29 Questions
What is the main similarity between Emphysema, Chronic Bronchitis, and Asthma in the context of COPD?
None of them are fully reversible.
Which type of Non selective adrenergic bronchodilator stimulates both alphas and betas?
Epi
What is the MOA of Beta-Adrenergic Agonists?
Dilation of the airway
Which medication is known to help reduce secretions in COPD patients?
Ipratropium
What is the main adverse effect of anticholinergics in COPD patients?
Dry mouth
What is the primary indication for Corticosteroids in chronic asthma treatment?
Reduction of inflammation
What is the primary purpose of LABAs in the treatment of COPD?
Preventing bronchospasms
Which adverse effect is NOT commonly associated with Beta-Adrenergic agonists in COPD treatment?
Ototoxicity
When educating patients taking Theophylline, what item should we most stress to them they need to avoid?
Caffeine
What is the mechanism of action of anticholinergics in treating COPD?
Binding to Ach receptors causing airway dilation
When can corticosteroids be given in the treatment of acute asthma?
Intravenously
What should patients do to reduce the risk of oral fungal infections when taking corticosteroids?
Gargle and rinse mouth
Which statement about education for patients taking corticosteroids is TRUE?
Patients should use a spacer for successful inhalations.
Which inhaler ingredient combination is found in Advair?
Fluticasone and salmeterol
What is a common adverse effect of corticosteroids that can occur if not cleaned properly or with bad hygiene?
Oral fungal infections
Which medication is indicated for mild to moderate cases of asthma?
Theophylline
What is the main reason to educate patients taking corticosteroids about keeping their equipment clean and knowing the number of doses?
To avoid oral fungal infections
Which beta-adrenergic bronchodilator stimulates both Beta2 and Beta1 receptors?
Metaproterenol
What is the primary indication for the use of beta-adrenergic agonists in respiratory conditions?
Relieving bronchospasms
What mediation is a Selective Beta2 – Stimulates only Beta2’s?
Albuterol
COPD, a disease of the ____ respiratory tract
Lower
COPD is an umbrella term for __________
All of the Answers are correct
This SABA inhaler is used the most commonly
Albuterol
Match
SABA inhaler = Levalbuterol LABA inhaler = Arformoterol Bronchodilator = Vilanterol Anticholinergic = Aclidinium
Match
Anticholinergic = Tiotropium Corticosteroid = Beclomethasone SABA inhaler = Terbutaline LABA inhaler = Formoterol
Match
Corticosteroid = Budesonide SABA inhaler = Metaproterenol Xanthine = Theophylline LABA = Salmeterol
Match
Nonselective adrenergic = Epinepherine Selective Beta2 = Albuterol Corticosteroid = Ciclesonide Nonselective Beta-adrenergic = Metaproterenol
Corticosteroid inhaler = Flovent Corticosteroid = Mometasone Corticosteroid intranasal = Flonase Anticholinergic that is dosed twice daily = Ipratropium
A prolonged asthma attack that does not respond to typical drug therapy.
Status Asthmaticas
Study Notes
Similarities and Conditions
- Emphysema, Chronic Bronchitis, and Asthma are all forms of Chronic Obstructive Pulmonary Disease (COPD), characterized by air flow obstruction and difficulty breathing.
- COPD is an umbrella term that encompasses various respiratory conditions including emphysema and chronic bronchitis.
Adrenergic Bronchodilators
- Non-selective adrenergic bronchodilators stimulate both alpha and beta receptors.
- Beta-Adrenergic Agonists promote bronchodilation by relaxing bronchial smooth muscle through the activation of beta receptors.
Treatments and Medications
- Anticholinergics are primarily used to reduce secretions in COPD patients.
- Main adverse effect of anticholinergics in COPD patients is dry mouth and throat irritation.
- Corticosteroids are indicated for chronic asthma treatment to reduce inflammation.
- Long-acting beta agonists (LABAs) are used primarily to provide sustained bronchodilation in COPD management.
Adverse Effects and Education
- A common adverse effect NOT associated with Beta-Adrenergic agonists is respiratory depression.
- When using Theophylline, patients should avoid caffeine to prevent adverse effects.
- Anticholinergics work by blocking acetylcholine receptors, leading to bronchodilation.
Corticosteroids and Patient Management
- Corticosteroids can be administered during an acute asthma episode to quickly reduce inflammation.
- Patients should rinse their mouths after corticosteroid use to minimize the risk of oral fungal infections.
- Teaching patients about maintaining clean inhalers is crucial to prevent contamination and ensure effective dosing.
Inhaler Ingredients and Medications
- Advair contains a combination of fluticasone (a corticosteroid) and salmeterol (a LABA).
- Poor hygiene with corticosteroids can lead to oral candidiasis (thrush).
- Mild to moderate asthma cases are often treated with Short-acting Beta Agonists (SABAs).
- Patients must keep track of device doses to prevent the risk of overuse and ensure medication efficacy.
Miscellaneous
- A prolonged asthma attack that does not respond to typical drug therapy is termed status asthmaticus.
- The most commonly used SABA inhaler is albuterol.
- A beta-adrenergic bronchodilator that stimulates both Beta2 and Beta1 receptors is isoproterenol.
- The primary indication for beta-adrenergic agonists is to relieve acute bronchospasm.
Test your knowledge on COPD medications including LABAs, bronchodilators, and the ingredients in Advair. Learn about the different types of beta-adrenergic agonist bronchodilators.
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