Respiratory

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  • Created by: birungi1
  • Created on: 12-04-18 20:44
Name all the antimuscarinics inhalers
tiotropium -Laba, ipratropium - SAMA, glycopyrronium, alclidinium, umeclidinium
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What are the side effects of antimuscarinics
constipation, dry mouth, headache, gi motility disorder, cough, sinusitis
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What is the side-effect with glycopyrronium that is different with other antimuscarinics
insomnia
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What are the side-effects in tiotropium that is different in other antimuscarincs
epistaxis, oropharyngeal candidiasis, taste disturbances
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What are the cautions in G.A.T
arrhythmia, MI, HF
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Brand for aclidinium
Ekilira
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Brand for glycopyrronium
Seebri breezhaler
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Brand for Ipratropium
Atrovent, Respontin --> Nebuliser liquid
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Brand for tiotropium
Spiriva respimat , braitus
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Brand for umeclidinium
Incurse Ellipta
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What are the contra-indication for B2- adrenoceptor agonists
severe pre-clampsia
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What are B2 adrenoceptor cautioned in
arrhythmias, CVD, diabetes, hypertension, hypokalaemia,
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What are the side-effects of B2 adrenoceptor agonists?
arrhythmia, palpitations, tremor, headache, hypokalaemia, hyperglycaemia, ketoacidosis (IV) muscle cramps
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What B2 adrenoceptor agonists needs to be reduced in a renal function of less than 50ml.min
bambuterol
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Which B2 adrenoceptor agonists is long-acting
salmeterol and formoterol
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When should you use long-acting B2 adrenoceptor agonists
only when ICS fail,
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When should you discontinue long-acting B2 adrenoceptor agonists
absence of benefit
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When should long-acting B2 adrenoceptor agonist not be given
deteriorating asthma and relief of asthma
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How should you give long-acting B2 adrenoceptor agonist
introduce at a low dose
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What are indacaterol and olodaterol cautioned in
convulsive disorder
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What is B2 adrenoceptor agonist is cautioned in aneurysm
olodaterol
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What B2 adrenoceptor agonist is used for uncomplicated premature labour
salbutamol, terbutaline
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In high doses salbutamol can cause what
lactic acidosis
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What are the corticosteroids inhaler
beclomethasone, budesonide, fluticasone, ciclosonide
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What are corticosteroids used for
prophylaxis
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When are corticosteroids normally given
when reliever are used more than 3times a week, asthma exacerbations in the last 2 years, disturbed sleep once a week
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What advice should you give someone taking corticosteroids inhalers
do not stop taking unless doctor tells you to stop
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What corticosteroid inhaler needs to be prescribed by brand
beclomethasone : qvar (smaller particles) not licenced in under 12, clenil 200 and 250 not licenced in under 12
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What is contained in fostair
beclomethasone and formoterol
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What are the inhalers for budesonide
Budeline, pulmicort
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What are the inhalers for Budesonide and formoterol
duoresp spiromax, symbicort turbohaler
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What are the inhalers for ciclesonide
Alvesco
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Side effects for ciclesonide
nausea and taste disturbances
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Inhaler for fluticasone
flixonide
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side-effects for fluticasone
arthralgia, dyspepsia
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Inhaler for fluticasone and vilanterol
Relvar ellipta
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Side-effects of relvar ellipta
abdominal pain, and back pain
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Inhaler for fluticasone and formoterol
flutiform
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Inhaler for fluticasone and salmeterol
seretide , airflusal forsipra , sereflo 125 - not compartible with spacer device
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Inhaler for mometasone
asmanex twisthaler
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Side-effects for mometasone
headache
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What should you give along with the corticosteroid inhaler
steroid card
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Mepolizumab is cautioned in what
helminth infection
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When should you discontinue mepolizumab
discontinue if helminth infection occurs whilst on tx
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What are the side-effects of mepolizumab
back pain, eczema, headache, LRTI, nasal congestion
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Omalizumab is cautioned in what
autoimmune disease, susceptibility to helminth infection - discontinue
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What are the side-effects to omalizumab
abdominal pain, arthralgia, headache, injection site reactions, pyrexia, sinusitis, URTI
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When should you discontinue reslizumab
helminth infection
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How should you store reslizumab
refrigerator 2-8
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What are leukotriene receptor antagonists beneficial in
exercise induced asthma, concomitant rhinitis
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What syndrome can leukotriene receptor antagonist cause
churg-strauss syndrome
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What are montelukast side-effects
abdominal pain, headache, hyperkinesia - in young people, thirst
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What is zafirlukast cautioned in
elderly
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What are the side-effects of zafirlukast
GI disturbances, headache, respiratory infections
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What are the C/A label for zafirlukast
take on empty stomach
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When should you avoid zafirlukast
hepatic disorder
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When should you discontinue mast cell stabilisers
paradoxical bronchospasm
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How should you stop mast cell stabilisers
withdrawal should be done period over a week
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What is nedocromil used for
prophylaxis of asthma
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What is the dose of nedocromil
2puffs - 4mg
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What are the side-effects of nedocromil
abdominal pain, dyspepsia, nausea, pharyngitis, vomiting
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When sodium cromoglicate is used by inhalation when should it be discontinued
eosinophilic pneumonia occurs
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What are the side-effects of sodium cromoglicate
bronchospasm, cough , eosinophilic pneumonia, paradoxical bronchospasm, rhinitis, throat irritation - inhalation
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Sodium cromoglicate used as oral can cause what side-effects
joint pain, occasional nausea, rash
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What is roflumilast
phosphodiesterase type 4 inhibitor
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What is roflumilast contra-indicated in
cancer, Hx of depression with suicidal ideation, moderate to severe cardiac failure
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What are the side-effects of roflumilast
abdominal pain, diarrhoea, headache, insomnia, nausea, weight loss
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What should you monitor in roflumilast
weight
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What is ephedrine used for
neuropathic oedema, reversible airway obstruction
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What is ephedrine cautioned in
DM, elderly, HTN, hyperthyroidism
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What are the side-effects of ephedrine
anxiety, arrhythmia, insomnia, restlessness, tachycardia, tremor
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What are antihistamines use for
rhinorrhoea and sneezing
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What antihistamines can be used as adjunct to adrenaline of emergency tx of anaphylaxis and angioedema
chlorphenamine or promethazine
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Name the non sedating antihistamines
acrivastine, bilastine, cetirizine, loratidine, mizolastine
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What antihistamines are contra-indicated in acute prophyria
acrivastine, bilastine, cetirizine, mizolastine, hydroxyzine
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What are the side effects of bilastine
headache and malaise
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What antihistamines are cautioned in epilepsy
cetirizine, chlorphenamine, promethazine
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What are the C/A label for fexofenadine
do not take indigestion remedies
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What is loratidine cautioned in
acute porphyria
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What are the side effects for mizolastine
anxiety asthenia, weight gain
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What is alimemazine contra-indicated in
epilepsy
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In high doses what should you avoid alimemazine in
exposure to sunlight
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What is the emergency treatment for anaphylactic reactions
chlorphenamine, promethazine
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What are the side effects of chlorphenamine
blurred vision, dry mouthm, urinary retention, gi disturbances, headache
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What is the MHRA note for hydroxyzine
QT interval prolongation, torsade de pointes
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What are the side effects of hydroxyzine
dry mouth, fatigue, headache
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What antihistamines interacts the most
mizolastine; antiarrhythmics, azoles, erythromycin, aprepitant: increased exposure
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Carbocisteine is contra-indicated in what
acute peptic ulceration
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What are the contra-indications for pholcodine
bronchiectasis, COPD
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What are the side-effects of pholcodine
constipation, confusion, dizziness
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What antihistamines interacts the most
mizolastine; antiarrhythmics, azoles, erythromycin, aprepitant: increased exposure
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Carbocisteine is contra-indicated in what
acute peptic ulceration
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What are the contra-indications for pholcodine
bronchiectasis, COPD
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What are the side-effects of pholcodine
constipation, confusion, dizziness and drowsy, excitation, sputum retention and vomiting
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Other cards in this set

Card 2

Front

What are the side effects of antimuscarinics

Back

constipation, dry mouth, headache, gi motility disorder, cough, sinusitis

Card 3

Front

What is the side-effect with glycopyrronium that is different with other antimuscarinics

Back

Preview of the front of card 3

Card 4

Front

What are the side-effects in tiotropium that is different in other antimuscarincs

Back

Preview of the front of card 4

Card 5

Front

What are the cautions in G.A.T

Back

Preview of the front of card 5
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