Respiratory drugs Flashcards
What sort of drug is salbutamol?
B2 agonist
What is salbutamol used for?
Asthma
COPD
Premature labour
Common side effects of salbutamol?
Tremor
Tachycardia
If combined with Corticosteriods, loop/thiazide diuretics or theophylline what does salbutamol increase the risk of?
Hypokalaemia
How does salbutamol work?
Stimulates B2 receptors in the airways generating intracellular cAMP
Decreases intracellular calcium = bronchodilation
Prevents mast cell degranulation
Contraindication for salbutamol?
Hyperthyroidism Cardio disease Arrhythmias Hypertension Be cautious in diabetes as rink of ketoacidosis
What do anticholinergic drugs do?
Inhibit parasympathetic nerve impulses
Inhibit the involuntary movements of smooth muscles present in gastrointestinal tract, urinary tract and lungs.
What sort of drug is ipratropium bromide? What does it do?
Antimuscarinic agent. Affects the receptors at the bronchi, it inhibits mucous secretion.
Give an example of a common corticosteroid
Prednisolone
What effect are corticosteroids used for?
Anti-inflammatory effect
immunosuppresive effect
Indications for prednisolone?
Suppression of allergic/inflammatory disease
IBD
Asthma
Rheumatoid disease
Immunosuppression (leukaemia, transplant)
Common side effects of Corticosteroids?
Bruising Hirsutism Moon-face Hypertension Weight gain/oedema Glucose intolerance
What drugs can interact to decrease the effect of prednisolone?
Phenytoin
Rifampicin
What are patients at risk of if you withdraw corticosteroids too quickly after long-term treatment?
Acute adrenal crisis
Contra-indications for corticosteroid use?
Systemic infection Hypersensitivity Osteoporosis Glaucoma Admin of live vaccines