Asthma

Question 1

What are the guidelines for asthma called?

Answer 1

Global Initiative for Asthma (GINA)

Question 2

When classifying by rescue inhalers, what would be considered intermittent symptoms?

Answer 2

use 2 or less days/week

Question 3

When classifying by rescue inhalers, what would be considered mild symptoms?

Answer 3

use 2/+ days/week but not daily

Question 4

When classifying by rescue inhalers, what would be considered moderate symptoms?

Answer 4

use daily

Question 5

When classifying by rescue inhalers, what would be considered severe symptoms?

Answer 5

use several times/day

Question 6

Should LABAs ever be used alone in asthma?

Answer 6

NO

Question 7

If a patient has exercise induced bronchospasm, when should they take their rescue inhaler?

Answer 7

15 minutes before exercise

Question 8

If a patient is pregnant, should you adjust their asthma medications?

Answer 8

No

Question 9

When using a peak flow meter a patient gets >80-100% of their personal best. What should they do?

Answer 9

Follow their routine plan

Question 10

When using a peak flow meter a patient gets 50-80% of their personal best. What should they do?

Answer 10

use caution, and intervene

Question 11

When using a peak flow meter a patient gets <50% of their personal best. What should they do?

Answer 11

medical alert, go to the emergency department

Question 12

If a patient has symptoms <2x/month, which medications could they be started on?

Answer 12

A prn low dose ICS + formoterol
OR
A SABA + low dose ICS

Question 13

If a patient has symptoms or a need for SABA use 2/+ times per month, which medications could they be started on?

Answer 13

PRN low dose ICS + Formoterol
OR
SABA or ICS/SABA + Low Dose ICS

Question 14

If a patient has symptoms on most days or is waking up at night once a week unable to breathe, which medications could they be started on?

Answer 14

2 low dose ICS/formoterol inhalers
OR
SABA or ICS/SABA + low dose ICS/LABA

Question 15

If a patient has symptoms daily, or is waking up at night multiple times a week unable to breathe, which medications could they be started on?

Answer 15

1 low dose and 1 medium dose ICS/formoterol inhalers
OR
SABA or ICS/SABA + medium dose ICS/LABA

Question 16

Which 3 inhalers need to be sprayed 4 times away from face to prime?

Answer 16

1. Ventolin HFA
2. ProAir HFA
3. Fluticasone HFA

Question 17

Which 2 inhalers need to be sprayed 2 times away from face to prime?

Answer 17

1. Symbicort
2. Breyna

Question 18

For Advair Diskus and Budesonide, what does a patient need to do after they inhale?

Answer 18

rinse mouth with water and spit out

Question 19

For Budesonide, what is done to prime the inhaler?

Answer 19

brown base is twisted

Question 20

What are 2 big counseling points with ProAir Respiclick?

Answer 20

1. Opening and closing the cap repeatedly wastes medications
2. Do NOT wash/put the inhaler in water

Question 21

Beclomethasone (QVAR Redihaler), Budesonide (Pulmicort), Fluticasone (Flovent Arnuity, Armonair), Mometasone (Asmanex), and Ciclesonide (Alvesco) are all which drug class?

Answer 21

ICS

Question 22

What are the 3 SABAs for asthma?

Answer 22

1. Albuterol (ProAir, Ventolin, Proventil)
2. Levalbuterol (Xopenex)
3. Epinephrine (Asthmanefrine)

Question 23

Which medication is an ICS/SABA?

Answer 23

Budesonide/Albuterol (Airspura)

Question 24

What are the 4 ICS/LABAs?

Answer 24

1. Fluticasone/Salmeterol (Advair, AirDuo, Wixela)
2. Fluticasone/Vilanterol (Breo Ellipta)
3. Budesonide/Formoterol (Symbicort/Breyna)
4. Mometasone/Formoterol (Dulera)

Question 25

What do SABAs do to potassium?

Answer 25

Decrease

Question 26

Should Beclomethasone (QVAR Redihaler) be shaken?

Answer 26

No

Question 27

Should Ciclesonide (Alvesco) be shaken?

Answer 27

No

Question 28

What would the dose of Montelukast (Singulair) be for a patient aged 1-5?

Answer 28

4mg

Question 29

What would be the dose of Montelukast (Singulair) for a patient aged 6-14?

Answer 29

5mg

Question 30

What would be the dose of montelukast for an adult?

Answer 30

10mg

Question 31

What is the boxed warning for montelukast?

Answer 31

neuropsychiatric events

Question 32

Zafirlukast (Accolate) should be dispensed in?

Answer 32

It's original container

Question 33

Zafirlukast (Accolate) and Zileuton (Zyflo) damage which organ?

Answer 33

Liver

Question 34

What is the equation for the conversion of aminophylline to theophylline?

Answer 34

Aminophylline x 0.8 = theophylline

Question 35

Which 4 drugs will increase theophylline levels?

Answer 35

1. Cipro 2. Zileuton 3. Zafirlukast 4. Clarithromycin

Question 36

Which enzyme is theophylline a substrate of?

Answer 36

CYP1A2

Question 37

Which 7 drugs decrease theophylline levels?

Answer 37

1. carbamazepine 2. phosphenytoin 3. phenobarbital 4. phenytoin 5. primidone 6. rifampin 7. ritonavir

Question 38

Because Omalizumab (Xolair) has a boxed warning for anaphylaxis, how many doses must be given in a healthcare setting before a patient is eligible to try self-administration?

Answer 38

3 doses

Question 39

Which Interleukin Receptor Antagonist can be given subcutaneously every 2 weeks?

Answer 39

Dupulimumab (Dupixent)

Question 40

Which Interleukin Receptor Antagonist can be given subcutaneously every 4 weeks?

Answer 40

Mepolizumab (Nucala)

Question 41

Which Interleukin Receptor Antagonist can be given subcutaneously every 6 weeks?

Answer 41

Benralizumab (Fasrena)

Question 42

Which Interleukin Receptor Antagonist can be given intraveinously every 4 weeks?

Answer 42

Reslizumab (Cinqair)

Question 43

Which medication is a human thymic stromal lymphopoietin blocker?

Answer 43

Tezepelumab (Tezspire)

Question 44

Is Respiclick a MDI or DPI?

Answer 44

DPI

Question 45

What is the therapeutic range of theophyline?

Answer 45

5-15mcg/mL

Question 46

Dulera should be primed before use. How many days of not using it requires the patient to reprime?

Answer 46

5/+