Review/ 80 Q&A/ 2024-2025.
What patient teaching should be provided when prescribing inhaled corticosteroids? - Answer:
They should be taken 2x a day every day for the use of prevention of asthma. Rinse mouth after
use to prevent oral thrush.
What ethnic background should not be prescribed long-acting beta agonists? - Answer: African
Americans, increased incidence of death in this population
What medication would you prescribe for bronchospasm for a patient taking propranolol? -
Answer: Ipratropium
What is the mechanism of action of albuterol? - Answer: Relaxes bronchial smooth muscle by
action on beta 2 receptors with little effect on heart rate, causing dilation of airways.
What is the mechanism of action of inhaled corticosteroids? - Answer: Extremely potent
vasoconstrictive and anti-inflammatory activity.
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, When is it appropriate to use a short acting beta agonist? - Answer: Short acting beta 2 agonist
(SABAs) are the drug of choice for acute treatment of asthma symptoms and exacerbations.
What is the mechanism of action of inhaled muscarinic receptor antagonist? - Answer: Atropine
(the prototype of muscarinic receptor antagonists) prevents the effects of ACh by competitively
blocking its binding to muscarinic receptors in the CNS, peripheral ganglia, and at neuroeffector
sites on smooth muscle, cardiac muscle, and secretory glands.
What inhibits the secretions of the nose, mouth, pharynx, and bronchi and thus causes dryness
of the mucous membranes of the respiratory tract. - Answer: Atropine
Atropine and scopolamine - Answer: the inhibition of secretions is esp marked if secretions is
excessive and is the basis for the use of which drugs in preanesthetic medication.
What is tiotropium? - Answer: (Spiriva) Tiotropium bromide (INN) is a long-standing, 24-hour,
anticholinergic bronchodilator used in the management of chronic obstructive pulmonary
disease, (COPD).
What is tiotropium used for maintenance treatment of? - Answer: COPD, which includes chronic
bronchitis and emphysema.
Tiotropium - Answer: is not used in the treatment for acute exacerbations of COPD and
bronchitis
Tiotropium - Answer: is a muscarinic receptor antagonist, often referred to as an antimuscarinic
or anticholingeric agent.
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