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9 Cards in this Set

  • Front
  • Back

Asthma is characterized by:

Airway hypersensitivity


Airway inflammation


Airway remodeling

Pathophysiology (immediate phase and late phase)

immediate phase: activation of mast cells and macrophages to release LT and histamines


late phase: recruitment of innate immune cells to continue bronchoconstriction and epithelial damage

B2 agonists

Gs activation increase CAMP phos. PKA and IP3 for MLCP activation for relaxation (olols)

Musc. antagonists

prevent acetylcholine stim. of airway smooth muscle (atropines)

Methylxanthines

Inhibit phosphodiesterase to decrease CAMP breakdown (theophylline)

corticosteroids

reduce inflammatory mediators via transcriptional regulation (prednisone, flunisolide)

LT inhibitors

Inhibit LT synthesis or antagonize receptors to prevent SM contraction, airway inflam, and mucus secretion (zileuton or zafirlukast)

Mabs

Form complex with IgE to prevent mast cell activation


Omalizumab


Could also complex inflam. mediators

Combination therapy

bronchodilator + anti-inflammatory