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60 terms

Bronchodilators

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ipratropium bromide
Atrovent
Tiotropium bromide
Spiriva
atropine
Dey Dose
ipratropium bromide and albuterol
Combivent,Duondeb
biolterol
Tornalate
metraproterenol
Metrapel Alupent
terbutaline
Brethren Brethare Bricanyl
albuterol
Proventil Ventolin
pirbuterol
Maxair
salmaterol
Serevent
levalbuterol
Xopenex
isoetharine
Bronkosol
isoproterenol
Isuprel
Atrovent
ipratroprium bromide
Spiriva
tiotropium bromide
Combivent,Duondeb
ipratroprium and albuterol
Dey Dose
atropine
Tornalate
biolterol
Metrapel Alupent
Metraproternol
Brethine Brethare Bricanyl
terbutaline
Proventil Ventolin
albuterol
Maxair
pirbuterol
Serevent
salmaterol
Xopenex
levalbuterol
Xanthines
theophylline theobromine aminophylline caffeine
racemic epinepherine
Micronephrin Vaponephrin
Pro drug
Class of extended release drugs
Tertiary
Increased effect with every dose
Quarternary
Docent distribute through body when inhaled
Rescorinol
Won't break down when taken orally
Saligenins
Longest lasting B agonists
Theobromine
Found in cocoa,caffeine
Theophylline
Found in tea leaves
Less than 5 mcg / ml
No effect on bronchodilation but still have side effects
Less than 20 mcg / ml
Nausea
30 mcg / ml
Cardiac arythmias abnormal rhythm
40 mcg ml
Seizures
Peptic ulcer,acute gastritis
Do not give theophylline of pt has
Side effects theophylline
Gastric disturbance,headache,dizziness,hypotension
Pro drug
What classbis administered in an inactive form and must be converted in body to active form(sustained release)
Levalbuterol
R isomer is potent in
Atropine
Causes dry mouth because it stops mucous production when it goes to CNS
Phosphodiesterase
Enzyme that breaks down cAMP
Downregulation
After long term use there is an increase in B2 receptors called
Tachyphylaxis
Decrease in response to a drug occurring shortly after admin
12
Mt drugs can last .....hours
Rescorinols
Class of drug that has rapid onset, and can be taken orally so is resistant to COMT
Xanthines
Class that Indirectly bronchiodilate by inhibiting cAMP
Beta 2
Diapause vascular smooth muscle in lungs,skeletal,uterus,blood vessels,coronary cerebral
isoetharine biolterol
Greater B2 than B1
Isoproterenol
B1 and B2 equally
norepinepherine and dopamine
Mostly A but some B1 and B2
A,B1,B2 equally
racemic epinephrine,MicroNephrin,Vaponephrin
Status amasticus
An asthmatic that dosent respond to normal meds
Carbon positions
Difference in catecolamine and catecholamine derivative is based on attachment site to
levalbuterol Xopenex
Is pure R isomer of Racemic albuterol
terbutaline and albuterol
Greatest B2 selectivity band minimal cardiac side effects
Orally taken
Rescorinols
Nebulizer stregnths
0.31 mg,0.63 mg,1.25 mg
S
Isomer considered to be inactive on adrenergic receptors