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Pharm Test 3
Respiratory
32
Nursing
Undergraduate 4
04/18/2010

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Cards

Term
What controls bronchial smooth muscle?
Definition
ANS (SNS + PNS)
Term
SNS
Definition
Relaxes B2 smooth muscle
Increases rate/depth
Term
PNS
Definition
Bronchoconstriction
Increases rate/depth
Term
Asthma
Definition
1. Bronchoconstrict
2. Bronchospasm/inflamm
3. Mucus
Term
Chronic Bronchitis
Definition
1. MUCUS
2. Yellow in AM
3. Mild wheeze
Term
COPD
Definition
1. Bronchitis
2. Asthma
3. Emphysema
Term
Emphysema
Definition
Bronchial tubes lose elasticity
Alveoli dilate
Air trapping
Dyspnea
Term
Med delivery
Definition
MDI
DPI
Nebulizer
Term
Meds for bronchospasm and bronchoconstriction
Definition
B2 adrenergic agonists
Methylxanthines
Term
Meds for bronchoconstriction only
Definition
Anticholinergics
Term
Meds for inflammation
Definition
Glucocorticoids
Mast Cell Stabilizers
Leukotreines
Term
Meds for mucus/cough
Definition
Antitussives
Expectorants
Mucolytics
Term
B2 adrenergic agonists
Definition
Bronchospasm/contstriction
Hold breath 10s
Wait 2 min to repeat
AM (insomnia)
15-45 min b4 exercise
Term
Short-acting B2's
Definition
5-6 h
Brethine, Maxair
RESCUE
Term
Intermediate-acting B2's
Definition
8h
Proventil, Xoponex
RESCUE
Term
Long-acting B2's
Definition
12h
Salmeterol, Symbicort
Term
Fortadil
Definition
New B2
Short onset 1-3 min
12h duration
Term
Combo B2 meds
Definition
Bronchospasm/constriction

Advair Diskus: Fluticasone + Serevent
Symbicort: Budesonide + Formoterol
Term
Methylxanthines
Definition
Amniphylline, Theophylline
No caffeine or stimulants
Term
Methylxanthine toxicity
Definition
Amily Toxicity: Dysrhythmias, tremors, seizures, N/V/D, all elecs low except Ca (high)
Term
Aminophylline
Definition
Bronchospasm/constriction
Oral-URI
Cough
Bitter
Term
Theophylline
Definition
Bronchospasm/constriction
10-20 mcg/mL therap
Term
Antocholinergics
Definition
Bronchoconstriction
1st dose bronchospasm, fast
Atrovent
Combivent (Atrovent + Albuterol)
Spiriva (Tiotrop)
Term
Glucocorticoids (inflamm)
Definition
-one's, Pulmacort, Azmacort
Mask infection
HyperNa
Osteoporosis
Poor wound heal
Fluid retention
Term
Inhaled glucocorticoids
Definition
Long term
Daily
Not for rescue
Rinse mouth- fungal infection
Term
Oral glucocorticoids
Definition
HRF systemic SE
Taper or adrenal crisis (LOC, low Na, high K, low BS, SHOCK)
Short term except COPD
Contraindicated: PUD, GERD
Term
Mast Cell Stabilizers (inflammation)
Definition
Lower histamine
Cromolyn, Tilade
QID
Fx in 3-4 wks
Term
Leukotreines (inflamm)
Definition
Also bronchodilate
Singulair, Accolate, Zyflo
Chronic asthma
Side fx in elderly- infection, liver
Term
Leukotreine admin
Definition
Singulair: Qday in evening

Accolate: BID, no food
Term
Antitussives
Definition
Dry, decrease mucus production
Opioid: Codeine, Hydrocodone
Non-opioid: Dextromethorphan, Tessalon (SWALLOW WHOLE)
Term
Expectorants
Definition
Increase/thin secretions
Gaufinesin
OTC Mucinex
Term
Mucolytics
Definition
INHL Acetylcysteine (Mucomyst)
Chronic bronch/CF: Unplugs lungs
Oral: For Tylenol OD
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