Notes in Week 4 - Pulmonary Meds Part 1

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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?
Published 05/29/2025 MOA of bronchodilator 
Published 05/29/2025 {{c1::albuterol}} is an example of a bronchodilator 
Published 05/29/2025 MOA 7% hypertonic saline
Published 05/29/2025 ADR of hypertonic saline
Published 05/29/2025 what medication is classified as a recombinant human deoxyribonuclease I?
Published 05/29/2025 MOA of Dornase alfa (Pulmozyme)
Published 05/29/2025 what is the benefit of Dornase alfa (Pulmozyme)
Published 05/29/2025 C/I to Dornase alfa (Pulmozyme)
Published 05/29/2025 ADR of Dornase alfa (Pulmozyme)
Published 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
Published 05/29/2025 what age is tobramycin and aztreonam approved for?
Published 05/29/2025 ADR of tobramycin 
Published 05/29/2025 frequency for taking tobramycin
Published 05/29/2025 MOA of aztreonam 
Published 05/29/2025 ADR of aztreonam
Published 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)?
Published 05/29/2025 treatment for CF Related Diabetes (CFDR)
Published 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?
Published 05/29/2025 how does PERT help CF patients?
Published 05/29/2025 what is the PERT used?
Published 05/29/2025 what is unique about pancrealipase formulations? 
Published 05/29/2025 what is the dosing for pancrealipase based on?
Published 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?
Published 05/29/2025 why do you not exceed doses greater than 6000 units/kg meal of pancrealipase?
Published 05/29/2025 warnings for Pancrealipase
Published 05/29/2025 ADR of Pancrealipase
Published 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?
Published 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}}
Published 05/29/2025 what causs neonatal respiratory distress syndrome?
Published 05/29/2025 what do most neonates born before 35 weeks of gestation receive?
Published 05/29/2025 what surfactant products are given to neonates?
Published 05/29/2025 what formulation are surfactants given?
Published 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 
Published 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?
Published 05/29/2025 what is the treatment for bronchiolitis?
Published 05/29/2025 what is the difference between bronchiolitis vs croup?
Published 05/29/2025 what is the treatment for croup?
Published 05/29/2025 what steroid is used for tx of croup?
Published 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 
Published 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)?
Published 05/29/2025 what is the most common causes of CAP?
Published 05/29/2025 what are CAP treatment considerations?
Published 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)
Published 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?
Published 05/29/2025 what is the treatment for HAP/VAP?
Published 05/29/2025 what antibiotics can be used for HAP/VAP?
Published 05/29/2025 what is added for MRSA coverage in HAP/VAP tx?
Published 05/29/2025 what are RF for MRSA in HAP/VAP patients? 
Published 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
Published 06/01/2025 1st line tx for acute OM
Published 06/01/2025 Alternative Tx for acute OM
Published 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
Published 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
Published 06/01/2025 Tamiflu ADRs
Published 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
Published 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
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