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Adult Final UTMB Fall test questions and answers(100- accuracy).
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Adult Final UTMB Fall test questions and answers(100- accuracy).
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Adult Final UTMB Fall testquestions and answers(100%
accuracy)
Albuterol is considered? - answer Gold Standard
How is albuterol administered? - answer Inhalation
What is the purpose of albuterol? - answer It is a fast acting
bronchodilator, opens airways, administered through: inhalers, nebulizer,
metered dose inhalers
What is albuterals adverse effects? - answer Similar to adrenal rushes,
decrease with time
What are the advantages for albuteral? - answer The drug delivers to site
of action, with minimized side effects, and provides quick relief
What drugs are glucocorticoids? - answer fluticasone, budesonide
What are the actions of glucocorticoids? - answer They suppress
inflammation, decrease bronchial hyper reactivity, decrease mucous
production
What do glucocorticoids decrease? - answer -Synthesis and release of
inflammatory mediators
-Infiltration and activity of inflammatory cells
-Edema of the airway mucosa
What route do you give glucocorticoids? - answer Inhaled, IV, oral
,What are the AE of taking glucocorticoids by inhalation? - answer
Candidiasis (rinse their mouth after using their inhaler) give
bronchodilators first then steroids to help meds get there, dysphonia
What are the AE of taking glucocorticoids orally? - answer Adrenal
suppression, osteoporosis, hyperglycemia, peptic ulcer disease, growth
suppression
Bronchodilators are? - answer Beta 2 adrenergic agonists
What do bronchodilators do? - answer Provide symptomatic relief
How do bronchodilators works? - answer They activate the beta 2
adrenergic receptors in the smooth muscle of the lung, promote broncho
dilation and relieve broncho spasms
What are some inhaled short action (SABas)? - answer Albuterol and
Xopenex
What are some AE of inhaled short action (SABas)? - answer tachycardia,
angina, tremor, fight or flight
What are some inhaled long action (LABas)? - answer Formoterol and
Salmeterol
What are some AE of inhaled long action (LABas)? - answer Increases the
risk of severe asthma and asthma related death if used as mono-therapy
for long term control (ass on medications)
What are some oral bronchodilators? - answer albuterol and terbutaline
What are some AE of oral bronchodilators? - answer Angina,
tachydysrhythmias (due to stimulation of beta, receptors in the heart)
, What are some anticholinergic drugs? - answer Ipratroprium and
tiotropium
What is the action of anticholinergic drugs? - answer Block muscarinic
receptors in the bronchi, reducing broncho spasms
What are the AE of anticholinergic drugs? - answer Minimal, act locally and
are minimally absorbed, dry mouth and irritation of the pharynx
What is COPD? - answer -It is an abnormal inflammatory response of lungs
to noxious particles/gases- #1 is cigarette smoke
-Airflow limitation - not fully reversible - progressive
What are the risk factors of COPD? - answer -Genetics
-Exposure to inhaled particles (tobacco, dust, pollution)
-Female
-Age: 65 yoa and older
-Respiratory Infections
-Poor lung growth & development
-Oxidative stress
-Poor nutrition
-Low socioeconomic status
What are the defining features of COPD? - answer -Irreversible airflow-
limitations during forced exhalation due to loss of elastic recoil
-Airways, alveoli, and blood vessels issues
-Barrel chest 1:1 ratio
-Airflow obstruction due to mucous hyper secretion, mucosal edema, and
broncho spasms due to excessive coughing
-COPD goes along with vascular disease, coronary artery disease,
congestive heart failure
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