Respiratroy Tract Drugs: Asthma And COPD (79) Flashcards
Bronchial asthma
Recurrent and reversible shortness of breath
-lung airways narrow (bronchospasms, inflammation of bronchial mucosa)
Bronchospasms are a response
To mechanicals released form immune system and secretions
Airflow limitation is caused by
Bronchospasms and inflammation
Bronchial asthma
Alveolar ducts/alveoli remain open but airflow is obstructed
-causing difficulty breathing or wheezing
Status asthmaticus
Medical emergency
-prolonged asthma attack
-does not respond to usual medical therapy
COPD
Chronic obstructive pulmonary disease
-obstruction is constantly present, but can vary in severit y
Tobacco smoke and air pollution causes
Inflammation of the airway epithelium
-release of cytokines
Chronic bronchitis is
Continous inflammation of the bronchi and bronchioles
-result of prolonged exposure to bronchial irritants
Emphysema
Air spaces enlarge as a result of the destruction of alveolar walls
-surface area is reduced
-impaired res[iration
Bronchodilator’s
-B2 adrenergic agonists
-anticholinergics
-can think derivatives
B2 adrenergic agonists
Albutamol salbutamol
Anticholinergics
Ipratropium bromide
Xanthine derivatives
Theophylline/aminophylline
Anti inflammatory drugs
-glucocorticoids
-leukotriene modifiers
Issues with inhalers
Technique
-local effect and much quicker