COPD

Abnormal low concetration of o2 in the blood

to much carbon dioxide CO2 in the blood (co2 is a gaseous product of the body metabolism and is normally expelled thru the lungs) .

causes relaxtion of smooth muscle and bronchodilation in small airways of the lungs -bronchioles

AE: Can affect cardiac system , tachycardia

Albuterol (proventil, ventolin)

Metaproternol, (Alupent )

Formoterol (performist)

Salmeterol (Servent)

Arformoterol tartrate (Brovana)

Ipratropium (atrovent) -short acting

Tiotropium (spirivia) longer acting (Increase stroke potential)

• Greater for cardiac hx pt B?C is gentler on the heart
• but still has potent bronchodilation and smooth muscle relaxation

They are not fast acting meds so you must take them on a dialy basis in order to obtain the full benefit - they help treat inflammation

Make sure pt Swish and spit to prevent fungal infections

Buedesonide (pulmicort)

Fluticasone (Flovent)

Triamcinolone (azmacort)

Maintanance use

Symbicort , Advair

Less sides effects and more dilation effects

Combivent

Used for bronchospasm and constriction

Methylxanthines - direct relaxtion of bronchi and pulm vessals

Aminophyline, theophyline

AE: cause tachycardia

mucolytic - mucomyst, guaifensin

Reduction of viscocity of mucus in acute and chronic bronchopulmonary dieseases

Standard AE