TREATMENTS STUDY GUIDE WITH COMPLETE
SOLUTION!!
Albuterol
SABA- Short-acting beta-2-agonist; IND: bronchospasm; rescue inhaler and
preventative; ADV: tachycardia, tremors, palpitations.
Ipratropium
SAMA - Short-acting muscarinic antagonist (Anticholinergic); IND:
bronchospasm; ADV: DUCT (Dry mouth, urinary retention, constipation,
tachycardia).
Beclomethasone
ICS (inhaled corticosteroid); reduces inflammation; IND: persistent asthma; ADV:
candidiasis/thrush, dysphonia (hoarseness); Pt education: rinse mouth after to
avoid thrush.
Cromolyn
Mast cell stabilizer (histamine).
Montelukast
Blocks leukotriene receptors, decreasing inflammation; ADV: suicidal ideation.
Theophylline
, IND: asthma prophylaxis, status asthmaticus, COPD; ADV: narrow therapeutic
window, tachycardia, caffeine-like effects; Pt education: requires regular labs to
avoid toxicity.
Omalizumab
Anti-IgE antibody; -mab = monoclonal antibody; IND: moderate-severe persistent
asthma.
Diphenhydramine
1st generation antihistamine (anticholinergic effects); IND: allergic reaction; ADV:
DDUCCT (dry mouth, dry eyes, urinary retention, confusion, constipation,
tachycardia), drowsiness.
Fexofenadine
2nd generation antihistamine; IND: allergic rhinitis; ADV: GI upset (dyspepsia),
dry mouth, headache, no drowsiness.
Treatment options for acute asthma exacerbation
Albuterol, Ipratropium, Cromolyn, Theophylline.
Recommended medications for mild to moderate asthma
Albuterol, cromolyn, theophylline (prophylaxis), Beclomethasone, Montelukast.