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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
which musc antag. inhibits augmented mucous secretion?
-atropine
Atropine sulfate:
class
admin
SEs (4)
-musc. antag (asthma use, infrequent))
-aerosol
-xerostomia, urinary retention, tachycardia, loss of visual accommodation
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
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
mech of CSs: (short term)
inhibit (3)
reduce
___-regulate _________
-chemotaxins, spasmogens, vasodilators
-eosinophil recruitment
-up-regulate B2 receptors
Mech of CSs:
long term
-reduce synth of IL-3 --> down mast cell production --> down asthmatic early phase response
Drugs given by inhalation (4)
-Beclomethasone
-Triamcinolone
-Dexamethasone
-Flunisolide
Beclomethasone:
class
admin
SE
how to avoid
-CS
-inhalation
-oropharyngeal candidiasis (thrush)
-have pt rinse and spit after tx
Triamcinolone:
class
admin
SE
how to avoid
-CS
-inhilation
-oropharyngeal candidiasis (thrush)
-have pt rinse and spit after tx
Dexamethasone:
class
admin
SE
how to avoid
-CS
-inhilation
-oropharyngeal candidiasis (thrush)
-have pt rinse and spit after tx
Flunisolide
class
admin
SE
how to avoid
-CS
-inhilation
-oropharyngeal candidiasis (thrush)
-have pt rinse and spit after tx
oral prednisone, prednisolone is used for what
-severe or rapidly worsening asthma
Zileuton:
class
mech
potency
duration
need to monitor
-anti-Leukotriene, 5-lipoxygenase inhib
-low &
-short (: . not that useful)
-hepatic fct
slide 39
do slide 39