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Opt 637 Pulmonary Exam 2
All medications: psych, pulmonary, and apnea
65
Medical
Graduate
10/20/2011

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Cards

Term
What is albuterol?
Definition
SABA used in asthma tx
Term
What is levelbuterol?
Definition
SABA used in asthma tx
Term
What does SABA stand for?
Definition
Short Acting Beta Agonist
Term
What does LABA stand for?
Definition
Long Acting Beta Agonist
Term
What is metaproterenol?
Definition
SABA used in asthma tx?
Term
What is salmeterol?
Definition
LABA used in asthma tx
Term
What is formoterol?
Definition
LABA used in asthma tx
Term
What is ipratropium bromide?
Definition
inhaled slow onset drug that prevents airway smooth muscle contraction and mucus secretion. Athma tx.
Term
What asthma drugs are used only in poorly controlled dz and are always used with other drugs?
Definition
salmeterol

formoterol
Term
What is DOC for moderate-severe asthma?
Definition
inhaled glucocorticoids
Term
What are glucocorticoids paired with in asthma tx?
Definition
beta agonists
Term
What is beclomethasone?
Definition
inhaled glucocorticoid for moderate to severe asthma
Term
What is triamcinolone?
Definition
inhaled glucocorticoid for moderate to severe asthma
Term
What is flunisolide?
Definition
inhaled glucocorticoid for moderate to severe asthma
Term
What is budesonide?
Definition
inhaled glucocorticoid for moderate to severe asthma
Term
What is mometasone furoate?
Definition
dry powder glucocorticoids used q.d.
Term
Why is mometasone furoate easier to administer?
Definition
Does not require hand-breath to be coordinated
Term
What is montelukast?
Definition
leukotriene inhibitor to decrease inflammation response in asthma
Term
What is zafirlukast?
Definition
leukotriene inhibitor to decrease inflammation response in asthma
Term
What is zileuton?
Definition
leukotriene inhibitor to decrease inflammation response in asthma
Term
What is cromolyn?
Definition
mast cell stabilizer
Term
What is omalizumab?
Definition
monoclonal Ab that binds IgE --> decreased mast cell activation
Term
How is omalizumab administered?
Definition
subQ injection q 2-4 weeks
Term
What is theophylline?
Definition
bronchodilator with very low therapeutic index which makes it risky to use
Term
What are SE of theophylline?
Definition
more toxic

seizures

arrythmias
Term
What immunization is useful for chronic bronchitis tx?
Definition
influenza vaccine reduces morbidity and mortality
Term
What is an enzyme inhibiting potential tx for chronic bronchitis?
Definition
Phosphodiesterase (PDE-4) inhibitors
Term
What is dornase alpha?
Definition
Cystic fibrosis tx that makes sputum less viscous and easier to clear
Term
What are SE of dornase alpha?
Definition
conjunctivitis
Term
What is an oral antibiotic for cystic fibrosis tx?
Definition
azithromycin
Term
What is the mechanism for azithromycin in CF tx?
Definition
unknown but anti bacterial and anti inflammatory effects suspected
Term
What inhaled AB's are used in CF tx?
Definition
high dose tobramycin and aztreonam

$25k/yr cost
Term
What is a cheap and effective way to treat CF?
Definition
7% NaCl inhalation tx. Improves lung fxn and reduces exacerbations
Term
What CF tx risks kidney damage and GI bleeding?
Definition
high dose ibuprofen
Term
What CF drug is specifically useful in younger individuals?
Definition
ibuprofen
Term
What are the major drug classes for treatment of Major Depressive Disorder?
Definition
SSRI

SNRI

TCA

MAO inhibitors

St John's Wort
Term
What is a tx option for mild major depressive disorder?
Definition
St John's Wort
Term
What are drug tx classes for Dysthymic disorder?
Definition
SSRI is primary

TCA and MAOI are secondary
Term
What are drug tx classes for Bipolar disorder?
Definition
mood stabilizers

anti-psychotics

anti-convulsants

anti-depressants
Term
What is crucial for proper tx of bipolar disorder?
Definition
never give anti depressants alone

combo a mood stabilizer with an anti-psychotic or SSRI
Term
What drug class do melancholia pt's respond best to?
Definition
TCA's
Term
What drug classes are used to treat melancholia?
Definition
TCA's

SSRI's

SNRI's
Term
What is used in SAD tx?
Definition
full spectrum light therapy

SSRI/SNRI
Term
What drug is not very effective for PMDD?
Definition
TCA's
Term
What drugs are used to treat PMDD?
Definition
SSRI (most effective)

Benzodiazepines
Term
What drugs are used to treat GAD?
Definition
SSRI

SNRI

TCA

Benzodiazepines
Term
What are best for short term and bridge therapy in GAD?
Definition
Benzodiazepines
Term
What drugs are used for PTSD and ASD tx?
Definition
SSRI/SNRI/TCA

Benzodiazepines
Term
What drug class is used to treat OCD?
Definition
SSRI/SNRI
Term
What drug class is used to treat Phobia disorder (PD)?
Definition
SSRI/SNRI/Benzodiazepines
Term
What drug classes are used to treat symptomatic sarcoidosis?
Definition
anti-inflammatory medications and immune modulating meds
Term
What anti-inflammatory meds are used in sarcoidosis tx?
Definition
oral corticosteroids: used 12 months with taper

steroid inhalers
Term
What drugs are used to treat severe symptomatic sarcoidosis?
Definition
methotrexate

azathioprine

hydroxychoroquine

cyclosporine
Term
What is DOC for latent TB?
Definition
Isoniazid
Term
What is the most potent TB drug?
Definition
Isoniazid
Term
How long is Isoniazid taken for?
Definition
Every day for 9 months
Term
What is the main SE of isoniazid?
Definition
hepatotoxicity
Term
What are SE of isoniazid use?
Definition
hepatotoxic

GI

peripheral neuropathy

subepithelial corneal infiltrates

optic neuritis

visual field defects

EOM paresis
Term
What is pyridoxine (Vit B6) used for?
Definition
TB tx

Used in pregant, DM, alcoholics and malnourished pt's
Term
What is the advantage of pyridoxine over isoniazid?
Definition
less risk of peripheral neuropathy
Term
What is the preferred TB tx schedule?
Definition
Isoniazid, Rifampin, Pyrazinamide, Ethambutatol and pyridoxine every day for 8 weeks

THEN Isoniazid and Rifampin with Pyridoxine twice per week for another 18 weeks
Term
Why is TB tx hard on the liver?
Definition
All of the drugs used are metabolized in the liver
Term
What is an IV drug used to treat Histoplasmosis?
Definition
amphotericin B
Term
What are oral drugs used to treat Histoplasmosis?
Definition
Anti fungals ketoconazole and itraconazole

Lots of SE including N&V, anemia, nephrotoxicity and liver toxicity
Term
If a pt with histplasmosis is immunocompromised, how long must anti-fungals be taken?
Definition
For life
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