UABD Nebulized Liquid Inhaled Drugs MDI Pressurized Meter

UABD – Nebulized Liquid Inhaled Drugs MDI – Pressurized Meter Dose Inhaler Canister DPI – Dry Powder Inhaler

Classifications by Mechanism I. Bronchodilators – Reduces bronchial smooth muscle constriction II. Corticosteroids – Reduce bronchial wall inflammation (swelling) III. Mucoactive Agents – has an effect on mucus IV. Antimicrobial – kills microorganisms V. Other

I. Bronchodilators A. Short Acting 1) Beta Agonists: Albuterol 2. 5 mg Xopenex 1. 25 mg 2) Anti Cholinergic: Atrovent (Ipratropium Bromide) B. Long Acting Serevent (in Advair) Spiriva

Short Acting Beta Agonists (beta-2)

II. Steroids A. B. C. D. Flovent (in Advair) Pulmicort (MDI or UABD) Aerobid Qvar Must use as directed may take several doses/days to have therapeutic effect!

Most come in MDI / DPI

III. Mucoactive Agents • Normal saline – is the carrier in UABD treatments (MDI version doesn’t have) • Acetylcystine – Mucomyst 10%-20% solutions – irritating and smells! (give with a bronchodilator • Na. HCO 3 - (Bicarbonate solution) • Pulmozyme – expensive $$$

IV. Antimicrobials • • Pentamidine – Pneumocystis Tobi (Tobramycin) G- bacteria Colystin – bacteria Ribrivirin

V. Others • Chromolyn Sodium – allergy drug • Lidocaine – numbing medicine

Da rules: • Don’t give drugs in the exact same class together: – examples: • Pulmicort & Flovent (both steroids) • Xopenex and Albuterol (both short acting beta agonists)