Pulmonary Meds 3

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Questions and Answers

What is the maximal recommended dose of cromolyn sodium for adults when used initially?

  • 4 doses per day
  • 2 doses per day
  • 1 dose per day
  • 3 doses per day (correct)

Which adverse effect is most commonly associated with inhaled cromolyn sodium?

  • Mild throat irritation
  • Headache (correct)
  • Cough
  • Diarrhea

What is the pregnancy category for cromolyn sodium?

  • Category A
  • Category B (correct)
  • Category D
  • Category C

Which inhaled corticosteroid has greater first-pass metabolism than beclomethasone and is less likely to cause systemic effects?

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

How long is the peak effect of inhaled budesonide in adults?

<p>10 minutes (C)</p> Signup and view all the answers

Which of the following is an adverse effect associated with inhaled budesonide?

<p>Liver enzyme elevation (B)</p> Signup and view all the answers

What is a significant drug interaction to consider with inhaled budesonide?

<p>Tobacco smoking (C)</p> Signup and view all the answers

In asthma exacerbations requiring ED treatment or hospitalization, what is the recommended systemic corticosteroid dosage for adults?

<p>40-60 mg per day (A)</p> Signup and view all the answers

What is the main adverse effect associated with systemic corticosteroids?

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

Which adverse effect is associated with montelukast (Singulair) and requires healthcare providers to advise patients and caregivers to be alert for behavior changes?

<p>Serious neuropsychiatric events (A)</p> Signup and view all the answers

Systemic corticosteroids are preferred over inhaled corticosteroids for the treatment of severe acute asthma exacerbations.

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

Oral glucocorticoids are not recommended for management of severe persistent asthma according to NAEPP updated guidelines 2020.

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

IV steroids are not recommended for patients with asthma exacerbation if lung function is less than 30% predicted.

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

Montelukast (Singulair) is not indicated for prevention of exercise-induced bronchoconstriction in adults.

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

Leukotriene pathway inhibitors, such as montelukast, have a short half-life of approximately 24 hours.

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

Which of the following is a potential adverse effect of inhaled budesonide?

<p>Delayed wound healing (B)</p> Signup and view all the answers

What drug interaction should be considered with inhaled budesonide?

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

What is a potential adverse effect of montelukast (Singulair) that requires healthcare providers to advise patients and caregivers to be alert for behavior changes?

<p>Agitation, aggression, suicidal thoughts (C)</p> Signup and view all the answers

Which monitoring parameter is especially important for patients taking inhaled budesonide and a diuretic?

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

What is the preferred inhaled corticosteroid agent during pregnancy?

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

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