Pulmonary vasodilators – used for PPHN (persistent pulmonary hypertension of newborn) (Nitric Oxide)
Orally inhaled insulin – Exubera
Bullous Emphysema – medical condition
Patients experience chest pain, coughing, dyspnea, related to lack of O2 in blood, can cause one or both lungs to collapse requiring surgery.
or Paraseptal Emphysema
Emphysema is a process of alveolar wall destruction.
Located in respiratory bronchioles. Spreads peripherally. Predominately involved in the upper half of the lungs. Can be weaved through normal lung tissue.
Treated – A-1 proteinase inhibitors (aralast, prolastin, & zemaira). All drugs derived from human plasma. Side effects include flu-like symptoms.
Nicotine tolerance occurs quickly. Highly addictive.
Chewing gum (Nicorette)
Nasal spray (Nicotrol)
Zyban tablets (antidepressant)
Dependency to NRT
NRT should all be stopped by 3 months
Patients with cardio problems
Risk of exposure for healthcare workers – use gloves, wash only with water.
Rebound effects – Condition which was treated comes back stronger than it was. Increased negative symptoms when effect of drug is passed or patient no longer responds to it.
Side effects – bronchospasm, decreased lung function.