing the activation of mast cells and basophils, which reduces allergic inflammation. Used as add-on therapy for asthma only.

Omalizumab Black Box Warning

Severe allergic reactions (anaphylaxis) have been reported following Omalizumab administration. Patients should be monitored for an appropriate period of time after administration, and appropriate medical treatment should be available in the event of anaphylaxis.

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Omalizumab Adverse Effects

Injection site reactions, such as pain, swelling, or itching, are common. Other adverse effects may include headache, viral infections, and upper respiratory tract infections.

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Omalizumab Route

Omalizumab is administered via subcutaneous injection.

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Omalizumab Clinical Considerations

Clinical considerations include assessing patients for anaphylaxis risk, monitoring for adverse effects, and educating patients on self-injection techniques and recognizing signs of allergic reactions.

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Inhaler Administration Order

  1. Short-acting bronchodilator (e.g., albuterol) to open airways. 2. Other inhaled medications (e.g., corticosteroids) to reduce inflammation.
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Study Notes

  • Asthma is a condition with various risk factors and requires careful monitoring due to potential adverse effects.

Omalizumab

  • Omalizumab is an add-on controller medication specifically for asthma.
  • Omalizumab's mechanism of action (MOA) involves specific interactions.
  • Omalizumab carries a black box warning due to potential severe adverse effects.
  • Omalizumab is administered via a specific route.
  • Omalizumab requires specific clinical considerations for its use.

Inhaler Administration

  • When a patient has multiple inhalers, the order of administration is important.

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