What are your first line drugs for asthma?
Beta- agonst
Anticholinergic
– should be given together

What is the mechanism of action of short acting Beta 2 agonists?

aton of Albuterol
will get you tachycardia
Inhaled B agonist therapy chart

Systemic B agonist therapy chart

B agonist Side effects

When do you use anticholinergics?
asthma exacerbation
– Ipatropium is the drug of choice
If you have asthma exacerbation what should you do?
Uterly life threatening exacerbations:
Refractory therapy
Mg and Ketamine
Do not use this on asthma unless there is an absolute need
Antibiotic; only if there is infection
COPD

Why is there exacerbation of copd?

Management of COPD
first line

They should be discharged with long acting stuff

Antibiotics table

What are the most common pathogens for COPD

COPD: monotherapy antibiotic recommended by GOLD guidelines
When will you use atb with Pseudomonas coverage?
Use antibiotics with Pseudomonas spp., coverage for
certain patients
o Exacerbation requiring mechanical ventilation
o Severe airflow limitation
o Frequent exacerbations per year
Exacerbation Prevention
Prophylaxis
