Podcast
Questions and Answers
What is a common adverse effect of first generation H1 antagonists?
What is a common adverse effect of first generation H1 antagonists?
Why are second generation H1 antagonists preferred over first generation H1 antagonists?
Why are second generation H1 antagonists preferred over first generation H1 antagonists?
Which of the following is NOT a second generation H1 antagonist?
Which of the following is NOT a second generation H1 antagonist?
What is one of the side effects NOT caused by fluticasone?
What is one of the side effects NOT caused by fluticasone?
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How does benzonatate work?
How does benzonatate work?
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What is NOT recommended for children under 6 years old with a cold according to the NP?
What is NOT recommended for children under 6 years old with a cold according to the NP?
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Which statement about long-acting beta 2 agonists (LABAs) is NOT true?
Which statement about long-acting beta 2 agonists (LABAs) is NOT true?
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Which adverse reaction is commonly associated with codeine-based antitussives?
Which adverse reaction is commonly associated with codeine-based antitussives?
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What is the purpose of montelukast in asthma management?
What is the purpose of montelukast in asthma management?
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In a patient with exercise-induced asthma, which inhaler education is correct?
In a patient with exercise-induced asthma, which inhaler education is correct?
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Which medication would be inappropriate for treating bronchospasm in an asthma patient?
Which medication would be inappropriate for treating bronchospasm in an asthma patient?
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What distinguishes H1 and H2 receptors?
What distinguishes H1 and H2 receptors?
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Study Notes
Asthma and COPD Management
- Oral decongestants should be discouraged in patients with cardiovascular disease.
- Nebulized short-acting beta 2 agonists are effective in relieving bronchospasm in asthma patients.
- Long-acting beta 2 agonists (LABAs) should not be used as monotherapy to relieve bronchospasms in asthma.
Medication Effects and Indications
- Beta 2 stimulants frequently cause increased pulse rate.
- Tiotropium bromide is an inhaled anticholinergic used for the treatment of COPD.
- Montelukast may be prescribed for moderate persistent asthma in children as young as 2 years old.
- Codeine-based antitussives commonly cause constipation as an adverse reaction.
Medication Comparison and Adverse Effects
- H1 receptors play a role in vasodilation and bronchoconstriction, while H2 receptors play a role in secretion of gastric acid.
- First-generation H1 antagonists may cause insomnia.
- Second-generation H1 antagonists, unlike first-generation H1 antagonists, are virtually void of anticholinergic actions.
- Diphenhydramine is a first-generation H1 antagonist.
Medication Mechanisms and Indications
- Benzonatate works by decreasing the sensitivity of the respiratory tract stretch receptors.
- Ipratropium works by blocking muscarinic receptors in the bronchi.
- Inhaled corticosteroids (ICS) can slow growth in children but do not decrease adult height.
Respiratory Diseases and Diagnostics
- FEV1/FVC ratio of .70 or less is diagnostic of COPD.
- In COPD patients with increasing exacerbations, adding an ICS and LABA may be necessary.
- Recurrent otitis media is defined as 3 or more episodes in 6 months.
Eye Care and Glaucoma
- Cholinergic agonists are not a first-line treatment for primary open-angle glaucoma (POAG).
- Beta blockers decrease intraocular pressure (IOP) by decreasing aqueous humor production.
- Pilocarpine is used in the emergency treatment of acute angle-closure glaucoma.
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Description
Test your knowledge of respiratory medications with these quiz questions covering topics like decongestants, beta 2 agonists, and antitussives.