6 Integrated Respiratory Medication Practice Free Online FlashCards

What do frequent albuterol use and nighttime cough suggest?

Frequent reliever use and night symptoms suggest poor asthma control and the need for clinical reassessment.

What is the key safety concern with salmeterol alone in asthma?

In asthma, salmeterol should not be used without ICS-containing treatment. It is also not a rescue medicine.

What should be reviewed before changing asthma treatment?

Review diagnosis, symptoms and exacerbations, adherence, inhaler technique, triggers, and the written action plan.

What mouth-care step follows an inhaled corticosteroid dose?

Rinse the mouth with water and spit it out after each ICS dose; do not swallow the rinse.

Which local effects can inhaled corticosteroids cause?

ICS use can cause oral candidiasis and hoarseness. Persistent mouth symptoms warrant assessment and review of inhaler technique.

What safety risks and inhaler precaution matter with ipratropium?

Assess for urinary retention and symptoms of narrow-angle glaucoma, such as eye pain or blurred vision. Avoid spraying inhaler mist into the eyes.

Should montelukast be given as an extra dose for sudden wheezing?

Montelukast is a controller option, not a rescue medicine. For sudden wheezing, use the prescribed reliever and action plan; do not give an extra montelukast dose.

How should new nightmares or self-harm thoughts on montelukast be handled?

New nightmares or thoughts of self-harm require prompt contact with a health professional. Thoughts of self-harm need urgent safety assessment and emergency help if there is immediate danger.

What should be done if nebulized acetylcysteine worsens wheezing?

Stop the treatment and promptly assess bronchospasm; give an appropriate prescribed bronchodilator and escalate care according to severity and local protocol.

What secretion-clearance problem can follow acetylcysteine treatment?

Loosened mucus may increase secretion volume. A patient with a weak or ineffective cough may need help clearing secretions, including suction when clinically indicated.

Which medication classes are commonly used initially for COPD exacerbation?

Short-acting inhaled beta₂-agonists, with or without a short-acting anticholinergic, are commonly used initially. A clinician may also prescribe a brief systemic corticosteroid course for a significant exacerbation.

What should be monitored during short-acting bronchodilator treatment?

Monitor breathing, oxygenation, treatment response, heart rate, tremor, and other signs of beta₂-agonist adverse effects.