To the Rescue!
Bronchodilators: Anticholinergic Edition
COPD Companions
Inhaled Steroids 101
Montelukast Mania
100

Albuterol primarily targets this type of adrenergic receptor in the lungs to produce bronchodilation.

What are beta2-adrenergic receptors?

100

This is the prototype anticholinergic bronchodilator commonly used for long-term management of asthma and chronic bronchitis.

What is ipratropium (Atrovent)?

100

This drug is the prototype xanthine used for chronic asthma and COPD, but it is not recommended for acute asthma attacks.

What is theophylline?

100

This class of drugs is the most consistently effective long-term control treatment for asthma.

What are inhaled corticosteroids? (beclomethasone)

100

This leukotriene modifier is the prototype drug used to prevent bronchoconstriction and inflammation in asthma.

What is montelukast (Singulair)?

200

Administering bronchodilators this way provides localized therapeutic effects and fewer systemic side effects.

What is inhalation (via MDI or nebulizer)?

MDI refers to metered dose inhaler 

200

Anticholinergic bronchodilators are not effective for this type of asthma symptom when used alone.

What is acute bronchospasm? Ex: an acute asthma attack

200

Patients with these conditions often need smaller doses of theophylline because metabolism is impaired.

What are liver disease, congestive heart failure, COPD, or acute viral infections?

200

GINA guidelines recommend pairing an inhaled corticosteroid with this type of medication for rescue use.

What is a short-acting beta2-agonist (SABA)? Ex: Albuterol

200

Montelukast is not effective for this type of asthma episode and should not be used as a rescue medication.

What is an acute asthma attack?

300

The most common side effect of albuterol is this involuntary shaking of the muscles.

What is muscle tremor?

300

Anticholinergic bronchodilators are also used to treat this nasal condition associated with allergies and the common cold.

What is rhinorrhea?

300

A serum theophylline level above this value (in mcg/mL) is often associated with serious adverse effects, including ventricular dysrhythmias and convulsions.

What is 20 mcg/mL?

300

In chronic asthma treatment, patients typically take inhaled corticosteroids according to this schedule.

What is daily? (these medications should be take every single day no matter how the patient is feeling; ARE NOT TAKEN PRN)

300

Common side effects of montelukast include headache, nausea, vomiting, diarrhea, hyperkinesia, and this type of hyperactivity.

What is psychomotor hyperactivity?


400

Albuterol is also used for the short-term management of asthma triggered by this type of physical activity.  

What is exercise-induced asthma?

400

This is the most common type of local effect patients may experience when using inhaled ipratropium.

What is cough?

400

These serious signs of theophylline toxicity may be the first indication that serum drug levels are dangerously high.

What are ventricular dysrhythmias or convulsions?

400

This oral fungal infection—also known as thrush—is a frequent complication of inhaled corticosteroids.

What is oral candidiasis?

Patients should be instructed to rinse their mouth out with water after administration

400

This symptom reduction, particularly at night, is one of the clinical benefits observed with montelukast therapy

What is decreased nighttime asthma symptoms?

500

Albuterol is classified as this type of adrenergic drug that should be given to patients PRN during episodes rather than scheduled everyday.

What is a SABA? (Short-Acting Beta2-Agonists)

500

Caution is recommended when using ipratropium in patients with this type of eye condition that involves increased intraocular pressure.

What is narrow-angle glaucoma?

500

One chronic disorder commonly treated with theophylline is this disease, which includes emphysema and chronic bronchitis.

What is chronic obstructive pulmonary disease (COPD)?


500

Using this inhaler attachment decreases the amount of corticosteroid deposited in the mouth and can lessen the risk of thrush.

What is a spacer?

500

In comparison to inhaled corticosteroids, leukotriene modifiers are generally considered less effective at achieving consistent asthma control.

What is true?

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