NURS 615 ADV PHARM EXAM 4
Questions and Guide Answers
100% Verified Graded A+
1. SAMA - meds, MOA, duration and onset
Answer: atropine, ipratropium (Atrovent)
inhibits cholinergic receptors, blocks Ach, net ettect reduces cGMP which normally constrict bronchial smooth muscle
4-6 hours and slower onset than SABAs
2. umeclidinium/vilanterol (Anoro Ellipta) - LAMA/LABA combo
precaution
Answer: CV disease, uncontrolled HTN, narrow angle glaucoma
3. ICS medications
Answer: mometasone (Asmanex) - most potent and expensive
beclomethasone (QVAR) - weakest, takes more putts to = mometasone
,fluticasone (Flovent) - medium
budesonide (Pulmicort)
ciclesonide (Alvesco)
4. LAMAs for COPD - meds, MOA, dose
Answer: aclidinium bromide (Tudorza), umeclidinium (Ellipta) inhibits M3 receptors as smooth
muscle bronchodilates
1 putt BID, inhaled powder
5. ICS - use and SE
Answer: asthma maintenance or possibly COPD thrush - oral
candidiasis - rinse and spit after use, administer with spacer
6. LABA - MOA, onset and duration, SE, dose
Answer: stimulates beta 2 receptors on bronchial smooth muscle
onset 2-5 hours, duration 12hrs.
BBW not for monotherapy use d/t risk of death, use in conjunction with ICS. 1
putt q12hr.
7. LAMA - Spiriva generic, use, dose, age of use
Answer: tiotropium bromide. maintenance therapy for COPD, emerging in asthma
2 putts qd for COPD, 1 putt qd for asthma age
6 and up
, 8. LABA - meds and use
Answer: salmeterol (Serevent) and formoterol (Foradil).
prevents an exacerbation of asthma/COPD/exercise induced asthma, and helps kids with nighttime coughing and
wheezing.
9. LABA meds for COPD use only
Answer: olodaterol and indacaterol (a dry powder inhaler)
10. LAMA/LABA for COPD
Answer: umeclidinium/vilanterol and tiotropium bromide/olodaterol
11. Steps for asthma
12. Related to SABA meds, what indicates poor control of the disease?
Answer: use of SABA more than 2 times a week
13. SABA - MOA, onset and duration, SE, Dose
Answer: stimulates beta 2 receptors on bronchial smooth muscles.
onset in 5 min, duration 3-4 hours
tremors and tachycardia
2 putts q4hrs PRN
14. What patient should not use a LABA?
Answer: black
Questions and Guide Answers
100% Verified Graded A+
1. SAMA - meds, MOA, duration and onset
Answer: atropine, ipratropium (Atrovent)
inhibits cholinergic receptors, blocks Ach, net ettect reduces cGMP which normally constrict bronchial smooth muscle
4-6 hours and slower onset than SABAs
2. umeclidinium/vilanterol (Anoro Ellipta) - LAMA/LABA combo
precaution
Answer: CV disease, uncontrolled HTN, narrow angle glaucoma
3. ICS medications
Answer: mometasone (Asmanex) - most potent and expensive
beclomethasone (QVAR) - weakest, takes more putts to = mometasone
,fluticasone (Flovent) - medium
budesonide (Pulmicort)
ciclesonide (Alvesco)
4. LAMAs for COPD - meds, MOA, dose
Answer: aclidinium bromide (Tudorza), umeclidinium (Ellipta) inhibits M3 receptors as smooth
muscle bronchodilates
1 putt BID, inhaled powder
5. ICS - use and SE
Answer: asthma maintenance or possibly COPD thrush - oral
candidiasis - rinse and spit after use, administer with spacer
6. LABA - MOA, onset and duration, SE, dose
Answer: stimulates beta 2 receptors on bronchial smooth muscle
onset 2-5 hours, duration 12hrs.
BBW not for monotherapy use d/t risk of death, use in conjunction with ICS. 1
putt q12hr.
7. LAMA - Spiriva generic, use, dose, age of use
Answer: tiotropium bromide. maintenance therapy for COPD, emerging in asthma
2 putts qd for COPD, 1 putt qd for asthma age
6 and up
, 8. LABA - meds and use
Answer: salmeterol (Serevent) and formoterol (Foradil).
prevents an exacerbation of asthma/COPD/exercise induced asthma, and helps kids with nighttime coughing and
wheezing.
9. LABA meds for COPD use only
Answer: olodaterol and indacaterol (a dry powder inhaler)
10. LAMA/LABA for COPD
Answer: umeclidinium/vilanterol and tiotropium bromide/olodaterol
11. Steps for asthma
12. Related to SABA meds, what indicates poor control of the disease?
Answer: use of SABA more than 2 times a week
13. SABA - MOA, onset and duration, SE, Dose
Answer: stimulates beta 2 receptors on bronchial smooth muscles.
onset in 5 min, duration 3-4 hours
tremors and tachycardia
2 putts q4hrs PRN
14. What patient should not use a LABA?
Answer: black
