Nurs 6024 exam 2 Questions With Complete Solutions
what antifungal is the same type of antifungal/inhibitor as
itraconazole
fluconazole
what is GINA
guidelines for asthma management
what should all asthma pts be getting for therapy
ICS-containing therapy (inhaled glucocorticoids)
what are the recommended steps for prescribing meds for
asthma according to GINA
Step 1: take ICS whenever SABA is taken
Step 2: low dose maintenance ICS
Step 3: low dose maintenance ICS-LABA
Step 4: medium/high dose maintenance ICS-LABA
what is GOLD
guidelines for COPD
what meds are central to symptom management in COPD
b-adrenergic agonists (SABA + LABA)
what meds to use in the case of a COPD exacerbation
LABA+LAMA+ICS
what meds to use if > 2 moderate exacerbations or > 1 leading to
hospitalization for COPD
,LABA + LAMA
what meds to use if 0-1 moderate exacerbations not leading to
hospitalization, and MMRC 0-1, CAT < 10 for COPD
Bronchodilator
what meds to use if 0-1 moderate exacerbations not leading to
hospitalization, and MMRC > 2, CAT > 10 for COPD
LABA + LAMA
what are the bronchodilators
b-adrenergic agonists (SABAs, LABAs)
muscarinic agonists (SAMAs, LAMAs)
methylxanthines
what are the anti-inflammatory agents for lower resp
Glucocorticoids (Inhaled glucocorticoids, systemic
glucocorticoids)
Mast cell stabilizers, leukotriene inhibitors, monoclonal
antibodies, phosphodiesterase-4 inhibitors
what is the SABA drug
Albuterol inhaler (proventil, ventolin)
what is albuterol and why is it used so often
bronchodilator
most prescribed and least expensive
what is the BB warning of albuterol, and what are some s/s
, BB: increased of asthma related death when used for asthma w/o
an ICS
s/s: tremor, ha, dizziness, paroxysmal bronchospasm
how is albuterol admin and why is it used
2 puffs q4-6h prn - short term rescue
what is the LABA med
Salmeterol inhaler (serevent)
what type of med is salmeterol and what is the BB warning
bronchodilator
BB: increased risk of asthma related death when used for asthma
w/o an ICS
what are some s/s of salmeterol and how is it admin/why
s/s: remor, headache, dizziness, paroxysmal bronchospasm
1 puff every 12h - used as long term maintenance
what are the inhaled corticosteroids
Fluticasone inhaler (flovent)
Beclomethasone inhaler (qvar redihaler)
Triamcinolone inhaled
Budenoside (pulmicort) turbohaler
what are some s/s of inhaled corticosteroids and what is it used
for
s/s: thrush, anticholinergic, tachycardia, restlessness
Maintenance tx for asthma and copd
what is the systemic corticosteroid
what antifungal is the same type of antifungal/inhibitor as
itraconazole
fluconazole
what is GINA
guidelines for asthma management
what should all asthma pts be getting for therapy
ICS-containing therapy (inhaled glucocorticoids)
what are the recommended steps for prescribing meds for
asthma according to GINA
Step 1: take ICS whenever SABA is taken
Step 2: low dose maintenance ICS
Step 3: low dose maintenance ICS-LABA
Step 4: medium/high dose maintenance ICS-LABA
what is GOLD
guidelines for COPD
what meds are central to symptom management in COPD
b-adrenergic agonists (SABA + LABA)
what meds to use in the case of a COPD exacerbation
LABA+LAMA+ICS
what meds to use if > 2 moderate exacerbations or > 1 leading to
hospitalization for COPD
,LABA + LAMA
what meds to use if 0-1 moderate exacerbations not leading to
hospitalization, and MMRC 0-1, CAT < 10 for COPD
Bronchodilator
what meds to use if 0-1 moderate exacerbations not leading to
hospitalization, and MMRC > 2, CAT > 10 for COPD
LABA + LAMA
what are the bronchodilators
b-adrenergic agonists (SABAs, LABAs)
muscarinic agonists (SAMAs, LAMAs)
methylxanthines
what are the anti-inflammatory agents for lower resp
Glucocorticoids (Inhaled glucocorticoids, systemic
glucocorticoids)
Mast cell stabilizers, leukotriene inhibitors, monoclonal
antibodies, phosphodiesterase-4 inhibitors
what is the SABA drug
Albuterol inhaler (proventil, ventolin)
what is albuterol and why is it used so often
bronchodilator
most prescribed and least expensive
what is the BB warning of albuterol, and what are some s/s
, BB: increased of asthma related death when used for asthma w/o
an ICS
s/s: tremor, ha, dizziness, paroxysmal bronchospasm
how is albuterol admin and why is it used
2 puffs q4-6h prn - short term rescue
what is the LABA med
Salmeterol inhaler (serevent)
what type of med is salmeterol and what is the BB warning
bronchodilator
BB: increased risk of asthma related death when used for asthma
w/o an ICS
what are some s/s of salmeterol and how is it admin/why
s/s: remor, headache, dizziness, paroxysmal bronchospasm
1 puff every 12h - used as long term maintenance
what are the inhaled corticosteroids
Fluticasone inhaler (flovent)
Beclomethasone inhaler (qvar redihaler)
Triamcinolone inhaled
Budenoside (pulmicort) turbohaler
what are some s/s of inhaled corticosteroids and what is it used
for
s/s: thrush, anticholinergic, tachycardia, restlessness
Maintenance tx for asthma and copd
what is the systemic corticosteroid
