Corticosteroids Therapy and Supplements
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Questions and Answers

What is the mechanism of action of Anticholinergics bronchodilators?

  • Non-competitive antagonists of Ach at the nicotinic receptor
  • Non-competitive agonists of Ach at the nicotinic receptor
  • Competitive agonists of Ach at the muscarinic receptor
  • Competitive antagonists of Ach at the muscarinic receptor (correct)

Urinary retention is a systemic side effect of Anticholinergics bronchodilators.

True (A)

What is the duration of action of Tiotropium Bromide?

24 hours

Ipratropium is a _____________ acting Anticholinergics bronchodilator.

<p>short</p> Signup and view all the answers

Match the following Anticholinergics bronchodilators with their duration of action:

<p>Ipratropium = 2-4 hours Tiotropium Bromide = 24 hours Oxitropium = 4-6 hours</p> Signup and view all the answers

What is a contraindication for the use of Anticholinergics bronchodilators?

<p>Narrow-angle glaucoma (B)</p> Signup and view all the answers

What are the classical antiasthma drugs?

<p>Bronchodilators and Antiinflammatory corticosteroids (B)</p> Signup and view all the answers

Inhaled corticosteroids are used to reduce bronchial smooth muscle constriction.

<p>False (B)</p> Signup and view all the answers

What is the primary goal of asthma management?

<p>To control symptoms and prevent attacks</p> Signup and view all the answers

Inhalational devices are used to deliver antiasthma drugs directly to the __________.

<p>lungs</p> Signup and view all the answers

Match the following antiasthma drugs with their mechanism of action:

<p>Bronchodilators = Reduce bronchial smooth muscle constriction Inhaled corticosteroids = Reduce inflammation β2 receptor agonists = Stimulate bronchial smooth muscle relaxation Glucocorticoids = Suppress immune response</p> Signup and view all the answers

What is an essential supplemental measure during Glucocorticoids (GC) therapy?

<p>Diet rich in potassium and low in sodium (A)</p> Signup and view all the answers

Inhaler technique mistakes are relatively rare among asthma patients.

<p>False (B)</p> Signup and view all the answers

What is the purpose of Alendronate biphosphonate in GC therapy?

<p>To inhibit osteoclast activity</p> Signup and view all the answers

Patients treated with corticosteroids should be on a ______ diet.

<p>high protein</p> Signup and view all the answers

Match the following inhalational drug delivery systems with their descriptions:

<p>Pressurized metered-dose inhalers = Requires coordination between breathing and actuation Breath actuated inhalers = Does not require coordination between breathing and actuation Nebulizer = Converts liquid medication into an aerosol</p> Signup and view all the answers

What is a common issue with asthma prescriptions?

<p>Inadequate prescription of asthma medications (D)</p> Signup and view all the answers

Spacer use is not recommended for children with pressurized metered-dose inhalers.

<p>False (B)</p> Signup and view all the answers

About ______% of patients may not adhere to their prescribed asthma treatment.

<p>80</p> Signup and view all the answers

Study Notes

Corticosteroids/Glucocorticoids

  • Patients treated with corticosteroids should be on a high protein diet
  • Supplemental measures during GC therapy include:
    • Diet rich in potassium and low in sodium
    • Caloric management to prevent obesity
    • High protein intake
    • Appropriate antacid therapy
    • Calcium and Vit D
    • Alendronate biphosphonate to inhibit osteoclast activity

Inhalational Drug Delivery Systems

  • Pressurized metered-dose inhalers are used for asthma treatment
  • In children, pressurized metered-dose inhalers are best used with a spacer
  • Nebulizers are also used for asthma treatment

Pharmaceutical Care Issues

  • Inadequate prescription: about 40% of asthma patients may not have adequate prescription of asthma medications according to guidelines
  • Low adherence: about 80% of patients may not adhere to their prescribed treatment
  • Inhaler technique mistakes: approximately 17% of patients made critical mistakes with their inhaler technique

Classification of Asthma

  • Asthma can be classified based on the severity of symptoms

Antiasthma Drugs

  • Classical antiasthma drugs are:
    • Bronchodilators
    • Anti-inflammatory corticosteroids

Bronchodilators

  • β2 receptor agonists are a type of bronchodilator
  • Anticholinergics are a type of bronchodilator
    • Examples: Ipratropium, Oxitropium, Tiotropium Bromide
    • Mechanism: competitive antagonists of Ach at the muscarinic receptor
    • Side effects: local (dry mouth, pharyngeal irritation), systemic (urinary retention, loss of accommodation, tachycardia, agitation, increased intraocular pressure)
    • Contraindications: known hypersensitivity, narrow-angle glaucoma, gastrointestinal tract obstructions, urinary retention

Other Bronchodilators

  • Magnesium Sulphate is a bronchodilator

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Description

This quiz covers the supplemental measures to be taken while on corticosteroid therapy, including dietary recommendations and medications to prevent various complications.

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