Mechanisms & Drug Classes
Rescue vs Maintenance
Adverse Effects & Red Flags
Patient Teaching & Safety
CLINICAL JUDGMENT
100

Do antihistamines stop histamine release?

What is NO—they block histamine receptors?

100

Fast-acting drug for acute asthma attack

 What is SABA (short-acting beta₂ agonist)?

100

Common side effect of antihistamines

What is drowsiness?

100

Key teaching with mucolytics

What is increase fluids + use humidifier?

100

Patient with asthma only uses LABA—risk

What is no rescue during acute attack?

200

Primary action of decongestants

What is symptom relief (no antiinflammatory effect)?

200

Why LABAs cannot be used in emergencies

 What is slow onset—NOT fast acting?

200

Antihistamines in glaucoma patients can cause

What is increased intraocular pressure → blindness risk?

200

Why antihistamines and alcohol should not be combined

What is increased sedation risk?

200

Older adult taking antihistamines becomes confused

What is drug-induced cognitive impairment?

300

What anti-inflammatory drugs do to mucous membranes

What is dry them out?

300

Drug used ONLY for asthma prevention, not treatment

What is cromolyn sodium?

300

Fluticasone risk

What is secondary fungal infection?

300

Why OTC meds must be reported

What is risk of interactions and ↑BP?

300

Patient on leukotriene inhibitor + rifampin—concern

What is increased liver toxicity risk?

400

How leukotriene inhibitors can become dangerous

What is liver dysfunction (drug interactions)?

400

Correct order: SABA + corticosteroid inhaler

What is SABA first, then corticosteroid?

400

Codeine antitussive major side effect

What is severe constipation?

400

Why young children should avoid decongestants

What is risk of overdose/toxicity?

400

Patient reports tremors and rapid heart rate after inhaler

What is expected beta₂ agonist effect (monitor)?

500

How beta₂ agonists affect the body systemically

What is sympathetic stimulation (↑HR, tremors, ↑BP, anxiety)?

500

Patient using only montelukast during attack—problem?

What is no rescue medication → life-threatening delay?

500

Serious side effects of ipratropium to report

What are urinary retention & tachycardia?

500

Why patients should carry SABA at all times

What is prevent life-threatening asthma attack?

500

Asthma patient arrives in distress but left inhaler at home—priority

What is administer rescue bronchodilator immediately?

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