NU641 Weeks 7 & 8 Study Guide latest updated (Graded A)

Nasal corticosteroids for allergic rhinitis (7) - Answer- -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