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94 Cards in this Set

  • Front
  • Back
Goals of Asthma therapy (6)
1)minimize day/night symptoms
2)minimize exacerbations/hospital visits
3)minimize limits on activity and missed days
4)maintain near normal pulmonary fxn
5)minimize need for B2 agonist
6)minimize ADR's from meds
____= too much SABA use (2)
more than 2 canisters/month

over 2x use per week
Asthma monitoring parameters (4)
1)day/night symptoms
2)limits on acitivty/days missed/hospital visits
3)B2 agonist utilization
4)peak expiratory flow rate as % of best
COPD monitoring parameters (5)
1)symptoms
2)limits on activity/days missed/hospital visits
3)bronchodilator utilization (if prn)
4)+ drug specific ones
5)#1 cause is smoking
Allergic rhinitis
a)monitoring parameters (2)
b)drug selection (5)
c)nonpharma tx
a1)histamine related symptoms
a2)nasal congestion

b1)antihistamines
b2)decongestants
b3)intranasal corticosteroids
b4)mast cell stabilizers
b5)intranasal anticholinergic

c)AVOID ALLERGEN
B2 agonist bronchodilators
a)precautions (2)
a1)CV disease (potential for incr HR)
a2)DM (potential for incr in blood glucose)
B2 agonist bronchodilators
a)class ADR's (4)
a1)cough
a2)nervousness/anxiety
a3)tremor/tachycardia/palpitations
a4)worsen hypokalemia if used w/ K+ wasting diuretics
B2 agonist bronchodilators
a)class pt consultation (4)
a1)for ACUTE asthma symptoms ONLY
a2)monitor frequency of use (daily/freq use suggests poor control or underlying disease)
a3)can "pre-treat" prior to exercise or before exposure to known triggers
a4)agent-specific admin technique
Proventil
a)dosage forms (3)
b)pt consultation (2)
a1)aerosol inhaler
a2)solution for inhalation via nebulizer
a3)syrup and oral tablets too

b1)for exercise induced bronchospasm, pretx 15min prior
b2)shake aerosol prior to use
Xopenex
a)generic
b)dosage form
c)pt consultation (3)
a)levalbuterol
b)available as solution for neb & inhaler (xopenex HFA)

c1)neb (do NOT mix w/ other meds)
c2)use within 2wks of opening foil
c3)less ADR's than alubterol
Maxair
a)generic
b)dosage forms (2)
c)pt consultation (3)
a)Piralbuterol
b1)aerosol inhaler
b2)AUTOHALER

c1)admin technique dependent on dosage form
c2)shake aerosol well
c3)for exercise induced bronchospasm, pretx 15min prior
Serevent Diskus
a)dosage form
b)CI
c)pt consultation (2)
a)serervent
b)not for acute asthma

c1)use on schedule as directed
c3)if used for exercise induced bronchospasm, pretx 30-60min prior
Inhaled corticosteroids
a)CI/precautions (3)
b)class ADRs (3)
c)other
a1)not for primary tx of status asthmaticus
a2)appropriate transfer from system steroids (to avoid renal insufficiency)
a3)secondary oral fungal infexn may occur

b1)pharyngitis
b2)cough
b3)hoarseness

c)DRUG OF CHOICE FOR MAINTENANCE THERAPY
Inhaled corticosteroids
a)class pt consultation***** (4)
a1)not for acute symptoms
a2)daily compliance to control inflammation and prevent exacerbations
a3)may take up to 4WEEKS to see FULL effect after initiation or dosage incr
a4)rinse mouth and spit following use
Azmacort
a)generic
b)dosage form detail
c)pt consultation
a)triamcinolone
b)built-in spacer
c)shake well
Flovent
a)generic
b)dosage forms
c)ADR's (2)
d)consultation
a)fluticasone
b)disk(rotodisk) & inhaler
c)HA, pharyngitis
d)aerosol so shake well
Pulmicort
a)generic
b)dosage forms (3)
c)pt consultation (2)
a)budesonide

b1)turbuhaler (dry powder) (is now discontinued)
b2)respules (inhalation suspension for neb)
b3)flexhaler (replaced turbuhaler)

c1)turbuhaler NOT for use w/ spacer
c2)can be mixed w/ other meds
Advair
a)generic
b)strengths
c)FDA indications
d)ADR's
e)pt consultation
a)Fluticasone & salmeterol
b)100/50, 250/50, 500/50 (50mg salmeterol in all)
c)asthma & COPD
d)see ADR's of corticosteroid and salmeterol
e)diskus is DPI and NOT for immediate relief of symptoms
Intal
a)mechanism
b)FDA indication/dose
c)ADR (2)
d)pt consultation (3)
e)generic
a)mast cell stabilizer
b)2 puffs qid for long term maintenance & bronchospasm prevention
c)cough & sore throat

d1)use one hour before activity for bronchospasm prevention
d2)may take up to 4wks for effect
d3)for MAINTENANCE only

e)cromolyn
Tilade
a)generic
b)mechanism
c)FDA indication
d)ADR (2)
e)pt consultation
a)Nedocromil
b)mast cell stabilizer
c)2 puffs qid for long term maintenance and bronchospasm prevention
d)cough, sore throat
e)may take over 1wk for initial response
Theophylline
a)drug interactions (5)
1)quinolones
2)macrolides
3)smoking
4)charcoal beef
5)cimetidine
Theophylline
a)consultation (1)
b)other (3)
a1)do NOT crush tabs

b1)NTI
b2)needs monitoring
b3)aminophylline is injection
Atrovent
a)generic
b)dosage forms (3)
c)FDA indications (2)
d)CI/precautions (2)
a)ipatropium

b1)aerosol
b2)inhalation solution (neb)
b3)nasal spray

c1)maintenance tx for COPD
c2)rhinorrhea (allergic and non-allergic)--nasal spray

d1)not for acute attacks
d2)anticholinergic precautions
Atrovent
a)oral ADR's (3)
b)nasal ADR's (4)
c)pt consultation (2)
a1)dry mouth
a2)cough
a3)HA

b1)dryness
b2)epistaxis (nose bleed)
b3)irritation
b4)HA

c1)SCHEDULED use for COPD
c2)shake aerosol well
Spiriva
a)generic
b)FDA indications
c)dosage form/dose
d)PK (2)
e)Drug interactions
a)tiotropium
b)COPD
c)inhalation powder for use with Handihaler (one capsule by inhalation daily)

d1)half life is 5-6h
d2)selective muscarinic receptor antagonist

e)NOT likely due to low systemic absorption
Spiriva
a)CI
b)ADR's (2)
c)Pt consultation (3)
a)anticholinergics
b1)dry mouth
b2)constipation

c1)do NOT swallow capsules****
c2)keep in original packaging until use
c3)not a "rescue" med
Duoneb
a)generic
b)dosage form
c)pt consultation
d)FDA indication
a)ipatropium & albuterol
b)one amp via NEB qid; can use 2 additional doses if needed per day
c)protect from heat/light & keep in original foil
d)COPD pts w/ reversible bronchospasm
Combivent
a)generic
b)dosage form
c)FDA indication (2)
a)ipatropium & albuterol
b)aerosol

c1)COPD pt on bronchodilator w/ evidence of bronchospasm who require 2nd agent
c2)COPD pts w/ reversible bronchospasm
Accolate
a)generic
b)mechanism
c)drug interactions (4)
a)zafirlukast
b)LK antagonist

c1)warfarin
c2)phenytoin
c3)tegretol
c4)CCB
Accolate
a)precautions
b)ADR
c)pt consultation (2)
d)dose schedule
a)NOT for acute asthma tx
b)HA

c1)take on an EMPTY STOMACH
c2)used for daily/chronic tx

d)BID
Singulair
a)generic
b)mechanism
c)dosage forms (3)
d)dosing schedule (2)
a)montelukast
b)LK antagonist
c)tablet, chewable, granules

d1)asthma take HS (once daily)
d2)rhinitis take qd ANY TIME
Singulair
a)CI
b)ADR
c)pt consultation (2)
a)NOT for acute asthma
b)HA

c1)used for daily/chronic tx
c2)prevent exercise induced bronchospasm (take 2hrs prior)
Allegra/Allegra-D
a)FDA indications (3)
b)CI
c)ADR's (2)
d)pt consultation (2)
a1)seasonal allergic rhintits
a2)chronic idiopathic urticaria (not Allegra-D)
a3)60mg is q12h; 180mg is qd

b)severe HTN/CAD (w/ allergra-D)

c1)HA w/ no D
c2)HA, insomnia, nausea w/ D

d1)take on empty stomach
d2)avoid OTC cough, cold, allergy products
Clarinex
a)FDA indications (2)
b)precautions
c)ADR (2)
d)pt consultation (2)
a1)seasonal/perennial allergic rhinitis
a2)chronic idiopathic urticaria

b)impaired liver fxn
c)HA, dry mouth

d1)avoid OTC cough, cold, allergy products
d2)ONCE DAILY DOSING
Zyrte/Zyrtec-D
a)dosage forms (2)
b)FDA indications (2)
c)precautions (2)
d)ADR's (4)
e)pt consultation (2)
a)tablets, syrup
b1)seasonal allergic rhinitis
b2)perennial allergic rhinitis

c1)additive w/ CNS depressants (no D)
c2)additive w/ sympathomimetics (w/ D)

d1)drowsiness/somnolence
d2)fatigue
d3)dry mouth
d4)nervousness/insomnia (w/ D)

e1)may cause drowsiness (w/o D)
e2)avoid alcohol
Patanol
a)generic
b)dosage form
c)mechanism
d)indication
e)counsel
a)olpatadine
b)opthalmic
c)H-1 antagonist
d)allergic conjunctivitis
e)remove contact lenses prior to inserting; wait 10min before reinserting
Phenergan
a)dosage forms (4)
b)FDA indications (2)
c)ADR (2)
d)pt consult (2)
e)BLACK BOX WARNING
a1)tablets
a2)syrup
a3)suppositories
a4)injexn

b1)allergic rhinitis
b2)urticaria

c1)drowsy
c2)dry mouth

d1)may cause drowsy
d2)avoid alcohol

e)DO NOT GIVE TO PTS LESS THAN 2YO
Astelin
a)generic
b)mechanism
c)FDA indications
d)ADR (3)
e)consult
a)Azelastine
b)H1 antagonist
c)rhinitis

d1)bitter taste in mouth
d2)HA
d3)drowsy

e)may cause drowsiness
Nasal corticosteroids
a)class precautions (2)
b)Class ADR (4)
a1)bacterial/viral infexns of upper airways
a2)unhealed nasal wounds

b1)HA
b2)pharyngitis
b3)epistaxis (nose bleed)
b4)cough
Nasal corticosteroids
a)class pt consultation (6)
a1)shake well before use
a2)may require priming
a3)clear nasal passages before use (blow nose)
a4)CAN use concomitant decongestans
a5)effects not seen before a few days (up to 3wks)
a6)use daily for optimal effects
Flonase
a)generic
b)dosage form
c)FDA indication
d)dose schedule
a)fluticasone
b)nasal spray
c)allergic rhinitis
d)QD
Nasonex
a)generic
b)dosage form
c)FDA indication
d)dose schedule
a)mometasone
b)nasal spray
c)allergic rhinitis
d)QD
Nasacort AQ
a)generic
b)dosage form
c)FDA indication
d)dose schedule
a)Triamcinolone
b)nasal spray
c)allergic rhinitis
d)QD
Rhinocort AQ
a)generic
b)dosage form
c)FDA indication
d)dose schedule
a)budesonide
b)nasal spray
c)allergic rhinitis
d)QD
Atarax
a)generic
b)FDA indications (2)
c)pharmacology
d)drug interaxns (2)
e)ADR (2)
a)hydroxyzine
b)pruritis, anxiety
c)ZYRTEC is a metabolite of hydroxyzine

d1)CNS depressants
d2)alcohol

e1)drowsy
e2)dry mouth
Sudafed
a)CI (2)
b)precautions (3)
c)pt consultation (4)
a)CAD, HTN
b)HTN, DM, BPH

c1)only available thru pharmacy
c2)9g/month limit
c3)3.6g/day limit of sudafed base
c4)=146 30mg tablets
Tessalon Perles
a)generic
b)PK
c)CI (2)
d)ADR (2)
e)pt consult
a)Benzonatate
b)onset within 15-20min

c1)caution w/ PABA anesthetic allergy
c2)bronchospasm/CV collapse IF CHEWED/SUCKED

d)drowsy, HA
e)seek medical attn if difficulty breathing/swallowing
Tussionex
a)FDA indication
b)drug interaxns
c)CI/precautions (2)
d)pt consultation (2)
e)generic
a)cough
b)CNS depressants

c1)pulmonary disease/asthma
c2)BPH

d1)may cause drowsiness
d2)avoid alcohol

e)chlorpheniramine and HC
Mytussin AC
a)generic
b)control level?
c)FDA indications
d)drug interaxns
e)pt consultation (2)
a)codeine and guaifenisen
b)C5
c)cough
d)CNS depressants

e1)may cause drowsiness
e2)avoid alcohol
Guiafenex DM
a)generic
b)use
a)guaifenisin and DXM
b)symptomatic relief of cough
Guiafenex PSE
a)generic
b)use
c)cousel
a)guaifenisin and pseudofed
b)symptomatic relief of cough and nasal congestion
c)XR tablet; may break in half. Do NOT chew/crush
Aricept
a)generic
b)FDA indication
c)dose schedule
d)drug interactions (3)
a)Donepezil
b)Alzeheimer's
c)HS dosing

d1)phenytoin
d2)carbamazepine
d3)phenobarbital (PCP)
Aricept
a)precautions (3)
b)ADR (2)
c)pt consultation
d)mechanism
a1)sick-sinus syndrome (due to vagotonic effects)
a2)prior ulcers/GI bleeds
a3)asthma/COPD

b1)n/d
b2)anorexia common

c)take @ bedtime w/o regard to food
d)AChesterase inhibitor
Exelon
a)generic
b)FDA indications
c)dose schedule
d)drug interaxns (2)
a)Rivastigmine
b)Alzeheimer's
c)titrate every 2wks according to response

d1)anticholinergics
d2)cholinergic potentiation
Exelon
a)ADR's (4)
b)pt consultation
c)mechanism
a1)n/v/d
a2)anorexia
a3)dizziness
a4)HA

b)observe for anorexia/wt loss
c)AChesterase inhibitor
Namenda
a)generic
b)dosing (2)
c)mechanism
d)drug interaxns
e)ADR (3)
a)Memantine
b1)titrate no more often than weekly
b2)RENAL dose adjustment

c)NMDA inhibitor = decr glutamate effect
d)carbonic anhydrase inhibitors alkalinize urine and decr memantine clearance

e1)dizziness
e2)HA
e3)constipation
Parkinson's Disease
a)common problems/options (5)
a1)"wearing off" phenomenon
a2)"on-off" phenomenon
a3)peak dose dyskinesia
a4)mainstay is Sinemet
a5)if pt has parkinson's and alzeheimers TREAT ALZEHEIMER'S FIRST
Cogentin
a)generic
b)indication
c)mechanism
d)CI
a)Benztropine
b)Parkinson's, controls EPS (treats resting tremor better than big tremor)
c)anticholinergic
d)kids less than 3yo
Cogentin
a)precautions (2)
b)ADR (4)
c)pt consultation (2)
a1)risk of tachycardia
a2)aggravation of BPH

b1)dry mouth
b2)blurred vision
b3)consitpation
b4)nausea

c1)take w/ food/milk if GI upset
c2)do NOT abruptly DC
Comtan
a)generic
b)FDA indications (3)
c)mechanism
d)CI
e)Precautions (3)
a)Entacapone

b1)adjunct Parkinson's for "wearing off"
b2)ONLY GIVEN WITH SINEMET
b3)Sinemet therapy may require adjustment after initiation

c)COMT inhibitor
d)MAOI's

e1)do NOT abruptly dc
e2)hypotension
e3)movement disorders after initiation
Comtan
a)ADR (3)
b)pt consultation (2)
a1)n/d
a2)dyskinesia/hyperkinesia
a3)orthostasis

b1)admin w/ sinemet dosages
b2)may see urine color change
Eldepryl
a)generic
b)mechanism
c)indication
d)CI
e)drug interaction (3)
f)pt consultation
a)Selegiline
b)MAOB inhibitor
c)adjunct in Parkinson's
d)no use w/ MEPERIDINE

e1)meperidine
e2)TCA's (serotonin syndrome)
e3)SSRI's (serotonin syndrome)

f)do NOT exceed daily recommended dose
Mirapex
a)generic
b)FDA indications
c)precautions (2)
d)ADR (3)
e)pt consult (2)
a)Pramipexole
b)Parkinson's

c1)orthostasis
c2)renal dysfxn

d1)dizziness/somnolence
d2)nausea
d3)orthostasis

e1)hallucinations
e2)do not rapidly stand or sit up
Requip
a)generic
b)FDA indications (2)
c)ADR's (3)
d)pt consultation (3)
a)Ropinirole

b1)Parkinson's
b2)Restless Leg

c1)nausea
c2)dizziness
c3)somnolence

d1)orthostasis
d2)drowsiness
d3)hallucinations
Sinemet
a)generic
b)mechanism
c)dosage form (2)
d)FDA indications
e)CI/precautions (4)
a)L-dopa/carbidopa
b)L-dopa crosses BBB to provide dopamine precursor, carbidopa doesn't inhibits peripheral conversion of L-dopa to dopamine (so more is available to brain)

c)regular/CR
d)Parkinson's

e1)glaucoma
e2)dermatologic concerns
e3)MAOI
e4)CV disease
Sinemet
a)ADR's (2)
b)Pt consultation (4)
a1)nausea
a2)dystonia/involuntary mvmnts

b1)food/milk w/ it if GI upset
b2)avoid vitB6 supplements
b3)can half CR tabs, but do NOT crush/chew
b4)watch for dark urine
Symmetrel
a)generic
b)FDA indication
c)ADR (3)
d)pt consult (2)
a)Amantadine
b)Parkinson's

c1)nausea
c2)dizzy
c3)insomnia

d1)avoid alcohol
d2)orthostasis
Seizure disorders
a)generalized serizures (2)
b)Partial seizures (3)
a1)Tonic-clonic
a2)absence

b1)simple
b2)complex
b3)secondary generalized
Depakote
a)generic
b)dosage forms (3)
c)FDA indications (2)
d)drug interaxn
e)CI (2)
a)valproic acid
b)capsules, EC tabs, ER tabs
c)seizures, mania
d)taking carbamazepine = decr depakote levels

e1)hepatic disease
e2)if pt experiences severe ADR's like decr platelet count and pancreatitis
Depakote
a)dosing schedule
b)ADR (4)
c)Pt consultation (5)
a)ER is dosed daily

b1)n/d
b2)dyspepsia
b3)somnolence
b4)dizzy

c1)food/milk to avoid GI upset
c2)do NOT dc abruptly
c3)capsules can be sprinkled on soft food and swallowed whole
c4)do NOT cursh or chew ER tabs
c5)contact MD for persistent GI ADR's
Dilantin
a)generic
b)precautions
c)ADR (3)
d)signs of toxicity (5)
a)Phenytoin
b)impaired liver fxn

c1)dizzy
c2)nausea
c3)GINGIVAL HYPERPLASIA

d1)ataxia
d2)slurred speech
d3)confusion
d4)rash
d5)nystagmus
Dilantin counsel points (5)
1)take w/ food
2)no alcohol w/o MD direction
3)good oral hygeine (due to dental hyperplasia)
4)contact MD if rash develops
5)do NOT stop w/o contacting MD
Lamictal
a)generic
b)dosing influenced by...
c)PK
d)drug interactions (4)
a)Lamotrigine
b)concomintant EIAED (enzyme inducing anti-epileptic drugs) influences dosage
c)half-life dependent on concomitant drugs

d1)phenyotin
d2)carbamazepine
d3)phenobarbital (PCP decr lamictal levels)
d4)valproic acid INCR lamictal levles
Lamictal
a)precausions (3)
b)pt consultation (2)
a1)serious rash within weeks of initiation (and more common in kids or current use of depakote)
a2)hypersensitivity/fever
a3)opthalmic effects

b1)promptly report fever/rash
b2)chewable tabs can be dispersed in small amount of liquid
Neurontin
a)generic
b)dosing
c)PK
d)drug interactions
a)Gabapentin
b)high doses often used and renal adjustment reqd
c)RENALLY EXCRETED UNCHANGED
d)antacids
Neurontin
a)ADR (2)
b)pt consultation (3)
a1)somnolence
a2)dizziness

b1)drowsy
b2)avoid alcohol/antacids
b3)do NOT abruptly dc
Phenobarbital
a)contol level
b)PK (2)
d)precautions (2)
e)pt consult
f)where used most often
a)C4
b)enzyme induction/long half-life

c1)elderly
c2)impaired liver fxn

d)counsel on drowsy and alcohol use
e)primary tx in neonates/kids for seizure
Tegretol
a)dosage forms (2)
b)CI
c)precautions
d)pt consultation (4)
a)chewable, oral/XR tabs
b)bone marrow depression
c)rare cases of aplastic anemia and agranulocytosis

d1)take w/ food/milk; avoid alcohol
d2)do NOT sopt w/o MD
d3)follow chewable tabs w/ water; do NOT crush XR
d4)counsel on bone marrow depression precautions
Topamax
a)generic
b)dosing
c)PK/pharmacology (2)
d)drug interaxns
a)topiramate
b)renal adjustment reqd

c1)weak carbonic anhydrase inhibitor
c2)primarily excreted in urine unchanged

d)CNS depressants
Topamax
a)precautions (2)
b)ADR (4)
c)pt consult (2)
a1)myopia/secondary angle closure glaucoma
a2)kidney stones

b1)drowsy/dizzy (not DR)
b2)fatigue, nervous, anorexia (DR)

c1)avoid alcohol
c2)maintain hydration
Trileptal
a)generic
b)dosage forms (2)
c)drug interaxns (5)
a)oxcarbazepine
b)tablets, oral suspension

c1)phenytoin
c2)carbamazepine
c3)phenobarbital (PCP)
c4)valproic acid
c5)verapamil (VV)
Trileptal
a)ADR (3)
b)pt consult (3)
a1)dizzy
a2)somnolence
a3)skin rxns

b1)drowsiness
b2)avoid alcohol
b3)shake suspension well
Zonegran
a)generic
b)FDA indication
c)unlabeled use
d)dosing
e)drug interactions
a)Zonisamide
b)partial seizure
c)bipolar disorder
d)dose reduction w/ renal or hepatic dysfxn
e)substrate for CYP3A4 (azoles, macrolides)
Klonopin
a)generic
b)Control level
c)ADR (2)
d)consultation (2)
a)Clonazepam
b)C4

c1)drowsy/fatigue
c2)ataxia

d1)avoid alcohol
d2)do NOT stop med abruptly
Imitrex
a)generic
b)dosage forms (3)
c)CI (2)
d)watch w/...
a)Sumatriptan
b)injexn, tablet, nasal

c1)ischemic heart disease
c2)uncontrolled HTN

d)watch w/ heart conditions
Imitrex pt consultation (4)
1)take as direct (do NOT exceed dosage)
2)separate injexns by atleast 1hr
3)separate oral doses by atleast 2hr
4)indicated to relieve (not prevent) migraine HA
Maxalt/Maxalt MLT
a)generic
b)FDA indications
c)CI (2)
d)pt consultation (4)
a)Rizatriptan
b)migraine HA ABORTIVE tx

c1)ischemic heart disease
c2)uncontrolled HTN

d1)take as directed--do not exceed dosage
d2)separate doses by atleast 2hrs
d3)indicated to relieve (not prevent) migraines
d4)place MLT tablet on TOP of tongue--saliva will dissolve
Zomig/Zomig MLT
a)generic
b)dosage forms (3)
c)CI (3)
d)pt consultation (4)
a)zolmitriptan
b)tablet, oral disintegrating tablet, nasal

c1)ischemic heart disease
c2)uncontrolled HTN
c3)hepatic impairment

d1)take as directed--do NOT exceed dosage
d2)place MLT tablet on TOP of tongue--saliva will dissolve
d3)oral/nasal dosage may be repeated after 2hrs
d4)indicated to relieve (not prevent) migraine HA
Midrin
a)dosing
b)CI/precautions (6)
c)ADR (2)
d)pt consult
a)dosed differently for tension/migraine HA

b1)glaucoma
b2)severe renal disease
b3)HTN
b4)MAOI
b5)PVD
b6)recent CV attacks

c)dizziness/skin rash
d)NO more than 5 capsules in 12hr
Fioricet
a)generic
b)control level
c)drug interaction
d)CI
e)pt consult (3)
a)butabital, APAP, caffeine
b)NOT controlled
c)oral anticoagulants
d)hypersensitivity

e1)alcohol
e2)drowsiness
e3)concomitant APAP
Fiorinal
a)generic
b)control level
c)drug interactions
d)CI (3)
e)pt consultation (3)
a)Butabital, ASA, caffeine
b)C3
c)oral anticoagulants

d1)hypersensitivity to ASA
d2)PUD
d3)coagulation disorders

e1)alcohol
e2)drowsiness
e3)concomitant ASA
2 Seizure meds that are COMPLETELY renally excreted unchanged
1)neurontin
2)topamax
Meds used to tx exercise induced asthma (6)
1)albuterol (15min prior)
2)maxair (15min prior)
3)serevent (30-60min prior)
4)intal (60min prior)
5)singulair (2hr prior)
6)OR incr maintenance therapy
Only inhaled steroid available as neb?
pulmicort