Nasal corticosteroids for allergic rhinitis (7) - Answer-
... [Show More] -Beclomethasone
-Budesonide
-Ciclesonide
-Flusonide
-Fluticasone
-Mometasone
-Triamcinolone
Inhaled corticosteroids (6) - Answer- -Beclomethasone HFA
-Budesonide DPI
-Budesonide for nebulizer
-Flunisolide (HFA & MDI)
-Fluticasone (HFA, MDI, DPI)
-Mometasone DPI
Allergic rhinitis with nasal congestion and runny nose best treatment - Answer- Inhaled nasal steroid (glucocorticoid) for long-term use
After each use of any inhaled corticosteroid... - Answer- rinse mouth
Rebound nasal congestion (2) - Answer- -Major drawback to inhaled nasal sprays with more than 3 day use
-Common with oxymetazoline (Afrin)
Advantages to second generation antihistamines (2) - Answer- -Less sedating
-Few anticholinergic effects
Children with acute viral URIs should not be given - Answer- -Systemic decongestants
-Nasal corticosteroids
-Systemic antimicrobial agents
Productive cough responds well to... - Answer- cough preparations containing codeine
Do not use cough preparations containing codeine if... - Answer- congestion cannot be mobilized
Treatment if patient has congestion, productive cough, and tenacious mucous (2) - Answer- -Cough preparation containing an expectorant the thins out mucus
-Plus cough suppresent
Cough expectorant - Answer- Guaifenesin
Cough suppressants (2) - Answer- -Codeine
-Dextromethorphan
Treatment if bacterial sinusitis does not respond to first line empiric abx therapy after three days and no culture results available - Answer- Broader spectrum abx
Respiratory fluoroquinolones (2) - Answer- -Levofloxacin
-Moxifloxacin
When is a respiratory fluoroquinolone or doxycycline effective in bacterial sinusitis? - Answer- If a patient is anticholinergicic to penicillin and penicillin-like agents
Primary cause of community acquired pneumonia - Answer- Strep. pneumoniae
When to use combination antimicrobial therapy for CAP - Answer- Patient has been on antimicrobial therapy in recent past
Combination antimicrobial therapy for CAP example - Answer- Beta-active plus macrolide or azalide
Treatment for CAP for individuals not recently on antibiotics - Answer- Macrolide antibiotics such as azithromycin
Fluoroquinolone in patients with cardiac conditions (2) - Answer- -Use caution when prescribing
-Can prolong QT interval
Mild intermittent asthma - Answer- -S/S no more 2x week
Exercise induced asthma (2) - Answer- -Often mild intermittent type
-Effectively treated with inhaled short-acting beta-2 type agonist
Mild persistent asthma - Answer- Symptoms occur >2x/wk, but not daily
Mild persistent asthma treatment - Answer- Inhaled low dose corticosteroid
Moderate persistant asthma - Answer- Daily asthma symptoms
Moderate persistent asthma treatment - Answer- -Short acting beta-2 agonist for acute symptoms
-Inhaled medium dose corticosteroid for long term control
Severe persistent asthma - Answer- Symptoms occur continually, along w/ frequent exacerbations that limit physical activity & QOL
Severe persistent asthma treatment - Answer- -Long acting beta-2 agonist
-High potency inhaled corticosteroid
-Oral corticosteroid drug
Inhaled short acting beta 2 agonists are indicated only for... - Answer- PRN use
SABA can be used... - Answer- alone or more commonly with other inhaled agents
SABA uses - Answer- Acute asthma attacks
SABA side effects (4) - Answer- -Increased HR
-Tremors
-Nervousness
-Reduce potassium levels
Anticholinergic agents for asthma - Answer- -Ipratropium
-Tiotropium
Ipratropium use - Answer- Acute asthma attack
Tiotropium uses (2) - Answer- -Once a day in asthma and COPD
-Not for acute asthmatic attacks
Best bronchodilator for patient with acute breathing issue and uses oral nonspecific beta blocker - Answer- Ipratropium
Leukotriene inhibitors are n [Show Less]