Week 12 Flashcards
Lower respiratory tract drugs
What is the primary function of bronchodilators?
To relax the smooth muscles of the airways, leading to dilation of the bronchi and bronchioles.
Name a selective beta-2 adrenergic agonist used in asthma treatment.
Salbutamol (also known as Albuterol).
What is the mechanism of action of anticholinergics in respiratory therapy
They block muscarinic receptors, inhibiting the action of acetylcholine, which leads to relaxation of bronchial smooth muscle.
What are corticosteroids used for in respiratory pharmacology?
To reduce inflammation in the airways and control chronic respiratory conditions.
What is the role of leukotriene receptor antagonists?
They block the action of leukotrienes, which are inflammatory mediators that contribute to bronchoconstriction and mucus production.
Give an example of a long-acting beta-2 agonist.
Salmeterol.
What is the primary adverse effect of beta-2 agonists
Tremors and increased heart rate (tachycardia).
How do phosphodiesterase inhibitors work?
They increase levels of cAMP, leading to bronchodilation by relaxing smooth muscle.
What is the purpose of mucolytics in respiratory therapy?
To reduce the viscosity of mucus, making it easier to clear from the airways.
Name a common anticholinergic medication used for COPD
Ipratropium (Atrovent).
What is the mechanism of action of xanthines like theophylline?
They inhibit phosphodiesterase, leading to increased cAMP levels and bronchodilation.
What is the main use of combination inhalers in respiratory therapy?
To provide both bronchodilation and anti-inflammatory effects for better control of asthma or COPD.
What is a common side effect of inhaled corticosteroids?
Oral thrush (candidiasis)
How do beta-1 adrenergic receptors primarily affect the body?
They increase heart rate and contractility in cardiac tissue.
What is the role of mast cell stabilizers in respiratory pharmacology?
To prevent the release of histamine and other mediators from mast cells, reducing allergic responses.
What is the duration of action for short-acting beta-2 agonists?
Typically 4 to 6 hours.
What is the primary indication for using systemic corticosteroids in respiratory conditions?
To manage acute exacerbations of asthma or COPD.
Name a common side effect of systemic corticosteroids.
Weight gain or increased appetite.
What is the function of leukotrienes in asthma?
They contribute to bronchoconstriction, mucus secretion, and airway inflammation.
How does theophylline affect respiratory function?
It relaxes bronchial smooth muscle and improves airflow by inhibiting phosphodiesterase.
What is the primary action of selective beta-2 agonists?
They specifically stimulate beta-2 adrenergic receptors, leading to bronchodilation.
What is the typical onset time for salbutamol when administered via inhalation?
Approximately 5 minutes.
What is the main therapeutic use of ipratropium?
To treat bronchospasm associated with COPD and asthma.
How do corticosteroids help in managing asthma?
They reduce airway inflammation and hyperreactivity.
What is the duration of action for long-acting beta-2 agonists
Up to 12 hours.
Name a common side effect of anticholinergic medications
Dry mouth.
What is the mechanism of action of leukotriene receptor antagonists?
They block leukotriene receptors, preventing bronchoconstriction and inflammation.
What is the role of mucokinetics in respiratory therapy?
To promote the clearance of mucus from the respiratory tract.
What is a common indication for using theophylline?
To manage chronic obstructive pulmonary disease (COPD).
How do mast cell stabilizers prevent asthma attacks?
By inhibiting the release of histamine and other inflammatory mediators from mast cells.
What is the primary route of administration for most inhaled medications
Via metered-dose inhalers (MDIs) or nebulizers.
What is the mechanism of action of phosphodiesterase inhibitors?
They increase cAMP levels, leading to bronchodilation.
What is the main purpose of combination inhalers?
To provide both bronchodilation and anti-inflammatory effects for better asthma control.
What is a potential adverse effect of long-term corticosteroid use?
Osteoporosis.
How do beta-1 adrenergic receptors affect the heart?
They increase heart rate and myocardial contractility.
What is the primary use of systemic corticosteroids in respiratory conditions?
To manage severe asthma exacerbations or COPD flare-ups.
Name a common leukotriene receptor antagonist
Montelukast (Singulair).
What is the effect of beta-2 agonists on the uterus?
They cause relaxation of uterine smooth muscle.
How do xanthines like theophylline work in the lungs
By relaxing bronchial smooth muscle and improving airflow.
What is the typical duration of action for ipratropium?
3 to 6 hours.
What is a common side effect of beta-2 agonists?
Palpitations.
How do inhaled corticosteroids differ from systemic corticosteroids?
Inhaled corticosteroids primarily target the lungs with fewer systemic side effects.
What is the role of acetylcysteine as a mucolytic?
It reduces mucus viscosity, facilitating its clearance from the airways.
What is the mechanism of action of anticholinergics like tiotropium?
They block muscarinic receptors, leading to bronchodilation.