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Chapter 1: Intro to Respiratory Care Pharmacology

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ARDS   Acure respiratory distess syndrom- disorder characterized by respiratory insufficiency. May occur as a result from trauma, pneumonia, oxygen toxicity, gram-neg. sepsis, and systemic inflammatory response.  
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COPD   Airflow limitation that is not fully reversible, usually progressive, and associated w/an abnormal inflammatory response of the lung to noxious gases or particles. (Chronic Bronchitis,Emphysema,Asthma,and Bronchiectasis).  
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Code Name   Name assigned by manufacturer to an experimental chemical that shows potential as a drug. ex: SCH1000  
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CF   Cystic Fibrosis: inherited disease of the exocrine glands, affecting the pancreas, respiratory system, and apocrine glands. Symptoms usually during infancy and are characterized by increased electrolytes in sweat, and chronic respiratory infection.  
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Generic Name   Name assigned to a chemical by the USNA council when the chemical appers to have therapeutic use and manufacturer wishes to market the drug.  
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Pharmacy   The preparation and dispensing of drugs  
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Pharmacognosy   The identification of sources of drugs, from plants and animals.  
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Pharmacogenetics   The study of the interrelationship of genetic differences and drug effects  
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Terapeutics   The art of treating disease with drugs  
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Toxicology   Study of toxic substances and their pharmacological actions, including antidotesw and poison control  
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Each drug has five different names, they are...   Chemical, code, official, generic, and Trade/Brand name  
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Pharmacodynamics   The machanisms of drug action by wich a drug molecule causes its effect in the body.  
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Pharmacokinetics   The time course and disposistion of a drug in the body, baseed on its absorption, distribution, metabolism, and elimination.  
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Pseudomonas aeruginosa   Gram-neg. orgnanism, primarily a nosocomial pathogen, causes UTI, URI, Dermatitis, soft tissue infections, bacteremia, bone and joint infections,etc.. Particularly in severely burned or immunosuppressed patients.  
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RSV   Respiratory syncytial virus: Virus that causes the formation of syncytial masses in cells, leads to imflammation of the bronchiles, which may cause respiratory distress in young infants.  
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Advantages of Aerosolized agents given by inhalation   Smaller doses for the same purpose and given systemically, fever and less sever side effects, onset of action is rapid, delivery targeed to respiratory system w/lower systemic bioavailability, painless, relatively safek, can be more convenient.  
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Antiinfective agents   Inhibition or eradication of specific infective agents, such as Pneumocytis carnii, RSV, CF or influenze A and B, antibiotics or antituberculous drugs.  
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Adrenergic Agernts   Relaxation of bronchial smooth muscle and bronchodilation, to reduce airway resistance and to improve ventilatory rates in airway obstruction in COPD'ers.  
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Anticholinergic Agents   Topical vasoconsstriction and decongestion, relaxation of cholinergically induced bronchocontriction to improve ventilatory flow rates in COPD  
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Mucoactive Agents   Modification nof the properties or Respiratory tract mucus, current agents lower viscosity and promote clearance of secreations  
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Corticosteroids   Reduction and control of airway inflammatory response, usually associated w/asthma or with seaonal or chronic rhinitis (URI).  
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Antiasthmatic Agents   Prevention of the onset and development of the asthmatic response, through inhibition of chemical mediators of inflammation  
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Exogenous Surfactants   Approved clinical use is by direct intratracheal instillation, for the purspose of restoring more normal lung compliance in RDS in newborns  
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