All of the following drugs should be given to the patients of bronchial asthma, except -

Appeared in: UPPSC 2023

Explanation

Aspirin, a Non-Steroidal Anti-Inflammatory Drug (NSAID), is contraindicated in many patients with asthma.
It can trigger a severe reaction known as Aspirin-Exacerbated Respiratory Disease (AERD).
This occurs because Aspirin blocks the COX enzyme, leading to an overproduction of leukotrienes, which are powerful substances that cause severe airway narrowing (bronchoconstriction).

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Pharmacotherapy for bronchial asthma, focusing on contraindications as background academic context rather than a clinical decision trigger.
A crucial nursing responsibility is to obtain a thorough medication history, specifically asking asthmatic patients about reactions to Aspirin or other NSAIDs (like ibuprofen) before administration.
Patient education is vital. Nurses must teach patients with known aspirin sensitivity to read labels of over-the-counter pain and cold medications, as many contain hidden NSAIDs.
What if? If a patient with asthma also has arthritis requiring pain management, the nurse should anticipate collaborating with the provider to select a safer analgesic, such as acetaminophen or a selective COX-2 inhibitor (with caution), instead of a traditional NSAID.

How to Approach the Question

First, identify the core subject of the question: drugs for bronchial asthma.
Recognize the keyword 'except'. This means three of the options are used to treat asthma, and one is not (or is contraindicated).
Evaluate each option's role in asthma management.
Recall that Fluticasone is an inhaled steroid, a standard controller.
Recall that Terbutaline is a beta-agonist, a standard reliever.
Recall that Theophylline is a methylxanthine, a classic asthma drug.

Concept Tested & Keywords

Concept Tested: Pharmacotherapy for bronchial asthma, focusing on contraindications.
Stem keywords: drugs, bronchial asthma
Lead-in keywords: except
Negative lead-in flag: The question is negatively framed using the word 'except', which means you must find the option that is NOT a treatment for bronchial asthma.

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E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 409-411

E6 Pharmacology KD Tripathi Essentials 9e Part 1 p. 272-274

Practise the full UPPSC 2023

Attempt every question from this paper in a timed mock, then review the full solution for each one.