Treatment For Bronchail Asthma Flashcards

1
Q

Asthma is a condition caused by

A

Hypersensitivity of the bronchus which leads to inflammation

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2
Q

Methylxanthine drugs for asthma includes

A

Aminophylline
Theophylline

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3
Q

Classes of drugs used to treat asthma include ( mention 7)

A

1) Beta Adrenergic agonist drug
2) Muscarinic/anticholinergic antagonist drug
3) mast cell stabilizers
4) Leucotrines receptor inhibitor
5) lipoxygenase inhibitor
6) anti IG E drug

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4
Q

SAMA drugs include ( short acting Muscarinic antagonist drug )

A

Ipratropium

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5
Q

LAMA drugs include ( long acting Muscarinic antagonist drug )

A

Titotropium

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6
Q

Zilueton is a drug used for
And it’s mechanism of action

A

An asthma drug

It does it by inhibiting lipoxygenase enzyme ( in Leucotrines synthesis)

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7
Q

SABA drugs include ( short acting beta 2 Adrenergic agonist drug )

A

Salbutamol( Albuterol)
Levabuterol
Terbutaline
Metaproterenol
Pirbuterol

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8
Q

LABA drugs include ( long acting beta Adrenergic agonist drug )

A

Salmeterol
Vilaterol
Formoterol

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9
Q

Mechanism of action of beta Adrenergic drugs in asthma is

A

Increase CAMP in the cell leading to relaxation of respiratory tract

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10
Q

Methylxanthine mechanism of action is

A

Inhibiting phosphodiesterase ( an enzyme that cuts CAMP to AMP )

Thereby increasing the half life of Camp

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11
Q

Which of these is not an asthma drug

Aminophylline
Clofazimine
Montelukast
Ipratropium

A

Clofazimine

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12
Q

Leucotrine receptor inhibitior drug include

A

Montelukast
Zafirlukast

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13
Q

Mast cell stabilizer drugs include

A

Nedocromil sodium
Sodium chromoglycate

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14
Q

Anti IGE drugs include

A

Omelizumab

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15
Q

Omelizumab

A

Is an asthma drugs that inhibits IGE antibody secretion

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16
Q

Short acting beta 2 agonist drug used to treat asthma is

A

Albuterol
Levabuterol

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17
Q

Inhaled corticosteroids used to treat asthma is

A

Beclomethasone
Budesonide
Ciclesonide
Flunisolide
Triamcinalone

18
Q

Mast cell stabilizers include

A

Nedocromil
Cromolyn

19
Q

What reduces FEV1?

A

Inflammation enzymes

Histamine
Prostaglandin
Trypase
Leucotrine
Platelet activating factor

20
Q

What is FEV??

A

This is also called forced expiratory volume

The amount of air one can exhale after a forced inspiration

21
Q

Non selective adrenoreceptor drugs in asthma treatment is

A

Epinephrine
Ephedrine

22
Q

What is the side effect of using epinephrine in treating asthma

A

Epinephrine binds to both alpha and beta blockers

It can bind to beta 1 and cause tachycardia, arrhythmia, worsen angina pectoris

23
Q

Non selective beta agonist

Salbutamol
Caffeine
Isoproterenol
Levabuterol
Loperamide

A

Isoproterenol / isoprenaline

24
Q

Beta 2 agonist mechanism of action on treating asthma

A

They activate adenyl cyclase which increases Camp causing bronchodilatoin

25
Tachyphylaxis is defined as
Sudden increase in tolerance to a drug Cure it by increasing the dose
26
Drugs that are Methylxanthine are
Aminophylline (theophylline) Caffeine Theobromine
27
Side effect of Methylxanthine include
Cns- drowsiness tremor insomnia convulsion Cardiac- hypotension tachycardia arrhythmia palpitation Kidney- diuresis Git- vomiting diahreeal aggravates peptic ulcer
28
Methylxanthine are preferably used to treat
COPD ( chronic obstructive pulmonary disease)
29
Anticholinergices include
Ipratropium (short acting) Titotropomium ( long acting)
30
Zilueton ;
Inhibits 5-lipoxygenase enzyme
31
Ketotifen;
Mast cell stabilizer that inhibits H1 Histamine receptor blocker
32
A mast cell stabilizer used a prophylactic drug is ———
Sodium chromoglycate
33
Sodium chromoglycate is used in the treatment of
Allergic asthma Allergic conjunctivitis Allergic rhinitis Allergic dermatitis
34
Glucocorticoids MOA in asthma is
They secrete lipocortin which inhibits phospholipase a2 Inhibiting the synthesis of Thromboxane, prostaglandin
35
Side effects of glucocorticoids
Cause edema ( retains sodium and water ) Osteoporosis Cause hypertension
36
Which of these does not have bronchodilation properties Albuterol Aminophylline Sodium chromoglycate Titotropium
Sodium chromoglycate
37
Montelukast mechanism of action
They are leucotrine receptor antagonist by competitively blocking cystienyl leucotrines ( LTC4,LTD4,LTE4)
38
Inhaled glucocorticoids include
Beclamethasone Fluticasone Flunisolide Budesonide Traimcinalone
39
Systematic corticosteroids used in asthma is
Prednisone Predisolone Hydrocortisone
40
Drugs used to treat severe acute asthma ( asthamticus) is
Systemic glucocorticoids; hydrocortisone Nebulized oxygen Anticholinergice Selective beta 2 agonist Iv fluid to cure dehydration
41
Status asthmaticus also known as ————— is treated with
Severe acute asthma attack Iv hydrocortisone
42
Isoprenaline ;
A non selective beta agonist drug Also called Isoproterenol