Respiratory Flashcards
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function of mucociliary apparatus
trap foreign particles and remove them from lower respiratory tract
what is site of bronchoconstriction and bronchodilation
bronchioles and terminal bronchiole smooth muscle (in the transition zone)
gas exchange occurs across a thin barrier composed of
alveoli and pulmonary capillaries (specifically, type 1 alveolar cells, capillary endothelial cells, and their basement membranes)
name 3 therapeutic goals for respiratory condition of allergy/inflammation
decrease inflammation, improve mucociliary clearance, promote gas exchange
name 2 therapeutic goals for respiratory condition of pulmonary edema
decrease fluid, improve gas exchange
name 3 therapeutic goals for respiratory condition of cough
decrease cough, improve mucus removal, suppress inflammation
name 1 therapeutic goal for respiratory condition of EIPH (exercise-induced pulmonary hemorrhage)
decrease trans pulmonary capillary resistance
name 3 therapeutic goals for respiratory condition of pneumonia
reduce inflammation, improve gas exchange (improve mucus clearance and dilate bronchioles), treat infection
name 6 classes of drugs used to treat resp conditions
antitussives, expectorants and mucolytics, bronchodilators
a dog has a cough. what are 2 criteria the cough must meet before giving antitussives?
non-productive and tiring to the animal or to the owner
cat has a cough. what is the safest antitussive you can use? (hint: it does not bind to traditional opioid receptors)
dextromethorphan (it is an opioid derivative, which is good bc cats are sensitive to opioid CNS effects)
oh no! there is a foal with a severe meconium compaction AND a horse with a chondroids (concretion of pus in guttural pour due to strangles). you have to choose ONE mucolytic to help both horses, which one
acetylcysteine
what is a systemic mucolytic drug used in both horses to treat RAO, IAD, and pneumonia, AND in dogs with otitis media with effusion?
dembrexine
two effects of guaifenesin
centrally acting muscle relaxant; potential expectorant effect
parasympathetic innervation and inflammation would have what effect on bronchioles
bronchoconstriction
sympathetic innervation would have what effect on bronchioles
bronchodilation
primary receptors in bronchiolar smooth muscle
M3. (with PNS stimulation they cause bronchoconstriction)
how do anticholinergics cause bronchodilation
prevent parasympathetic bronchoconstriction by inhibiting M3 receptors in the bronchiolar smooth muscle
bronchodilation is stimulated by this receptor present in the bronchiolar smooth muscle
beta 2 receptor
one reason why salbutamol / albuterol given in inhaled form for the acute treatment of asthma in horses and cats?
rapid onset of action; reduced risk of adverse effects; reduced risk of drug interactions
you are managing airway obstruction due to respiratory disease in a horse and prescribe clenbuterol. what other change must you tell the owner to make?
must be combined with environmental changes
what is a methylxanthine in chocolate
theobromine
most commonly used inhaled nasal steroid, belongs to anti-inflammatory class, is
fluticasone
true or false: any CNS depressant can depress respiration
true