Treatments for Respiratory Disorders

  1. Describe causes of Upper respiratory infections and drug therapy
  2. Discuss triggers of asthma and treatment options
  3. Discuss corticosteroids
  4. Describe chronic bronchitis and treatment options

Full Answer Section

   
    • Pain relievers/fever reducers: Acetaminophen (Tylenol) or ibuprofen (Advil).
    • Decongestants: Pseudoephedrine (Sudafed) to relieve congestion.
    • Cough suppressants: Dextromethorphan (Delsym) to suppress cough (not recommended for productive cough).
Important Note: Always consult a doctor before administering any medication, especially to children. Asthma Triggers and Treatments Triggers:
  • Allergens: Dust mites, pollen, pet dander, mold.
  • Irritants: Smoke, air pollution, strong cleaning chemicals.
  • Respiratory infections: Common cold, flu.
  • Exercise-induced asthma: Triggered by physical activity.
  • Emotional stress: Can worsen asthma symptoms in some people.
Treatment Options:
  • Long-term control medications: Inhaled corticosteroids (ICS) like fluticasone (Flovent) or budesonide (Pulmicort) to reduce airway inflammation.
  • Quick-relief medications: Short-acting bronchodilators like albuterol (ProAir) to relax airway muscles and ease breathing during an asthma attack.
  • Bronchial thermoplasty: A procedure for severe asthma to reduce airway smooth muscle mass.
  • Allergy immunotherapy: (Allergy shots) for patients with allergies that trigger asthma.
Corticosteroids Corticosteroids are a class of medications that mimic the effects of the hormone cortisol produced by the adrenal glands. They have a powerful anti-inflammatory effect. Types of Corticosteroids:
  • Inhaled corticosteroids (ICS): The preferred treatment for asthma to reduce airway inflammation.
  • Oral corticosteroids: Used for short-term treatment of severe asthma attacks or other inflammatory conditions.
  • Topical corticosteroids: Creams or ointments for skin conditions like eczema.
Side Effects: Corticosteroids can have side effects, especially with long-term use. It's important to use the lowest effective dose and be monitored by a doctor. Potential side effects can include:
  • Thrush (fungal infection in the mouth or throat): Common with inhaled corticosteroids, using a spacer device and rinsing after use can help reduce risk.
  • Hoarseness: Less common side effect of inhaled corticosteroids.
  • Increased risk of infections: With high doses of oral corticosteroids.
Chronic Bronchitis Definition: Chronic bronchitis is a long-term inflammatory condition of the bronchial tubes in the lungs. The lining of the airways becomes irritated and inflamed, producing mucus that clogs the airways and makes breathing difficult. Causes:
  • Smoking: The leading cause of chronic bronchitis.
  • Air pollution: Exposure to dust, fumes, and other irritants.
  • Repeated respiratory infections: Can contribute to chronic inflammation.
Symptoms:
  • Persistent cough that produces mucus (productive cough)
  • Chest tightness
  • Wheezing
  • Shortness of breath
Treatment Options:
  • Bronchodilators: Inhaled medications to relax airway muscles and improve breathing.
  • Expectorants: Medications to loosen mucus and make it easier to cough up.
  • Antibiotics: Prescribed for bacterial infections that worsen bronchitis symptoms.
  • Pulmonary rehabilitation: Exercise and education program to improve breathing and quality of life.
  • Oxygen therapy: In severe cases to increase the amount of oxygen in the blood.
  • Smoking cessation: The most important step to prevent further damage and improve symptoms.
Important Note: This information is for general educational purposes only and should not be interpreted as medical advice. Always consult with a healthcare professional for diagnosis and treatment.    

Sample Answer

   

Upper Respiratory Infections (URIs)

Causes:

  • Viruses: The most common cause, including rhinovirus (common cold), respiratory syncytial virus (RSV), and adenovirus.
  • Bacteria: Less frequent, but can cause infections like strep throat or sinusitis.

Drug Therapy:

  • Antibiotics: Ineffective against viruses, but prescribed for bacterial infections based on diagnosis.
  • Antivirals: Limited use for specific viruses, such as influenza.
  • Over-the-counter medications: Can help manage symptoms like fever, congestion, and cough.