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Pulmonary Drugs
Hope this works Exam 3
19
Medical
Professional
02/16/2013

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Term
IL-5 (bronchoconstriction)
Definition
Release eosinophils from bone marrow
Term
Asthma classification (1-4)
Definition
1 = mild >80
2 = mild persistant > 80
3 = moderate persist 60-80
4 = severe <60
Term
albuterol
Definition
Fast acting inhaled B-adrenergic AGONIST

(increases cAMP--> increased PKA --> opens K and decreases Ca)

Side effects: INCREASED HR, TREMOR, ARRYTHMIA, VASODILATION

AVOID PPL HEART FAILURE
Term
terbutaline
Definition
Both a fast acting inhaled and oral slow release B AGONIST

AVOID HEART FAILURE --> INCREASED HR, Vasodilation, tremor, arrythmia
Term
salbutamol
Definition
oral slow release B AGONIST

AVOID HEART FAILURE --> INCREASED HR, Vasodilation, tremor, arrythmia
Term
salmeterol
Definition
Long term acting inhaled B-agonist

AVOID HEART FAILURE --> INCREASED HR, Vasodilation, tremor, arrythmia

DONT USE AS MONOTHERAPY
Term
formoterol
Definition
Long term acting inhaled B-agonist

AVOID HEART FAILURE --> INCREASED HR, Vasodilation, tremor, arrythmia

DONT USE AS MONOTHERAPY
Term
levalbuterol
Definition
Fast acting B-agonist (R ISOMER ALBUTEROL)

MUST USE NEBULIZER... Less side effects but not more effective
Term
Ipratroprium bromide
Definition
anti-muscarinic M3 agonist prevents bronchoconstriction.

dry mouth, blurred vision, glaucoma, urinary retention
Term
triotropium bromide
Definition
anti-muscarinic M3 agonist prevents bronchoconstriction... DRY

dry mouth, blurred vision, glaucoma, urinary retention
Term
INHALED STEROIDS (pulmonary)
Definition
Beclomethasone
Budesonide
Flunisolide
Triamcinolone
Fluticasone
Mometasone

hoarseness, thrush, osteoporosis, adrenal suppression
Term
System Corticosteroids (pulmonary)
Definition
IV hydrocortisone
prednisolone

increased appetite, fluid retention, susceptibility to infections,
fluid retention, cataracts, inhibition of hypothalamus/pituitary
axis
Term
cromolyn
Definition
Mast cell degranulation inhibitor
-inhibits airway nerves, degranulation mast cells, eosinophils

PROPHYLAXIS ONLY VIA DESENSITIZATION

joint swelling, laryngeal edema, headache, rash, nausea
Term
nedocromolin
Definition
Mast cell degranulation inhibitor
-inhibits airway nerves, degranulation mast cells, eosinophils

PROPHYLAXIS ONLY VIA DESENSITIZATION

joint swelling, laryngeal edema, headache, rash, nausea
Term
omalizumab
Definition
anti-IgE (Free not one already bound receptor)

increased malignancies, anaphylaxis
Term
Zafiruklast
Definition
lieukotriene receptor antagonist
prophylactic

abnormal liver function test, rash, nausea, vomiting, headache

MAY INTERACT WARFARIN
Term
monteluklast
Definition
Liekotriene receptor antagonist prophylactic

abnormal liver function test, rash, nausea, vomiting, headache

PEDIATRIC APPROVED

may cause Churg-Strauss syndrome eosinophilic pneumonia
Term
zileuton
Definition
5'Lipoxygenase inhibitor (lieukotriene synthesis)

acute liver disease, decreases clearance of warfarin and theophylline
Term
THEOPHYLLINE
Definition
(B-agonists and leukotriene modifier)
Similar to caffiene

smooth muscle relaxant, cns stimulant, cardiovascular stimulant (decrease peripheral resist)

1) Blocks Adenosine Receptors
2)Activates histone deacetylases (HDACs
3)Phosphodiesterase inhibitor

oral/parenteral administration: anxiety, fear, panic, fatal intoxication if
administered too fast
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