Asthma
Cystic Fibrosis
Upper Respiratory Infections
Otitis Media
Tonsillectomy & Misc

100

Relaxes muscle bundles that constrict airways; dilate airways; provides continuous airway relaxation; sustained release for prevention of nocturnal symptoms. Tablet form of this drug should not be crushed or chewed. Continuous administration is needed and works best when a specific amount is maintained in the bloodstream. Monitor serum levels
What is a Methylxanthines i.e, ( Theophylline:PO, Aminophylline; IV)

100

The nebulization form of these medications breaks up a and viscosity of mucus and improves lung function by minute particles being dispersed throughout the respiratory tract. These droplets are much finer than those created by inhalers.Monitor the child for improvement in PFTs. Some effects can be voice alterations and laryngitis.Safe for children younger than 12 years. Does not replace other therapies for CF but is used in conjunction
What is a mucoltytic ? i.e ( Dornase alfa (Pulmozyme),Acetylcysteinie/Mucomyst

100

Medications used to shrink swollen nasal passages but limit use of nose drops or sprays to 3 days to prevent rebound congestion
Waht is decongestant drops ?

100

First-line antibiotics used and administered in high doses, usually 80 to 90 mg/kg/day in two divided doses.The usual course of treatment is 10 to 14 days in children younger than 6 years of age. The course may be shorter for older children.
What is Amoxicillin (Amoxil), amoxicillin-clavulanate (Augmentin), and azithromycin (Zithromax) ?

100

Administer to treat bacterial infections such as Group A β-hemolytic streptococci and prevent the risk for serious sequelae such as acute rheumatic fever and acute glomerulonephritis. IM form (one injection)resolves compliance issue.
What is Penicillin IM: Penicillin G,Erythromycin (if penicillin allergy) ?

200

Can be given orally, inhaled( usually for long-term control) or parenterally ( systemic for quick relief control). Used primarily in moderate to severe exacerbations to reduce inflammatory (mucosal edema of airways) response during or prevent an episode. Will enhance the effectiveness of B2 agonist.Administer with food and milk to prevent gastric upset. Rinse mouth after inhalation to prevent oral candidiasis.
What is anti-inflammatory /Corticosteroids ? i.e. (Belcomethasone/Vanceril, Methylprednisone Prednisone/Deltasone)

200

Used to treat pancreatic insufficiency associated with cystic fibrosis. Aids in the digestion and absorption of nutrients.Capsules should be given with or before all meals and can be swallowed whole or sprinkled on food. Dosage is based on number of consistency of stools and adequate weight gain.
What is Pancreatic enzymes – Pancrelipase (Pancrease)/Cotazyn/Ultrase ?

200

Drug used Sub Q in emergency treatment of status asthmaticus and nebulized treatment for epiglottis.Observe the child for 3 hr after administration of medication.Inform the child that they may feel an acceleration in heart rate during the administration of this medication
What is —epinephrine ,Racemic epinephrine ?

200

Contraindicated for use with otitis media
What is decongestants or antihistamines, steroids and antibiotic ear drops ?

200

Medications use to manage pain and fever Postoperatively for Tonsillectomy patients on a regular schedule and after discharge.
What is Antipyretics – Acetaminophen (Tylenol)/Acetaminophen (Tylenol) and codeine ?

300

Quick-relief (“rescue”) medications that block the parasympathetic nervous system from providing relief of acute bronchospasms. Monitor for dry mouth when taking these class of medications. So encourage older children to suck on hard candies to help dry mouth.
What is an Cholinergic antagoinist ( antichlininergic medications) i.e Ipratropium ( Atrovent)

300

Drugs of choice used to relax smooth muscles of the airways within 5-10 minutes to relieve bronchospasms in cystic fibrosis and asthmatics . Drugs of choice for rescue therapy (via a MDI or nebulizer). Child needs to be monitored for tremors and tachycardia when taking this class of drugs.
B2 agonist (short-acting)-Albuterol( Proventil), Metoproterenol, Terbutaline( Brethine), Levalbuterol ?

300

Contraindicated remedies for treating “common cold” in children under 5 year of age.
What is antihistamines, cough suppressants ( due to alcohol content) ?

300

This produces a lower incidence of otitis media in infants.
What is breastfeeding ? (possibly due to the presence of immunoglobulin A (IgA)

300

Ear drops for topical pain relief of otitis media.
What is Benzocaine (Americaine-Otic) ?

400

Long term control that acts to reduce inflammation Improves lung function and diminishes symptoms and need for rescue medications.These drugs works by blocking the action of leukotrienes (substances that cause inflammation, fluid retention, mucous secretion, and constriction) in the client's lungs.Used as an adjunct to inhaled steroids in moderate and severe cases. Take as prescribed , do not withdraw abruptly. Due to the side effect of drowsiness, it is usually taken once a day in the evening with or without food.. These class of drugs are ineffective as a bronchospasm prophylacticlly and do not need to be administered before activity. Overall ineffective as a rescue medication.
What is a leukotriene modifier i.e.Montelkukast(Singular) ?

400

Medications used to stabilize blood sugar due to insulin resistance and insulin deficiency that occurs in CF patients. Overall goal is to maintain glucose homeostasis. Close monitoring of blood glucose is needed and administer drugs as prescribed.
What is Oral glucose-lowering agents or insulin injections ?

400

Used in croup syndromes and asthma if child is unresponsive to other treatments.
What is Heliox ?

400

Analgesic-antipyretic drug to treat otitis media
What is Acetaminophen/Ibuprofen (only if >6 months of age) ?

400

Used aggressively for treatment of potential pulmonary infections in CF patients.
What is Home IV antibiotic therapy & Aerosolized antibiotics ?

500

Anti-inflammatory, inhibit early and late-phase asthma response to allergens and exercise-induced bronchospasms; may also be used for unavoidable allergen exposure. Not to used in acute attack or with symptom development. May not see maximum benefit of the drug for up to 4-6 weeks of use. Must be used up to 4 times a day to beneficial.
What is a mast cell stabilizer i.e Cromolyn Soduiun (Intal), Nedocromil,Tilade ?

500

Must be given to optimize absorption of nutrients needed to maintained well balanced diet in CF patients.
What is Water-miscible forms of vitamins A, D, E, and K are given, along with multivitamins and iron ?

500

Used prophylacticlly to prevent RSV
What is Palivizumab (Synagis) ?

500

Second-line antibiotics used for otitis media.
What is Amoxicillin-clavulanate (Augmentin), azithromycin Cephalosporins IM(If highly resistant organism or noncompliant with oral doses)?

500

Used as aerosol antiviral treatment for Respiratory Syncytial virus (RSV) and influenzae, preventing the virus from replicating.
What is Ribavirin ?