Cough Flashcards
Mucolytics
N-acetylcysteine
Carbocisteine
MOA of N-acetyl cysteine
Free sulfhydryl group of NAC breaks disulfide bonds of mucoprotein molecules
Side effects of NAC
Nausea and voniting
Stomatitis
Bronchospasm
GI upset
Other use of NAC
Antioxidant
NAC iS an antidote for
Acetaminophen poisoning
Relief if cough by excessive and tenacious sputum or phlegm
Carbocisteine
Carbocisteine reduces ___(1)____ and facilitates ___(2)____
1) viscosity of bronchial secretions
2) facilitates expectoration
Expectorants stimulate GASTRIC RECEPTORS through the
Vagus afferent nerve
Expectorants at subemetic dose stimulate
Bronchial glands to secrete a watery fluid
Abnormality in the ultrastructure of the cilia
Cilliary dyskinesia
MOA of expectorants
GastroPulmonary MucoKinetic Vagal Reflex
For productive cough
Expectorants
For dry, non-productive cough
Antitussives
Types of antitussives
Peripherally acting
Centrally acting
Antihistamines
Demulcents
MOA of Periperally-Acting Antitussives
Works on SENSORY RECEPTORS
Decrease SENSITIVITY of lung parenchymal receptors
Produce COOL SENSATION by stimulating COLD SENSORY RECEPTORS