asthma Flashcards

1
Q

Therapeutic use Salbutamol (short-acting)

A

reliever during acute asthma attacks

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2
Q

Mechanism of action Salbutamol (short-acting)

A

mast cell membrane stabilisation and direct bronchodilation are a result of the stimulation ofB2 receptors on smooth muscles in the airways

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3
Q

Adverse effects Salbutamol (short-acting)

A

skeletal muscle tremor
irritability
anxiety

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4
Q

Contraindications Salbutamol (short-acting)

A

hyperthyroidism

hypertension

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5
Q

Drug interaction Salbutamol (short-acting)

A

corticosteroids

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6
Q

Therapeutic use Salmeterol (long-acting)

A

symptom controller in exercise induced asthma

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7
Q

Mechanism of action Salmeterol (long-acting)

A

activation of B2-receptors leading to bronchodilation

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8
Q

Adverse effects Salmeterol (long-acting)

A

headache
tachycardia
restlessness

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9
Q

Contraindications Salmeterol (long-acting)

A

deteriorating COPD

acute bronchospasm

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10
Q

Drug interaction Salmeterol (long-acting)

A

monoamine oxidase inhibitors

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11
Q

Therapeutic use Theophylline

A

asthma (bronchodilator)

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12
Q

Mechanism of action Theophylline

A

the blocking of phosphodiesterase causes a raise in intracellular levels of cAMP and this leads to smooth muscle relaxation.

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13
Q

Adverse effects Theophylline

A

nervousness
nausea
anxiety

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14
Q

Contraindications Theophylline

A

liver impairment

children under 2 years of age

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15
Q

Drug interaction Theophylline

A

macrolide antibiotics

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16
Q

Therapeutic use Ipratropium

A

chronic asthma

17
Q

Mechanism of action Ipratropium

A

blocking the cholinergic bronchomotor tone causes bronchodilation.
bronchoconstriction is prevented due to inhibition of vagal reflexes.

18
Q

Adverse effects Ipratropium

A

dizziness
nausea
throat irritation

19
Q

Contraindications Ipratropium

A

constipation

atropine sensitivity

20
Q

Drug interaction Ipratropium

A

amantadine

21
Q

Therapeutic use Sodium cromoglycate

A

chronic asthma in children

22
Q

Mechanism of action Sodium cromoglycate

A

inhibition of chloride channels causing a stabilisation of eosinophils and mast cells that have been sensitised.
therefore, altering the membranes’ electrical gradient, which blocks the inflow of calcium ions.
Hence the inhibition of bronchconstriction mediators by sodium cromoglicate and the blockage of parasympathetic reflexes in the smooth muscle tissue of the airways.

23
Q

Adverse effects Sodium cromoglycate

A

respiratory tract infection
dry mouth
unpleasant taste

24
Q

Contraindications Sodium cromoglycate

A

acute asthma attack

acute bronchospasm

25
Q

Drug interaction Sodium cromoglycate

A

-

26
Q

Therapeutic use Zafirlukast

A

asthma

27
Q

Mechanism of action Zafirlukast

A

leukotriene receptor antagonist

28
Q

Adverse effects Zafirlukast

A

fever
insomnia
rashes

29
Q

Contraindications Zafirlukast

A

acute asthma attacks

cirrhosis

30
Q

Drug interaction Zafirlukast

A

Warfarin