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ehoovey
respiratory drugs
17
Other
Not Applicable
05/29/2006

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Cards

Term
First generation H1 blockers (3)
Definition
diphenhydramine, dimenhydrinate, chlorpheniramine
Term
Diphenhydramine, Dimenhydrinate, Chlorpheniramine use and toxicity
Definition
Use - allergy, motion sickness, sleep aid. Toxicity - sedation, antimuscarinic, anti-alpha-adrenergic
Term
Second generation H1 blockers (3)
Definition
Loratadine, Fexofenadine, Desloratadine
Term
Loratadine, Fexofenadine, Desloratadine use and toxicity
Definition
Use - allergy. Toxicity - less sedation than 1st generation H1 blockers
Term
Isoproerenol
Definition
asthma use. a non-specific beta agonist. relaxes bronchial smooth muscle via beta 2 receptors. adverse effect is tachycardia (beta 1)
Term
Albuterol
Definition
asthma use. beta 2 agonist. relaxes bronchial smooth muscle (beta 2). use during acute exacerbation.
Term
Salmeterol
Definition
asthma use. beta 2 agonist. long-acting agent for prophylaxis. Adverse effects are tremor and arrhythmia.
Term
Theophylline
Definition
asthma use. a methylxanthine. likely causes bronchodilation by inhibiting phosphodiesterase, thereby decreasing cAMP hydrolysis. Usage is limited because of narrow therapeutic index (cardiotoxicity, neurotoxicity).
Term
Ipratropium
Definition
asthma use. a muscarinic antagonist. competitive block of muscarinic receptors, preventing bronchoconstriction.
Term
Cromolyn
Definition
asthma use. prevents release of mediators from mast cells. effective only for the prophylaxis of asthma. not effectie during an acute asthmatic attack. toxicity is rare.
Term
Beclomethasone, Prednisone
Definition
asthma use. corticosteroids. inhibit the synthesis of virtually all cytokines. inactivate NF-kB, the transcription factor that induces the production of TNF-alpha, among other inflammatory agents. 1st line therapy for chronic asthma.
Term
Zileuton
Definition
asthma use. an antileukotriene. a 5-lipoxygenase pathway inhibitor. blocks conversion of arachidonic acid to leukotrienes.
Term
Zafirlukast, Montelukast
Definition
asthma use. antileukotrienes. block leukotriene receptors.
Term
leukotriene actions
Definition
LTB - neutrophil chemotaxis.
LTC, LTD, LTE - bronchoconstriction, vasoconstriction, contraction of smooth muscle, increased vascular permeability. Zafirlukast and Montelukast block leukotriene receptors.
Term
prostacyclin actions
Definition
(PGI) inhibit platelet aggregation, promote vasodilation, decrease in bronchial tone, decrease in uterine tone.
Term
prostaglandin actions
Definition
(PGE, PGF) increase uterine tone, vasodilate, decrease bronchial tone.
Term
thromboxane actions
Definition
(TXA) increase platelet aggregation, increase vascular tone, increase bronchial tone.
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