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

2. 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

4. I. Bronchodilators Rescue Drug A. Short Acting - B. Long 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
Rescue Drug

5. Short Acting Beta Agonists (beta-2)

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

7. Most come in MDI / DPI

8. 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
NaHCO3- (Bicarbonate solution)
Pulmozyme – expensive $$$

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

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

11. 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)