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Week 4 - Pulmonary Meds Part 1
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Last Update
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Published
05/29/2025
what is the gene that is mutated in cystic fibrosis?
Published
05/29/2025
what is the primary problem in the lungs with cystic fibrosis?
Published
05/29/2025
what is critical to maximize the absorption and effect of cystic fibrosis medications?
Published
05/29/2025
what type of formulatory of medications is the cornerstone of treatment for CF?
Published
05/29/2025
what are the common organisms to cause intermittent lung infection in CF patients?
Published
05/29/2025
what organism causes a more rapid decline in pulmonary function if a patient with CF is infected?
Published
05/29/2025
what is the standard treatment for for intermittent lung infection in CF patients?
Published
05/29/2025
what is the treatment for a CF infection who is infected with pseudomonas?
Published
05/29/2025
what is recommended for CF patients with chronic pseudomonas lung infection?
Published
05/29/2025
how does azithromycin help with chronic pseudomonas lung infections if it has no bactericidal activity against it?
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05/29/2025
MOA of bronchodilator
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05/29/2025
{{c1::albuterol}} is an example of a bronchodilator
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05/29/2025
MOA 7% hypertonic saline
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05/29/2025
ADR of hypertonic saline
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05/29/2025
what medication is classified as a recombinant human deoxyribonuclease I?
Published
05/29/2025
MOA of Dornase alfa (Pulmozyme)
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05/29/2025
what is the benefit of Dornase alfa (Pulmozyme)
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05/29/2025
C/I to Dornase alfa (Pulmozyme)
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05/29/2025
ADR of Dornase alfa (Pulmozyme)
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05/29/2025
what should NOT be done when using Dornase alfa?
Published
05/29/2025
what inhaled antibiotics target pseudomonas?
Published
05/29/2025
MOA of tobramycin
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05/29/2025
what age is tobramycin and aztreonam approved for?
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05/29/2025
ADR of tobramycin
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05/29/2025
frequency for taking tobramycin
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05/29/2025
MOA of aztreonam
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05/29/2025
ADR of aztreonam
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05/29/2025
what oral antibiotic is used to decrease inflammation and exacerbation for pseodomonas lung infection?
Published
05/29/2025
ADR of azithromycin
Published
05/29/2025
what is the pathophysiology of CF related diabetes (CFDR)?
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05/29/2025
treatment for CF Related Diabetes (CFDR)
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05/29/2025
what enzyme is deficient in CF patients with pancreatic insufficiency?
Published
05/29/2025
what Fat-soluble vitamin deficiencies are there in CF patients?
Published
05/29/2025
how is pancreatic insuffiency managed in CF patients?
Published
05/29/2025
is the ratio of lipase, amylase, and protease the same in all PERT products?
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05/29/2025
how does PERT help CF patients?
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05/29/2025
what is the PERT used?
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05/29/2025
what is unique about pancrealipase formulations?
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05/29/2025
what is the dosing for pancrealipase based on?
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05/29/2025
what is the adjustment for pancrealipase dosing?
Published
05/29/2025
PERT - PANCREALIPASEInitial dosing: < 1 year: {{c1::varies by product}}Age 1-3 years: lipase {{c1::1000}} units/kg/mealAge greater than or equ…
Published
05/29/2025
what is the max dose of pancrealipase in ALL agges?
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05/29/2025
why do you not exceed doses greater than 6000 units/kg meal of pancrealipase?
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05/29/2025
warnings for Pancrealipase
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05/29/2025
ADR of Pancrealipase
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05/29/2025
what reproductive complications can arise with CF patients?
Published
05/29/2025
CFTR defect in the {{c1::cholangiocytes}} leads to {{c1::bile duct}} obstruction and sludging which can lead to fibrosis and cirrhosis
Published
05/29/2025
what is the treatment for bile duct obstruction in CF patients?
Published
05/29/2025
MOA of Ursoidol (Actigall)
Published
05/29/2025
what medications revolutionized CF since it specifically targeted the underlying genetic mutation of CFTR?
Published
05/29/2025
what must be tested prior to using transmembrane conductance regulator (CFTR) modulators?
Published
05/29/2025
what is the most common mutation of CF?
Published
05/29/2025
when does neonatal respiratory distress syndrome occur?
Published
05/29/2025
who typically has a higher chance of experiencing neonatal respiratory distress syndrome?
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05/29/2025
Fetus begins to produce lung surfactant around week {{c1::20}} of gestation and is producing an adequate amount by week {{c1::35}}
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05/29/2025
what causs neonatal respiratory distress syndrome?
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05/29/2025
what do most neonates born before 35 weeks of gestation receive?
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05/29/2025
what surfactant products are given to neonates?
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05/29/2025
what formulation are surfactants given?
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05/29/2025
if a neonate remains intubated and continues to require oxygen to maintain adequate oxygenation, what are the next steps (surfactant was administered …
Published
05/29/2025
MOA of surfactants
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05/29/2025
what can be given to mother who are at risk of preterm delivery?
Published
05/29/2025
what pathogen is responsible for majority of bronchiolitis cases?
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05/29/2025
what is the treatment for bronchiolitis?
Published
05/29/2025
what is the difference between bronchiolitis vs croup?
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05/29/2025
what is the treatment for croup?
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05/29/2025
what steroid is used for tx of croup?
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05/29/2025
In an acute setting, a patient with difficulty breathing may be given what in addition to the steroid?
Published
05/29/2025
MOA of epinephrine
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05/29/2025
what is the duration of action of nebulized racemic epinephrine?
Published
05/29/2025
is antibiotics used for tx of croup?
Published
05/29/2025
what is Community Acquired Pneumonia (CAP)?
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05/29/2025
what is the most common causes of CAP?
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05/29/2025
what are CAP treatment considerations?
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05/29/2025
what does outpatient CAP treatment require?
Published
05/29/2025
what is the selection of an empiric regimen based on with inpatient CAP treatment?
Published
05/29/2025
inpatient CAP tx for non-severe (not admitted to the ICU)
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05/29/2025
inpatient CAP treatment for severe (admitted to the ICU)
Published
05/29/2025
what is the difference between Hospital Acquired (HAP) and VentilatorAssociated Pneumonia (VAP)?
Published
05/29/2025
how can VAP incidence be decreased?
Published
05/29/2025
what is the common pathogens in HAP and VAP?
Published
05/29/2025
what is the treatment duration for HAP/VAP?
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05/29/2025
what is the treatment for HAP/VAP?
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05/29/2025
what antibiotics can be used for HAP/VAP?
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05/29/2025
what is added for MRSA coverage in HAP/VAP tx?
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05/29/2025
what are RF for MRSA in HAP/VAP patients?
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05/29/2025
what are examples of abx combinations to cover for pseudomonas, MSSA, and MRSA in HAP/VAP tx?
Published
05/29/2025
what is recommended for HAP/VAP tx if there is risk for MDR gram neg pathogens?
Published
05/29/2025
what are RF for MDR-gram negative pathogens?
Published
05/29/2025
what antibiotics are used for pseudomonas?
Published
06/01/2025
Acute OM S/S
Published
06/01/2025
{{c1::Acute OM}} is the most common childhood infection in the US and is often caused by {{c1::viruses}}
Published
06/01/2025
Bacteria that can cause Acute OM
Published
06/01/2025
Non-severe acute OM is characterized by otalgia {{c1::<48hrs}}, {{c1::no otorrhea}}, and temp {{c1::<102.2F}} and:age 6-23 months: Sx in {{c1::o…
Published
06/01/2025
When are Abx inidcated for acute OM?
Published
06/01/2025
Abx treatment duration<2yrs: 10 days2-5yrs: 7 days≥6yrs: 5-7 days
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06/01/2025
1st line tx for acute OM
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06/01/2025
Alternative Tx for acute OM
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06/01/2025
What should you treat a pt who has failed 1st line or alternative tx options for acute OM?
Published
06/01/2025
Tx for the common cold
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06/01/2025
{{c1::Influenza}} has peak activity during late Nov to March. It spreads via respiratory droplets and a person can be contagious one day prior to deve…
Published
06/01/2025
Recommendations to receiving the influenza vaccine?
Published
06/01/2025
When are anti-virals indicated for the flu?
Published
06/01/2025
Tx for influenza consists of {{c1::symptomatic care}} +/- {{c1::antiviral therapy}} (need to meet criteria)
Published
06/01/2025
Antiviral options for Influenza
Published
06/01/2025
Tamiflu, Zanamivir, and Peramivir MOA
Published
06/01/2025
Influenza antivirals are active against influenza A and B and decreases the duration of Sx by about {{c1::one day.}} However, they need to be started …
Published
06/01/2025
Tamiflu requires a renal dose adjustment when {{c1::CrCl <60mL/min}}
Published
06/01/2025
Tamiflu Warnings
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06/01/2025
Tamiflu ADRs
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06/01/2025
Zanamivir (Relenza Diskhaler) Warnings
Published
06/01/2025
Zanamavir (Relenza Diskhaler) ADRs
Published
06/01/2025
Peramivir (Rapivab) requires a renal dose adjustment when {{c1::CrCl <50mL/min}}
Published
06/01/2025
Peramivir (Rapivab) Warnings
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06/01/2025
Peramivir (Rapivab) ADRs
Published
06/01/2025
Which antiviral is most commonly used for influenza?
Published
06/01/2025
What is tuberculosis?
Published
06/01/2025
Mycobacterium tuberculosis is an {{c1::aerobic, non-spore forming bacillus}} which primarly infects the {{c1::lungs}} but can spread to other organs
Published
06/01/2025
Active TB is transmitted via {{c1::aerosolized droplets}} (sneezing, coughing, talking)
Published
06/01/2025
Active TB is highly contagious and often presents with:
Published
06/01/2025
Pts who have active TB infection and are hospitalized may require isolation in a {{c1::single negative pressure room}}
Published
06/01/2025
In {{c1::latent TB}}, the immune system is able to contain the infection and the pt lacks symptoms
Published
06/01/2025
How can you dx latent TB infection?
Published
06/01/2025
What is the difference between a TST and IGRA?
Published
06/01/2025
Any pt with a positive TST or IGRA should be screened for the presence of active TB infection {{c1::before}} latent TB tx is initiated
Published
06/01/2025
What is Directly Observed Therapy (DOT)?
Published
06/01/2025
Active TB Tx can be divided into two phases: {{c1::intensive & continuation}}
Published
06/01/2025
In pts with active TB, the intensive regimen is preferred aka {{c1::"RIPE" therapy}}
Published
06/01/2025
What is the RIPE therapy?
Published
06/01/2025
What is the continuation phase/therapy for active TB?
Published
06/01/2025
When you see rifampin think {{c1::DRUG INTERACTIONS}}, so always check!!
Published
06/01/2025
Rifampin can decrease the concentration and therapeutic effect of many drugs, including: {{c1::protease inhibitors}}, {{c1::warfarin}}, and {{c1::OCPs…
Published
06/01/2025
DO NOT use rifampin with {{c1::apixaban}}, {{c1::rivaroxaban}}, {{c2::edoxaban}}, or {{c2::dabigatran}}
Published
06/01/2025
Children with active TB indicate an {{c1::unidentified contagious adult/adolescent}} with active TB
Status
Last Update
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