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16 Cards in this Set
- Front
- Back
resting tone of bronchial smooth m. is set by
blockade of what receptors can reverse ____-induced broncho spasm |
-ACh
-M3, vagal-induced |
|
Muscarinic Antagonists:
mech (generally) do not decrease problems w/ this tx (2) |
-block ACh -> decreased m. tone
-mucociliary transport -musc receptors are only involved in part of the response, : . limited effect -amount of musc receptors varies greatly from pt to pt : . highly variable response |
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which musc antag. inhibits augmented mucous secretion?
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-atropine
|
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Atropine sulfate:
class admin SEs (4) |
-musc. antag (asthma use, infrequent))
-aerosol -xerostomia, urinary retention, tachycardia, loss of visual accommodation |
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Ipratropium bromide:
class admin pros (2) |
-musc antag for asthma, frequently used
(quaternary ammonium analog of atropine) -aerosol -localized effect -proven to decrease hospitalization rates in severly asthmatic children |
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when an agonist is used as tx, the receptors are normally _______ regulated due to ________.
What drug class is different |
-down
-negative feedback(?) -corticosteroids. They up-regulate |
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mech of CSs: (short term)
inhibit (3) reduce ___-regulate _________ |
-chemotaxins, spasmogens, vasodilators
-eosinophil recruitment -up-regulate B2 receptors |
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Mech of CSs:
long term |
-reduce synth of IL-3 --> down mast cell production --> down asthmatic early phase response
|
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Drugs given by inhalation (4)
|
-Beclomethasone
-Triamcinolone -Dexamethasone -Flunisolide |
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Beclomethasone:
class admin SE how to avoid |
-CS
-inhalation -oropharyngeal candidiasis (thrush) -have pt rinse and spit after tx |
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Triamcinolone:
class admin SE how to avoid |
-CS
-inhilation -oropharyngeal candidiasis (thrush) -have pt rinse and spit after tx |
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Dexamethasone:
class admin SE how to avoid |
-CS
-inhilation -oropharyngeal candidiasis (thrush) -have pt rinse and spit after tx |
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Flunisolide
class admin SE how to avoid |
-CS
-inhilation -oropharyngeal candidiasis (thrush) -have pt rinse and spit after tx |
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oral prednisone, prednisolone is used for what
|
-severe or rapidly worsening asthma
|
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Zileuton:
class mech potency duration need to monitor |
-anti-Leukotriene, 5-lipoxygenase inhib
-low & -short (: . not that useful) -hepatic fct |
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slide 39
|
do slide 39
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