respiratory Flashcards
antihistamine nomenclature for h1 1st gen
-en/-ine or -en/-ate or -zine (with exception of cetirizine)
nomenclautre for antihistamine h1 2nd gen
end in -adine and cetirizine. vs h2 which is -dine
1st gen uses
urticaria, motion sickness, sleep aid
adverse effects of 1st gen
sedtation, antimuscarinic, anti a adrenergic
(u) caution in elderly with cognitive or fxnal impairment
antimuscarinic action with cross BBB and can cause sedation and decreased cognition
second gen uses
urticaria and allergy
second gen adverse effects
far less sedating that first because decreased BBB
guaifenesin
648
n-acetylcysteine
648
dextromethorphan mech
648
dextromethorphan use
648
dextromethorphan analog of?
648
dextromethorphan extra effect
648
dextromethorphan OD
remember mild abuse potential
dextromethorphan can cause?
serotonin syndrome
pseudophedrine use
648
pseudophedrine mech
648
pseudophedrine adverse effects
648
bosentan use, mech, side effect
648
sildenafil use, mech, side effect
648
epoprostenol, iloprost use, mech, side effect
648
albuterol use
acute exacerbation of asthma/copd
albuterol adverse effects
649
salmeterol/ formoterol use
copd/asthma long acting (always with glucocorticoid)
salmeterol/ formoterol adverse effects
649
fluticasone, budesonide mech and use
649 copd and asthma
fluticasone, budesonide adverse effect
649
tiotropium/ipratropium use
copd and asthma
ipratropium lenght
649
tiotropium length
649
montelukast, zafirlukast mech and use
649
zileuton use and side effect
649
omalizumab mech and use
649
methylxanthines
theophylline
theophylline mechanism
blocks phosphdiestarese and icnreases camp
also looks like adenosine receptor atagonism (this is why adenosine wouldnt break a tachy)
theophylline adverse
narrow therapeutic index (cardiotoxic and neurotoxic)
mateabolized by p450
theophylline use
asthma and copd
theophylline toxicity
(u) mild maybe only cortical arousal and insomnia
more serious nausea, vomiting, tachyarrythmias, seizures and abdominal pain
treat theophylline toxicity with
charcoal (reduce absorption)
b blockers for tachy arrythmia
benzos, barbituates, for seizure
methacholine
used in the bronchial challenge for diagnosis of asthma