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This Concept Map, created with IHMC CmapTools, has information related to: respiratory drugs, Respiratory Drugs corticosteroids Use: Asthma Allergic Rhinitis (<=8 wks for max response) Status Asthmaticus -IV admin, Respiratory Drugs Anti-Histamines benadry, vistaril (1st) claritin, zyrtec (2nd) 2nd generation fewer side effects, Respiratory Drugs antileukotriene antagonist MONTELUKAST (Singulair) ->inhibit early & late phases inflam, edema, constriction, mucus ->enhance beta brochodil effects ->reduce acute attacks, Respiratory Drugs decongestants Dont' take with hypertension. MOA: causes vasocontriction., Respiratory Drugs Ca-Channel Blockers verapamil nifedipine MOA-relax bronchial sm mm -stabilize membranes, Respiratory Drugs xanthine dirivatives MOA: bronchodilation. can have diuretic effect, and CNS stimulation ADRs: GI distress (take w/ food,H2O) CNS stim-nervousness, arrhythmias, convulsions Interactions: Nictine inc metabolism of drug, Respiratory Drugs Mast Cell, Eos Stabilizers CROMOLYN SODIUM-inhale nedocromil MOA- -block Cl- channel->inhibit activation 2. Airway nerves->inhibit cough Mast cells->inhibit inflam mediators Decrease Eos infiltration ADRs-pretty nontoxic -cough/bronchospasm in some pts -give beta agonist too May not see action for 4-6 wks, Respiratory Drugs beta2-agonists -only class for acute asthmatic attacks -first line for asthma Prevents bronchospasm, Used in most pulmonary diseases, Monitor VS and lung sounds, don't use caffeine, Respiratory Drugs beta2-agonists -only class for acute asthmatic attacks -first line for asthma Selective: ALBUTEROL - oral or aerosol -peak in 30-40min TERBUTALINE -parenteral for s. asthmaticus Slower, longer DOA: SALMETEROL +fluticasone=Advair formoterol -prevent nocturnal attacks, Respiratory Drugs Combo drugs anticholinergic/ bronchodilator Use: Mod-severe COPD Allergic/viral rhinitis Acute bronchitis-infants -combined Tx in asthma -rescue Tx Can have s/e of both beta 2 and anticholinergics DRY MOUTH/JITTERS, Respiratory Drugs Expectorants mucolytics-mucomyst don't use with asthma pts., Respiratory Drugs corticosteroids Long acting- decadron, rhinocort Intermediate acting solu-medrol, prednisone synthetic glucocorticoids: flovent, pulmicort, Respiratory Drugs corticosteroids Side Effects (daily use) Restrict NA and K Avoid infections HTN F&E imbalances Hyperglycemia GI bleeds (thrombocytopenia) WEAR MED ALERT -minimal ADRs w/ inhaled -thrush-oral candidiasis, Respiratory Drugs beta2-agonists -only class for acute asthmatic attacks -first line for asthma MOA-bronchodilation, Respiratory Drugs antileukotriene antagonist Indications: ORAL -Mild-moderate asthma -max effect after wks-mos -not to be used for acute attacks, Respiratory Drugs Mast Cell, Eos Stabilizers Indications: prophylaxis Asthma (inhaled) -eg 1 hr before exercise Allergic Rhinitis (inh) Conjunctivitis (topical) Systemic Mastocytosis (oral) Food allergy, UC (oral), Respiratory Drugs corticosteroids MOA: anti-inflammation suppress immune system Dec edema, Respiratory Drugs beta2-agonists -only class for acute asthmatic attacks -first line for asthma Indications: oral and inhaled All rapid acting: abort attacks Serevent is long acting., Respiratory Drugs Expectorants GUAIFENISIN (Mucinex)-oral OTC -reduce adhesiveness of secretions ->reduce coughing -Use: thick secretions, dry cough, sinusitis don't use with asthma pts., Respiratory Drugs Combo drugs anticholinergic/ bronchodilator (Atrovent) COPD Combivent-Asthma