MPP II LECTURE 2.3 : RESPIRATORY PHARMACOLOGY
30 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which lung volume remains in the lungs after a maximal exhalation?

  • Expiratory Reserve Volume (ERV)
  • Tidal Volume (TV)
  • Functional Residual Capacity (FRC)
  • Residual Volume (RV) (correct)
  • Which of the following is a component of Vital Capacity (VC)?

  • Functional Residual Capacity (FRC)
  • Total Lung Capacity (TLC)
  • Inspiratory Reserve Volume (IRV) (correct)
  • Residual Volume (RV)
  • A patient's spirometry results show a decreased FEV1/FVC ratio. According to asthma guidelines, what would this suggest?

  • Intermittent asthma
  • Increased lung compliance
  • Normal lung function
  • Airway obstruction (correct)
  • What is the primary mechanism of action of inhaled corticosteroids (ICS) in managing asthma?

    <p>Inhibiting COX-2 action and prostaglandin biosynthesis (B)</p> Signup and view all the answers

    How do inhaled corticosteroids (ICS) affect airway smooth muscle in the long term?

    <p>Reduce hyperresponsiveness after months of regular use (B)</p> Signup and view all the answers

    Which of the following inhaled corticosteroids is commonly prescribed for long-term asthma control?

    <p>Budesonide (B)</p> Signup and view all the answers

    What is the correct formula to calculate Inspiratory Capacity (IC)?

    <p>IC = TV + IRV (D)</p> Signup and view all the answers

    Inhaled corticosteroids (ICS) target underlying airway inflammation by:

    <p>Decreasing the inflammatory cascade (A)</p> Signup and view all the answers

    A patient with asthma is prescribed Beclomethasone. What is the primary route of administration for this medication?

    <p>Inhalation (C)</p> Signup and view all the answers

    Which volume plus capacities equation is correct?

    <p>TLC=TV+IRV+ERV+RV (D)</p> Signup and view all the answers

    Which of the following best describes the primary mechanism by which adrenergic agonists improve pulmonary function in asthma patients?

    <p>Promoting bronchodilation by activating β2-adrenergic receptors on smooth muscle cells of the airways. (B)</p> Signup and view all the answers

    Which of the following is NOT a key pathophysiological feature of asthma?

    <p>Loss of lung elasticity (D)</p> Signup and view all the answers

    In the context of respiratory pharmacology, what is the primary action of cholinergic antagonists in managing COPD and asthma?

    <p>Promoting bronchodilation by blocking muscarinic receptors on bronchial smooth muscle. (A)</p> Signup and view all the answers

    Which treatment approach directly addresses the inflammation component of asthma?

    <p>Inhaled corticosteroids (C)</p> Signup and view all the answers

    What is the most likely mechanism by which inhaled corticosteroids provide relief in asthma and COPD?

    <p>Reducing airway inflammation (D)</p> Signup and view all the answers

    Spirometry readings of a patient with asthma are most likely to show which abnormality compared to normal readings?

    <p>Decreased FEV1/FVC ratio (C)</p> Signup and view all the answers

    Which of the following distinguishes COPD from asthma in terms of underlying mechanisms?

    <p>Irreversible loss of lung elasticity (C)</p> Signup and view all the answers

    A patient is prescribed an adrenergic agonist inhaler. What is the expected primary effect of this medication on their respiratory system?

    <p>Relaxation of bronchial smooth muscle (D)</p> Signup and view all the answers

    Besides bronchodilation, which additional effect contributes to the therapeutic benefit of adrenergic agonists in certain respiratory conditions?

    <p>Decreased inflammatory mediator release (D)</p> Signup and view all the answers

    What would you expect to observe on a spirometry test for a patient with COPD compared tp someone with only asthma?

    <p>A largely irreversible reduction in FEV1, even after bronchodilator use (B)</p> Signup and view all the answers

    Which statement correctly describes the primary action of epinephrine on the cardiovascular system?

    <p>Increases cardiac output by improving contractility and rate of contraction (B)</p> Signup and view all the answers

    What is the primary therapeutic use of albuterol?

    <p>Treating acute asthma symptoms (B)</p> Signup and view all the answers

    Which of the following correctly differentiates long-acting beta agonists (LABA) from short-acting beta agonists (SABA)?

    <p>LABA provides sustained bronchodilation for over 12 hours (D)</p> Signup and view all the answers

    Which of the following side effects is commonly associated with short-acting beta agonists like albuterol?

    <p>Tachycardia or arrhythmia (B)</p> Signup and view all the answers

    In the context of adrenergic pharmacology, which statement about direct-acting adrenergic agonists is correct?

    <p>They bind to adrenergic receptors on effector organs without engaging the presynaptic neuron (A)</p> Signup and view all the answers

    Which combination therapy is designed to address respiratory inflammation and airway resistance?

    <p>Budesonide and formoterol (D)</p> Signup and view all the answers

    What is a distinct advantage of tiotropium over ipratropium in treating bronchospasm?

    <p>Has a longer duration of action requiring only once daily administration (A)</p> Signup and view all the answers

    Which adrenergic agent is primarily used in the emergency treatment of bronchospasm caused by conditions like anaphylactic shock?

    <p>Epinephrine (B)</p> Signup and view all the answers

    Which condition is NOT typically treated with direct-acting adrenergic agonists?

    <p>Chronic kidney disease (A)</p> Signup and view all the answers

    Which action is primarily associated with beta-2 adrenoceptors in the lungs?

    <p>Bronchodilation (A)</p> Signup and view all the answers

    Flashcards

    Adrenergic Pharmacology

    Study of agents acting on catecholamine pathways, like norepinephrine and epinephrine.

    Direct-Acting Adrenergic Agonists

    Agents that bind directly to adrenergic receptors without affecting presynaptic neurons.

    Epinephrine

    Agonist at both α- and β-adrenoceptors, important in cardiovascular and respiratory functions.

    Bronchodilation

    Expansion of the air passages in the respiratory system, primarily through β2 receptor action.

    Signup and view all the flashcards

    Albuterol

    Short-acting β2 agonist used for quick relief of asthma symptoms.

    Signup and view all the flashcards

    SABAs

    Short-Acting Beta Agonists used for quick bronchodilation.

    Signup and view all the flashcards

    LABAs

    Long-Acting Beta Agonists for sustained bronchodilation, effective for over 12 hours.

    Signup and view all the flashcards

    Budesonide/Formoterol

    Combination therapy; ICS + LABA to control inflammation and improve airflow.

    Signup and view all the flashcards

    Muscarinic Antagonists

    Agents that block muscarinic receptors, interrupting parasympathetic effects.

    Signup and view all the flashcards

    Long-Acting Muscarinic Antagonists (LAMA)

    Antagonists like ipratropium and tiotropium, used for COPD management.

    Signup and view all the flashcards

    Asthma Pathophysiology

    Key features include bronchoconstriction, inflammation, and loss of lung elasticity.

    Signup and view all the flashcards

    Bronchoconstriction

    A narrowing of the airways that restricts airflow, often treated with adrenergic agonists.

    Signup and view all the flashcards

    Adrenergic Agonists

    Medications that stimulate adrenergic receptors to relax bronchial smooth muscles.

    Signup and view all the flashcards

    Cholinergic Antagonists

    Medications that block cholinergic receptors, helping to dilate airways.

    Signup and view all the flashcards

    Corticosteroids

    Anti-inflammatory drugs used to reduce airway inflammation in asthma and COPD.

    Signup and view all the flashcards

    COPD

    Chronic Obstructive Pulmonary Disease characterized by airflow limitation and breathing difficulties.

    Signup and view all the flashcards

    Inhaled Corticosteroids

    A specific type of corticosteroid delivered directly to the lungs to manage asthma.

    Signup and view all the flashcards

    TLC

    Total Lung Capacity, the total volume of air in the lungs.

    Signup and view all the flashcards

    Spirometry

    A test used to measure lung function, assessing the volume and speed of air during inhalation and exhalation.

    Signup and view all the flashcards

    ERV

    Expiratory Reserve Volume, air that can be forcibly exhaled after normal expiration.

    Signup and view all the flashcards

    FRC

    Functional Residual Capacity, the volume of air remaining in lungs after normal expiration.

    Signup and view all the flashcards

    Asthma vs. COPD

    Asthma is often reversible with treatment; COPD is progressive and generally irreversible.

    Signup and view all the flashcards

    Pulmonary Function

    Refers to the ability of the lungs to take in oxygen and expel carbon dioxide effectively.

    Signup and view all the flashcards

    Spirometry

    A test that measures lung function by assessing the volume and speed of air exhalation.

    Signup and view all the flashcards

    Inhaled Corticosteroids (ICS)

    Medications for long-term asthma control by reducing airway inflammation.

    Signup and view all the flashcards

    COX-2 Inhibition

    Mechanism where ICS reduce inflammation by inhibiting COX-2 and prostaglandin production.

    Signup and view all the flashcards

    Action on Airway Muscle

    ICS do not directly affect airway smooth muscle but target inflammation.

    Signup and view all the flashcards

    Bec-lo-meth-a-sone

    An example of an Inhaled Corticosteroid (Qvar) used in asthma treatment.

    Signup and view all the flashcards

    Moderate Persistent Asthma

    Asthma classification that includes daily symptoms and the need for a rescue inhaler.

    Signup and view all the flashcards

    Residual Volume (RV)

    The amount of air left in the lungs after a maximal exhalation.

    Signup and view all the flashcards

    Study Notes

    Respiratory Pharmacology Lecture #13

    • Course instructor: Julia M. Hum, Ph.D.
    • Course schedule: Monday/Wednesday/Friday 2:00-2:50 PM
    • Office hours: Monday/Wednesday/Friday 11:00 AM-12:00 PM
    • Email: [email protected]

    Learning Objectives (L12)

    • Identify key pathophysiological features of asthma
    • Apply asthma treatment guidelines
    • Define adrenergic and cholinergic pharmacology
    • Understand how adrenergic agonists impact lung function and relate this to asthma pathophysiology
    • Describe the impact of cholinergic antagonists on lung function and relate this to COPD/asthma
    • Recognize how inhaled corticosteroids treat asthma/COPD
    • Compare and contrast clinical presentations and treatments of asthma and COPD
    • Interpret spirometry readings and identify changes caused by asthma and COPD

    Common Forms of Respiratory Compromise

    • Bronchoconstriction: treated with adrenergic agonists and cholinergic antagonists
    • Inflammation: treated with corticosteroids
    • Loss of lung elasticity: treated with respiratory therapy & supplemental oxygen

    Pathophysiology of Asthma (LO1)

    • Trigger factors initiate airway inflammation
    • Hypersecretion of mucus narrows breathing passages
    • Airway muscle constriction causes wheezing, cough, shortness of breath, and chest tightness
    • Swelling of bronchial membranes worsens breathing difficulties

    Clinical Identification of Asthma (LO8)

    • Visual representation of lung volumes and capacities (graph)

    Lung Volumes & Capacities (LO8)

    • TLC: Total Lung Capacity (TV + IRV + ERV + RV)
    • ERV: Expiratory Reserve Volume
    • FRC: Functional Residual Capacity (ERV + RV)
    • IC: Inspiratory Capacity (TV + IRV)
    • IRV: Inspiratory Reserve Volume
    • RV: Residual Volume
    • TV: Tidal Volume
    • VC: Vital Capacity (TV + IRV + ERV)

    Guidelines for Treatment of Asthma (LO2)

    • Table outlining treatment guidelines based on classification (intermittent, mild persistent, moderate persistent, severe persistent) and factors like episodes and spirometry results

    Inhaled Corticosteroids - ICS (LO6)

    • Long-term control for persistent asthma
    • MOA: Inhibit COX-2 action, prostaglandin biosynthesis, and activate endogenous anti-inflammatory pathways
    • Few systemic side effects
    • Available as sprays, inhalers and other applications

    Inhaled Corticosteroids - ICS (LO6)

    • MOA: Inhibit COX-2 action and prostaglandin biosynthesis, activating endogenous anti-inflammatory pathways
    • Actions on lung: do not directly affect airway smooth muscle
    • ICS act on underlying airway inflammation by decreasing inflammatory cascade.
    • Repeated use for months reduces airway hyperresponsiveness

    Inhaled Corticosteroids (LO6)

    • Specific examples of ICS: Beclomethasone, Budesonide, Fluticasone

    Adrenergic Pharmacology (LO4)

    • Study of agents acting on pathways involving catecholamines (norepinephrine, epinephrine, dopamine)
    • Sympathetic nervous system is primary source of catecholamine production & release
    • Therapies for hypertension, shock, asthma, & angina

    Direct-Acting Adrenergic Agonists (LO4)

    • Epinephrine, norepinephrine, dopamine, dobutamine, isoproterenol, fenoldopam, oxymetazoline, phenylephrine, clonidine, albuterol, terbutaline, salmeterol, formoterol, mirabegron are examples
    • These agents act directly on adrenergic receptors on effector organs

    Direct-Acting Adrenergic Agonists (LO4)

    • Epinephrine is an agonist at both α and β-adrenoceptors
    • Cardiovascular actions: Increase cardiac output, strengthen contraction (β1), increase heart rate (β1)
    • Respiratory actions: Cause bronchodilation by directly acting on bronchial smooth muscle (β2)
    • Therapeutic uses: Bronchospasm, acute asthma, anaphylactic shock

    Direct-Acting Adrenergic Agonists: Albuterol (LO4)

    • Short-acting β2 agonist (SABA) used primarily as bronchodilators
    • Often administered by metered-dose inhaler
    • Commonly used for acute asthma symptoms

    Direct-Acting Adrenergic Agonists: Salmeterol and Formoterol (LO4)

    • Long-acting β2 agonists (LABA)
    • Provide sustained bronchodilation over 12 hours
    • Salmeterol has delayed onset of action; formoterol does not

    Combination Therapy: Budesonide/Formoterol (Symbicort) (LO4,6)

    • Combines inhaled corticosteroid (ICS) with a long-acting bronchodilator (LABA)
    • ICS reduces/prevents respiratory tract inflammation
    • LABA decreases airway resistance and increases airflow

    Clinical Differences of Asthma and COPD (LO7)

    • Table comparing onset, symptom patterns, lung function, history, and time course of asthma and COPD

    Clinical Identification of COPD (LO8)

    • Visual representation of lung volumes and capacities (graph)

    Cholinergic Pharmacology (LO5)

    • Cholinergic antagonists bind to muscarinic or nicotinic receptors, preventing acetylcholine's effects
    • Clinically useful: selective blockers of muscarinic receptors; interruption of parasympathetic innervation, therefore promoting sympathetic stimulation

    Long-Acting Muscarinic Antagonists (LAMA) (LO5)

    • Ipratropium and tiotropium are derivatives of atropine
    • Approved bronchodilators for COPD bronchospasm
    • Tiotropium is once daily use; ipratropium is used several times

    Pharmacological Management of COPD (LO7)

    • Table outlining first-line treatment options for different COPD patient groups (A, B, C, and D).

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    This quiz focuses on key concepts from Lecture #13 of the Respiratory Pharmacology course. It covers the pathophysiology of asthma and COPD, treatment guidelines, and the pharmacological agents used in managing respiratory conditions. Students will apply their understanding of adrenergic and cholinergic drugs as well as inhaled corticosteroids in various scenarios.

    More Like This

    Asthma/COPD Medications Overview
    26 questions
    Farmacologia de l'aparell respiratori
    20 questions
    Use Quizgecko on...
    Browser
    Browser