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Fundamentals of Pharmacology for Veterinary Technicians Chapter 9 Respiratory System Drugs © 2004 by Thomson Delmar Learning, a part of the Thomson Corporation. Basic Anatomy and Physiology • The respiratory system is the body system that brings oxygen from the air into the body for delivery via the blood to cells • Respiration is the exchange of gases between the atmosphere and the cells of the body • Ventilation is the bringing in of fresh air © 2004 by Thomson Delmar Learning, a part of the Thomson Corporation. Basic Anatomy and Physiology © 2004 by Thomson Delmar Learning, a part of the Thomson Corporation. Respiratory Drugs • Expectorants – Increase the flow of respiratory secretions to allow material to be coughed up from the lungs – Increase the fluidity of mucus – An example is guaifenesin © 2004 by Thomson Delmar Learning, a part of the Thomson Corporation. Respiratory Drugs • Mucolytics – Decrease the viscosity or thickness of respiratory secretions – An example is acetylcysteine (also used to treat acetaminophen toxicity) © 2004 by Thomson Delmar Learning, a part of the Thomson Corporation. Respiratory Drugs • Antitussives – Suppress coughs – May be centrally acting or locally acting – Centrally acting antitussives include butorphanol, hydrocodone, codeine, dextromethorphan, and trimeprazine (in a combination product) © 2004 by Thomson Delmar Learning, a part of the Thomson Corporation. Respiratory Drugs • Decongestants – Decrease the congestion of nasal passages by reducing swelling – Examples include phenylephrine and pseudoephedrine © 2004 by Thomson Delmar Learning, a part of the Thomson Corporation. Respiratory Drugs • Bronchodilators – Widen the lumen of the bronchi and counteract bronchoconstriction – Examples include cholinergic blocking agents (anticholinergics such as aminopentamide, atropine, and glycopyrrolate), beta-2adrenergic agonists (such as epinephrine, isoproteronol, terbutaline, and albuterol), and methylxanthines (such as aminophylline and theophylline) © 2004 by Thomson Delmar Learning, a part of the Thomson Corporation. Respiratory Drugs • Antihistamines – Block the effects of histamine – Antihistamine drug names usually end with –amine – Side effects include CNS depression and anticholinergic effects such as dry mouth – Examples include diphenhydramine and chlorpheniramine © 2004 by Thomson Delmar Learning, a part of the Thomson Corporation. Respiratory Drugs • Respiratory stimulants – Stimulate the animal to increase its respirations – Examples include naloxone (usually used to stimulate respiration following narcotic overdose) and yohimbine (used to reverse xylazine administration or overdose) © 2004 by Thomson Delmar Learning, a part of the Thomson Corporation.