Pharmacology Final
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- What is the classification for Epinephrine?
- Sympathomimetic
- Beta-Lactam Antibiotics are______and inhibit_______?
- Bactericidal, cell wall synthesis
- What is the mechanism of action for Accolate?
- Leukotrine receptor antagonist
- How many inhalations per day is taken of Azmacort?
- 12-16 inhalations/day
- What are 2 characteristics of parasympatholytics?
- Competitive inhibitor of ACH, Inhibits exercise induced asthma
- What surfactant is produced outside the patients body?
- Exogenous surfactant
- Approximately how many cillia are there per cell?
- 200
- During the Diurnal steroid cycle what gradually rises and falls?
- ACTH and Cortisol
- Give an extremely potent and common example of a loop diuretic?
- Lasix
- A serum level of greater than 40-45 ug/ml of theophylline has what effect?
- seizures
- Vasodialators directly affect relaxation of what?
- Vascular smooth muscle
- The renal function filters what electrolytes?
- Na+, K+, Cl-
- Give 3 beta 1 blocking drugs.
- Lopressor, Inderal, Corgard
- Give the classification of Pirbuterol?
- Noncatecholamine
- To achieve maximum therapeutic bronchodilation, the optimum serum level of theophylline is_____ug/ml?
- 10-20
- Name some side effects for Virazole.
- Worsening pulmonary condition, cardiovascular instability, rash, conjunctivitis
- What is the mode of action for Nondepolarizing agents?
- Blocks receptor sites usually reached by acetylocholine through competitive inhibition.
- What is the device used in the administration of NebuPent?
- Respigard II Nebulizer
- What condition is characterized by inflammation in the lungs?
- Asthma
- What is the antidote for Heparin?
- Prolamine
- True or False, Aerobid is shorter acting than Azmacort?
- False
- Name 3 sympathomimetics used in treating cough and colds.
- Decongestants, Topical application, Systemic application
- Why are Osmotic Diuretics given via IV?
- to decrease intracranial or intraocular pressure
- What is the dosage for Accolate?
- Oral tablet, 20 mg BID
- Surface active agents such as Detergents do what to control mucus?
- Affect surface tension
- What is the indications for Sulfonamides?
- Treatment of intestinal infections and UTI's
- What is the trade name for Bitolterol?
- Tornalate
- What are 2 side effects of Loop Diuretic administration.
- Hypochloremia and Hypokalemia
- Name the classic Xanthine derivative.
- Theophylline
- What is the classification of Antitussives?
- Cough Suppressant
- What % saline is a hypertonic solution?
- anything above 0.9%
- Give the trade names for 5 aerosolized corticosteroids.
- Decadron, Beclovent, Azmacort, Aerobid, Flovent
- Mucus is comprised of___% H2O and___% mucin?
- 95-5
- HPA suppression does what to the hypothalmus and pitutary glands?
- decreases adrenal production
- dopamine
- a monoamine neurotransmitter found in the brain and essential for the normal functioning of the central nervous system
- What drug is a classic Osmotic diuretic?
- Mannitol
- Give an example of a angiotensin 2 antagonist drug.
- Cozar
- What is the recommended dosage for Albuterol?
- 2.5 mg TID or 0.5 mls q6h
- Antiadrenergic peripheral activity drugs do what to vascular smooth muscle and peripheral resistance?
- Relaxes smooth muscle, decreases peripheral resistance
- What is the trade name for Trimcinolone Acetonide?
- Azmacort
- Give 6 physiologic effects of Xanthines.
- CNS Stimulation, Skeletal muscle stimulation, bronchodilation, Pulmonary and coronary vasodilation, Cardiac Stimulation, Diuresis.
- What is the dosage for Survanta?
- 100 mg/kg
- What is the indications for Mucomyst?
- Thick retained mucoid secretions
- What is the maximum number of inhalations for Bechlamethasone?
- 12-16 inhalations/day
- What is the trade name for Pentamadine?
- NebuPent
- What is the indication for Terbutaline?
- Asthma, Bronchospactic disorders
- What health condition increases eosonophils and neutrophils?
- Asthma
- What is the primary representative Depolarizing drug?
- Succinylcholine
- What are 3 representative drugs for Antifungal agents?
- Amphotericin B, Mystatin, Fluconazole
- What is the mode of action for Thiazide Diuretics?
- Inhibits Na+ and Cl- reabsorption in the distal tubules
- Asthma stimulates and releases chemical mediators from what cells?
- Mast
- In the sympathetic Branch, what is the neurotransmitter at the ganglionic synapse?
- ACH
- Antiviral agents include what 3 drugs?
- Ribavirin, Acyclovir, AZT
- Acute antihypertensive works directly on________and dilates______and ______circulation?
- peripheral blood vessles--- arterial--- venous
- What is the dosage for Zyflo?
- 600 mg QID
- What is the MDI dosage for Atrovent?
- 36 mcg or (18mcg/puff qid)
- How is Exosurf stored and how is it reconstituted?
- Powder, 8 ml of sterile water.
- What are the 2 trade names for Metaproterenol?
- Metaprel--Alupent
- Antibiotics work because they inhibit or alter the bacterias ability to do what?
- Inhibit of cell wall synthesis, alter cell membrane permeability, inhibit protein synthesis, inhibit Nucleic Acid synthesis
- What is the main action of Neuromuscular blocking agents?
- Interruption of transmission of nerve impulse at skeletal neuromuscular junction resulting in paralysis
- What is the therapeutic range and oal when using theophylline to achieve bronchodialation?
- Serum level of 10-20 ug/ml
- What is the onset and duration for Depolarizing agents?
- Muscle paralysis in 1-1.5 minutes, duration is 10-15 minutes.
- What is the onset and duration for Isoproterenol?
- Rapid--20 minutes
- What mechanism is responsible for propelling debris and foreign materials out of the lower airways?
- Mucociliary escalator
- What drug is used as a prophylactic and chronic treatment of asthma?
- Zyflo
- Give the representative drugs that are Antitussives?
- Hycodan, Benylin, Tessalon
- Antiplatelet agents interfere with what?
- the role of platelets
- A serum level of less than 5 ug/ml of theophylline has what effect?
- no effect
- Give 3 clinical uses for theophylline?
- Management of asthma and COPD, Treats apnea in premature newborns, CNS stimulents
- What is the indications for Erythromycin?
- Respiratory, GI, Skin/tissue infections, Mycoplasm, and legionella pneumonia
- What is the trade name for Cromyln Sodium?
- Intal
- What is the classification for Salmeterol?
- Long lasting Beta 2 specific Bronchodilator
- What is the trade name for Isoproterenol?
- Isuprel
- Give 3 secretory structures in the upper and lower airways.
- Surface epithelial cells, subepithelial cells, submucosal glands.
- What is the primary indications for the use of Corticosteroids?
- To prevent or reduce inflammation, treatment of severe asthma.
- Name 3 indications for Epinephrine.
- Acute Bronchospasams--Acute allergic emergencies--Intracardiac stimulant
- Give 3 clinical applications for Corticosteroids.
- Control of asthma, treatment for bronchospasm, control allergic responses
- Name 3 drugs that are strong Alpha, Beta1 and Beta2.
- Epinephrine, Racemic Epinephrine, Ephedrine
- What drugs would be indicated for shock?
- Dopamine, Epinephrine, Isuprel
- Antigen-specific IgE binds to what cells?
- Mast
- What is the route and dosage for Spriva?
- DPI 18 mcg, 1 inhalation, QD
- What is the recommended dosage for Isotharine?
- 0.25-0.5 ml q4h
- Give 3 representative drugs that are antiadrenergic central activity drugs.
- Aldomet, Catapres, Wytensin
- What % saline is an isotonic solution?
- 0.9%
- What is the Route of Administration for Osmotic Diruetics?
- IV
- What is the trade name for Levalbuterol?
- Xopenex
- What is the mechanism of action for Tetracyclines?
- Interfere with protein synthesis
- What drug is used for the treatment for Pneumocystis carinii pneumonia?
- NebuPent
- Name an antibiotic that can be inhaled.
- Gentamycin
- Mast cells release what 3 inflammatory mediators?
- Prostaglandins, leukotrines, histamine
- What is the indication for Racemic Epinephrine?
- Asthma--Croup--Glottic Edema--Post extubation--Stridor
- What antiinfective agent is derived from streptomyces and amino sugars?
- Aminoglycosides
- What route of administration for theophylline is prefered for acute episodes?
- IV
- What are some effects of antihistamines?
- antihistaminic, sedative, anticholinergic
- ACTH stimulates the Adrenal cortex to release what?
- Corticosteroid
- What is the effect of Muscarinic drugs?
- Stimulates ACH receptors at the paracympathetic sites.
- Where is Exosurf administered in the body?
- Instilled directly into the trachea on inspiration
- What is the recommended dosage for Xopenex?
- 0.63 mg and 1.25 mg q8h
- What is the trade name for Albuterol?
- Proventil, Ventolin
- Is Survanta a natural or synthetic surfactant?
- Natural
- What is the trade name for Isotharine?
- Bronkosol
- A serum level of greater than 20 ug/ml of theophylline has what effect?
- nausea
- List some actions of Corticosteroids.
- Stimulates glucose formation, Suppreses inflammatory responces, regulates the rate of protein synthesis, regulates lipid metabolism, controls distribution of fat increases Hb and RBC, maintains skeletal function.
- What is the indication for Cipro?
- treatment for Pseudomonas in Respiratory system
- Name 4 primarily beta 1&2 drugs.
- Isoproterenol--Isoetharine--Salbutamol--Terbutaline
- Beta 1 blocking drugs do what to Cardiac output and BP?
- Lowers it.
- The side effects of atropine are "dose related," 0.5 mg or more produces______2 mg or more produces_____?
- Dry mouth, Blurred vision, tachycardia and pupil dialation.
- What 5 disease states are an indication for sympathomimetic bronchodialators?
- Asthma--Acute&Chronic bronchitis--Emphysema--Systic fibrosis--Bronchiectasis.
- What Diuretic is used to prevent acute renal failure?
- Mannitol
- What is the mechanism of action for Fluoroquinolones?
- Inhibits Neucleic Acid Synthesis
- What are some side effects when taking aerosolized steroids.
- Thrush, Candida Albicans.
- Give some representative drugs for expectorants.
- Potassium Iodide, Guaifenesin
- Give 2 representative drugs that are antiadrenergic peripherals.
- Catapres, Minipress
- Glucocorticoid drugs do what?
- raise the overall steroid level in the body
- What is the mechanism of action for erythromycin?
- Inhibits protein synthesis
- What is the recommended dosage for Terbutaline?
- 2.5 mg Tablet TID, Inhalation 1-2 mls of 0.1% solution
- Give the mechanism of action for Epinephrine.
- Mixture of strong Alpha, Beta 1 and Beta 2
- What is the representative carbonic anhydrase inhibitor drug?
- Diamox
- Give 4 Primarily Beta 1&2 Drugs
- Isoproterenol Isoetharine Salbutamol Terbutaline
- In the Sympathetic Branch, what is the neurotransmitter at the neuroeffector site?
- Norepinephrine
- Give a representative antiplatelet drug.
- Aspirin
- What is the indications for Cephalosporins?
- Broad-spectrum activity for klebsiella
- What must be done when taking oral steroids?
- must be weaned off.
- What is the chronic therapy dose for theophylline?
- 16 mg/kg per 24 hours
- Give the drugs and dosages for Combivent.
- MDI Ipratropium and Albuterol (2 puffs, qid)
- What is the dosage for Pentamidine?
- 300 mg via aerosol q4/weeks, (prophylactic) 600 mg qd x 21 days
- What is the mechanism of action of Racemic Epinephrine?
- Strong alpha, less beta 1 and 2--Relaxes bronchial smooth muscle--Reduces bronchial edema by vasoconstriction.
- T/F Antiadrenergic peripheral drugs do not interfere with peripheral sympathetic activity?
- False
- What is the principle mechanism of action for surfactant?
- Lowers alveolar surface tension
- Mediator release causes an inflammatory responce and is manifested as what?
- Vascular leakage, bronchoconstriction, mucus secretion and mucosal swelling
- What is the SVN dosage for Atrovent?
- 500 mcg tid or qid
- What is used to treat or prevent Pseudomonas aeruginosa?
- Inhaled Antibiotics
- What is the trade name for Ribavirin?
- Virazole
- What is the indication for Pulmozyme?
- Treatment of cystic fibrosis
- Give 3 routes of administration for sympathomimetic drugs.
- Inhalation--Oral--Parenteral
- What is the typical result when giving Thiazide Diuretics?
- Water loss
- Activation of T lymphocytes results in production of what?
- IgE
- What are the indications for Antifungal Agents?
- Fungal infections, Candida albicans,Blastomycoses, Aspergillosis
- Name 2 catagories of Neuromuscular blockers.
- Nondepolarizing agents and Depolarizing agents
- What are the indications for aminoglycosides?
- for treating gram negative bacilli
- what is the recommended dosage for Pirbuterol?
- MDI 0.2 mg/puff, 2 puffs/dose Q6h
- What are the indications for Tetracyclines?
- Mycoplasm pneumonia
- Give 2 indications for Metaproterenol.
- Asthma, Bronchospastic disorders
- What should you not do 24 hours after the administering of a thrombolytic agent?
- Stick the patient
- What is the recommended dosage for Atropine?
- 0.2% (1mg/0.5ml) or 0.25mg/kg TID or QID
- Give 3 representative ACE inhibitor drugs.
- Lotensin, Capoten, Vasotec
- What is the trade name for Dornase Alfa?
- Pulmozyme
- What must you do after giving a patient a Neuromuscular blocking agent?
- Monitor the patient.
- Antiviral agents were developed for treatment of what disease?
- HIV
- What is the route of administration for Metaproterenol?
- MDI, Nebulizer, PO
- What is the recommended dosage for Bitolterol?
- 1.25 mls q8h
- Give 3 indications for giving a Neuromuscular blocker.
- Facilitate ET Intubation, Muscle paralysis, Facilitate Mechanical Ventilation.
- Survanta is a mixture of what 2 substances?
- Bovine and DPPC
- Name 2 drug names of surfactant.
- Exosurf, Survanta
- A group of chemicals secreted by the adrenal cortex and are refered to as adrenal cortical hormones are also known as?
- corticosteroids
- What is the indication for Antituberculosis agents?
- treatment of mycobacterium bacillus
- Dosages of Theophylline greater than 20 ug/ml can cause what side effects?
- Nausea, Cardiac Arrhythmias, Seizures
- Angiotensin 2 antagonists inhibits angiotensin by________not by inhibition.
- blockade
- What are some examples of wetting agents?
- Dilutents, Sterile water, Normal saline, hypotonic saline, Hypertonic saline.
- What are the indications for the use of sympathomimetic bronchodialators (Adrenergics)?
- Relaxation of bronchial smooth muscle to reverse or improve airflow obstruction, ie (COPD)--Reverse Bronchoconstriction.
- Give 2 Nicotinic effects.
- Stimulates ACH at ganglia and skeletal muscle sites--Causes increase in BP and muscle tremor.
- Osmotic Diuretics are not reabsorbed in the?
- Tubules
- Where do Osmotic Diuretics primarily act?
- Proximal tubules
- ACE inhibitors interfere with what system?
- Angiotensin
- In the sympathetic Branch, what is the principle neurotransmitter?
- Norepinephrine
- Potassium-Sparing Diuretics block what?
- Na+ reabsorption
- What is the mechanism of action for Isoproterenol?
- Strong Beta 1 and Beta 2--Negligible Alpha
- Give the action of Pulmozyme?
- Decreases the viscosity by breaking down extracellular DNA
- What do thrombolytic agents convert plasminogen to?
- Plasmin
- What is the most common treatment for decreasing intraocular pressure?
- Carbonic anhydrase inhibitors
- What is the classification for Isoproterenol?
- Catecholamine--Powerful bronchodialator
- When the hypothalmus is stimulated it releases what?
- CRF
- Osmotic Diuretics are filtered through?
- Glomerulus
- Give 4 indications for administering a parasympatholytic?
- Used in treatment of bronchitis, COPD, Certain types of Asthma, Blocks the action of Acetylcholine
- Acetylcysteine is imcompatable with what antibiotocs?
- Ampicillin, Amphotericin B, Erythromycin, tetracycline
- Angiotensin receptors are responsible for what?
- Vasoconstriction
- What is a representative Potassium-Sparing drug?
- Aldactone
- What is the treatment regimen for patients with TB?
- Multiple drug therapy for 6 and 9 months
- Give the indications for Albuterol?
- Bronchospasm, Asthma
- What does TPA stand for?
- Tissue Plasminogen Activator
- Cephalosporin Second generation, affects what type of bacteria?
- gram positive and some gram negative
- What is the dosage for Ribavirin?
- 20 mg/ml solution, 12-18 hours/day, 3-7 days
- The renal function excretes what?
- Nigrogenous waste products
- What do you not do when handling survanta?
- Do not shake it.
- What is the indication for Isotharine?
- Useful in the treatment of asthma.
- Define proteolysis?
- Breaking down of proteins.
- What aerosolized coritcosteroid has a built in spacer device?
- Azmacort
- Name 2 Resorcinols.
- Metaproterenol--Terbutaline
- What is the trade name for Fluoroquinolone?
- Cipro
- Give 2 trade names for Erythromycin.
- Blaxin and Zithromax
- What is a representative drug for Sulfonamides?
- TMP-SMX
- What is the classification for Bitolterol?
- Pro-Drug
- Give 2 examples of Vasodialators.
- Apresoline, Minoxidil
- What is the primary action for Isotharine?
- Beta 2--Little Beta 1--Slight Alpha
- The anti-inflammatory effect of corticosteroids is due to what?
- the ability to inhibit the activity of inflammatory cells and mediators of inflammation.
- What is the trade name for Salmeterol?
- Serevent
- What is the dosage for Flunisolide?
- BID
- Parasympatolytics do 3 things, what are they?
- Block parasympathetic activity--Blocks bronchoconstrictive activity--Block secretory glands
- Liquifying expectorants are considered____Mucolytics?
- true
- What is the trade name for Pirbuterol?
- Maxair
- What are the 2 drugs that make up Advair Diskus?
- Fluticasone Propionate and Salmeterol
- What are the 2 most popular trade names for Beclamethasone?
- Vanceril, Beclovent
- What is the mechanism of action for Depolarizing agents?
- Stimulates and prolongs depolarizing of the post synaptic receptors.
- What representative drugs that are detergents?
- Alevaire, Tergemist
- What effect does ethyl alcohol have on surface tension?
- lowers it
- Give a medication that causes proteolysis in mucus.
- Dornaise Alpha
- What drug is the most popular for disulfide disruption?
- Mucomyst
- Prophylactic Antiasthmatics work by inhibiting what?
- the release of histamines and leukotrines (SRSA)
- What surfactant is a protein-free synthetic surfactant?
- Exosurf
- A serum level of greater than 30 ug/ml of theophylline has what effect?
- cardiac arrhythmias
- What are the benefits and disadvantages of using Advair Diskus?
- Longer lasting but slower onset.
- What are the indications for Beta-Lactam Antibiotics?
- treatment of infections caused by streptoccal or staphlococcal species, haemophilus influenzae, gonococcal, syphillis
- Give the recommended dosage for Salmeterol?
- 50 ug BID : MDI 2 puffs
- What is the clinical application for Surfactant?
- Prevention of IRDS in preemies, prevention of IRDS in Low birth weight infants, rescue treatment of infants with IRDS
- The immunologic responce occurs from T lympocytes interacting with what?
- an antigen
- Mucomyst is also used to counteract what overdose?
- Acetaminophen
- What is the molecular size delivered for NebuPent?
- 1-2 microns
- What must a user of aerosolized steroids do after administration?
- Must rinse mouth and gargle after use.
- What is the representative Thiazide Diuretic drugs?
- Hygroton, Diuril
- What is the route of administration for Pirbuterol?
- MDI, PO
- Antiadrenergic central activity drugs do what to the circulatory system?
- inhibits vasoconstriction
- What is the recommended dosage for Metaproterenol?
- MDI 2-3 inhalations q2-4h: Nebulizer: 0.2-0.3 mls of 5% solution q4-6h
- Name 3 primarily Alpha drugs.
- Norepinephrine--Phenylephrine--Cyclopentamine
- The HPA Pathway consists of what 3 organ systems?
- Hypothalamus, Pituitary, Adrenal Axis
- What is the Chronic Therapy dose for Theophilline?
- 16mg/kg per 24 hrs
- What is the initial oral dose for theophylline?
- 5 mg/kg
- Cillia beat approximately__________ times per minute?
- 1200-1300
- Give the Dosage for Pulmozyme.
- 1 ampule (2.5 mg in 2.5 mil solution) qd
- What do Loop Diuretics inhibit in the Loop of Henle?
- reabsorption of Na+ and Cl-
- How would you deliver ethyl alcohol to the patient and what % dose?
- SVN 30-50%
- What do antihistamine agents target?
- H1 receptor antagonists
- What 3 ways is exogenous surfactant obtained?
- Humans, Animals, Lab synthesis
- Cephalosporin, First generation affects what type of bacteria?
- gram positive
- Name 2 antihypertensive drugs.
- Nipride, Nitroglycerine
- What route of administration for theophylline is prefered for maintenance therapy?
- PO
- What is the effect of Xopenex?
- Greater bronchodilation
- Name 2 Nondepolarizing drugs.
- Curare, Pavulon
- What are some side effects of Mucomyst?
- Bronchopsasm, excessive liquification, stomatitis, nausea
- Theophylline is considered a _____________bronchodilator.
- Third line
- Name 5 characteristics of Saligenins.
- Modification of catecholamine, Are beta2 selective, Minimal cardiac effects, Minimal side effects, Longer onset but lasts longer.
- How do you prepare a 300 mg dose for NebuPent?
- Reconstitute with 6 mls of sterile water
- Other than Asthma give some therapeutic uses of steroids.
- Bronchitis, arthritis
- The term "Cholinergic" refers to what neurotransmitter?
- ACH
- What is used to treat acute pulmonary edema?
- Ethyl Alcohol
- From where is Survanta obtained?
- Cow lung
- What is the classification for Accolate?
- Prophylactic Asthmatic
- What is the major risk for patients treated with anticoagulants?
- Bleeding
- What is the andtidote for Coumadin?
- Vitamin K
- Give 2 representative thrombolytic agent drugs.
- Urokinase, Streptokinase, Activase
- A serum level of 10-20 ug/ml of theophylline has what effect?
- therapeutic
- What is the classification for Tetracyclines?
- Bacteriostatic, bactericidal
- What should be checked 1-2 hours after immediate release from the hospital?
- Theophylline levels
- NebuPent is what type of agent?
- Antiprotozoal
- Give the drugs and dosage for DuoNeb.
- SVN Ipratropium (0.5 mg) & Albuterol (3.0 mg) tid
- Inflammation happens in the body because of what response?
- Immunologic (Allergic) Response
- What is the indication for Virazole?
- RSV, influenza, herpes simplex virus
- What 2 sympathomimetics shoud never be given together?
- Epinephrine--Isoproterenol
- What is the action for Isotharine?
- Bronchodialator
- What are the 3 types of steroids produced by the adrenal cortex?
- Cortisol, aldosterone, testosterone
- What is the recommended dosage for Epinephrine?
- 0.25-0,5 cc q4h or 4-8 drops q4h
- The action of sympathomimetic drugs occurs by stimulation of____located where_____?
- Beta 2 receptors--Bronchial smooth muscle
- What must you always give before you treat a patient with Mucomyst?
- Give a bronchodialator
- What is the recommended dosage for Isoproterenol?
- 0.25-0.5 ml q3-4h
- What is the mechanism of action for Metaproterenol?
- Bronchodialation
- What is the onset and duration of Nondepolarizing agents?
- 1-2 minutes max, effect 2-10 minutes (typical dose 30-60 minutes)
- Name 3 drugs that are strong Alpha, Beta1 and Beta 2.
- Epinephrine Racemic Epinephrine Ephedrine
- What is the recommended dosage for Advair Diskus?
- 1 puff BID
- What is the trade name of Ipratoprium Bromide?
- Atrovent
- Accumulation of eosoniphils results in what condition?
- Increased airway obstruction
- Exosurf is a mixture of what 3 substances?
- DPPC, Cetyl alcohol and tloxapol
- What is the trade name for Racemic Epinephrine?
- Vaponephrine
- Cillia are approximately _____Microns in length?
- 2-5
- Name 4 Catecholamines.
- Epinephrine--Isoproterenol--Isoetharine--Racemic Epinephrine
- The site of action Parasympatholytics target are?
- Central airways, Larger airways
- What cycle prepairs the body for stress?
- Diurnal Steroid Cycle
- What are some indications for surface active agents?
- Treatment of pulmonary edema and IRDS
- What is the action for Terbutaline?
- Bronchodilation
- Pure parasympathetic stimulation causes what reaction?
- Bronchoconstriction
- What are the mechanism of action for expectorants?
- Facilitate removal of mucus from lower respiratory tract
- Is Exosurf a synthetic or natural surfactant?
- Synthetic
- What is the dosage for Acetylcysteine?
- 10% solution 6-10 ML and 20% solution 3-5 ML
- What is the classification for Virazole?
- Antiviral
- What is the trade name for Flunisolide?
- Aerobid
- What are some effects that disease has on mucus?
- Changes in volume, changes in color, changes in odor, changes in viscosity.
- True or False, Systemic steroids have fewer side effects?
- False
- What are the contraindications for Zyflo?
- theophylline and coumadin
- What should you monitor while treating a patient with Isuprel and when should you stop giving the treatment?
- Patients heart rate--When the patients HR increases 20% past baseline.
- Give 2 advantages for giving Bitolterol?
- Rapid onset, Long duration
- Give 4 representative antihistamine drugs.
- Benadryl, Tavist, Seldane, Claritin
- What are the effects of Depolarizing agents?
- Shorter acting, No antidote.
- Name 3 primarily Alpha Drugs
- Norepinephrine Phenylephrine Cyclopentamine
- What is the indications for Intal?
- to prevent asthmatic reactions, prevent exercise-induced bronchospasm and allergic rhinitis.
- HPA suppression occurs how?
- With exogenous administration of steroids
- What molecular size is delivered to the lungs using a SPAG Unit?
- 1.3 microns
- What is the mechanism of action for Cephalosporins?
- inhibition of cell wall synthesis
- What is the trade name for Terbubtaline?
- Bricanyl, Brethine
- How does aminoglycosides affect bacteria?
- by distorting and preventing protein synthesis
- What are the indications for Theophylline?
- Management for asthma and COPD, treat apnea in premature newborns.
- What is the classification for Antiviral agents?
- Interferons
- Antiadrenergic central activity drugs target what receptors in the circulatory system?
- Alpha 2
- Name some side effects for NebuPent.
- Cough, SOB, bad taste, bronchospasm, wheezing, spontaneous pneumothoraces
- What do parasympatholytics primarily do?
- Block parasympathetic activity
- What should you do before giving Isoproterenol?
- Get a baseline of HR 100-200 BPM
- Vasoconstrictors are used primarily to what?
- Support Blood Pressure
- Azmacort is____________and has a_______systemic effect?
- topically active, minimal
- The term "Cholinergic" refers to what neurotransmitter?
- ACH
- What are the 2 layers of the mucociliary blanket?
- Sol & Gel layers
- When the Pituitary gland is stimulated it releases what?
- ACTH
- Name 6 physiologic effects of Xanthines?
- CNS stimulation, Skeletal Muscle Stimulation, Bronchodialation, Pulmonary and coronary vasodialation, Cardiac stimulation, Diuresis
- What is the initial dose of Theophilline?
- 5mg/kg
- Name a drug that competitively blocks alpha 1, beta 1 & 2 receptors.
- Labetalol
- What is the dosage for Exosurf?
- 5 ml/kg in 2 divided doses.
- The renal function regulates what balance?
- Acid base
- What are some complicatons of surfactant therapy?
- Airway occlusion, bradycardia, desatruation, hyperoxia, hypocarbia, apnea, pulmonary hemorrhage
- Cephalosporins third generation, affects what type of bacteria?
- expanded gram negative use
- Give some side effects for corticosteriods.
- Cushing's Disease, Hypertension, Aggravation of diabetes Mellitus, aggravaton of Peptic Ulcers, Psychosis, Adrenal atrophy
- Theophylline therapy is considered a__________drug for asthma.
- First line
- What device is used to deliver Ribavirin?
- SPAG unit
- what agents are mediators of local inflammatory responses.
- Antihistamine agents
- what are the side effects of Pulmozyme?
- Pharyngitis, laryngitis, rash, chest pain, conjunctivitis
- Parasympatholytic Bronchodilators are also known as?
- Anticholinergic Agents
- What 3 actions cause the lysis of mucus?
- Proteolysis, pH Adjustment, disulfide disruption
- What was the first available MDI?
- Decadron Respihaler
- Name 3 common systemic steroids.
- Hydrocortisone, Prednisone, Cortisone
- Beta adrenergic blockade drugs block beta 1 receptor sites where?
- in the heart
- What % saline is a hypotonic solution?
- 0.45%
- What is the route of administration for NebuPent?
- inhalation or parenteral