pulmonary administration part 2 Flashcards

(44 cards)

1
Q

for a drug to be delivered to respiratory tract, what must it be in the form of?

A

aerosol

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2
Q

what are the 4 factors that deposition is dependent on?

A
  • patient factors
  • formulation
  • delivery device
  • physiochemical characteristics of the drug
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3
Q

what is the most important physical property?

A

-aerodynamic diameter

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4
Q

what is the aerodynamic diameter dependent on (3 factors)

A

-size, shape and density of particle

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5
Q

in practice is it a polydisperse or monodisperse system

A

-polydisperse, but ideal to be mono disperse

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6
Q

what is the efficiency of the aerosol dependent on?

A

-deposition in respiratory tract

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7
Q

what is the site of deposition dependent on

A

-size of particle

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8
Q

under 10 particle size - where does it get deposited

A

-throat

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9
Q

5-10 particle size, deposition?

A

-upper airways

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10
Q

2-5 particle size, deposition?

A

-lower airways

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11
Q

0.5-2 particle size, deposition?

A

-alveolar region

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12
Q

under 0.5 size, deposition ?

A

-exhaled without deposition

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13
Q

under 0.1 size, deposition?

A

-alveolar region

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14
Q

where are the majority of B2 receptors located?

A

-pulmonary region

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15
Q

where are the majority of M3 receptors?

A
  • tracheobronhcial region

- less in pulmonary region

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16
Q

where is salbutamol delivered to?

A

-pulmonary region

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17
Q

what are the three main mechanisms for particle deposition?

A
  1. inertial impaction
  2. brownian diffusion
  3. gravitational sedimentation
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18
Q

what are the two side mechanisms?

A
  1. electrostatic attraction

2. interception

19
Q

does a particle have its own momentum when carried in aerosol stream?

20
Q

what happens when aerosol stream meets bend or obstacle?

A

direction changes

21
Q

what happens when the inertial force of particle interferes?

A

RESISTS change in direction

carries on original direction

22
Q

where does this inertial impact happen?

A
  • upper respiratory tract

- airflow is turbulent and air velocity is high

23
Q

does this happen to larger particles?

24
Q

what is gravitational sedimentation?

A
  • sedimentation of particles

- due to action of gravitational forces

25
what is it determined by?
-stokes law
26
does this happen to medium sized particles?
-yes
27
where does this occur?
alveolar region, bronchioles and small bronchi
28
what is the brownian diffusion?
- particles below 0.5 are too small to be deposited by sedimentation or inertial impaction - particles are bombarded with molecules surrounding them in respiratory tract - therefore they move to areas where concentration is low, like airway walls
29
is diffusion proportional to particle size?
-no, INVERSELY PROPORTIONAL
30
What is interception?
- dimension of particle - similar to diameter of airway its passing - edge of particle comes in contact with surface of airway - particle is therefore TRAPPED.
31
what is it important for?
-elongated particles not spherical
32
what is electrostatic attraction?
1. charged particles are produced when aerosol formed 2. charged particles cause an OPPOSITE CHARGE on airway wall 3. leads to electrostatic attraction between them 4. leads to increased deposition
33
what is the 1st barrier encountered after deposition?
Mucus layer
34
what does the mucus layer do?
cover the walls of the respiratory tract
35
does it vary in composition and thickness
yes
36
what does it consist of? 4 points (LCSW)
- lipid - carbohydrate - surfactant - water and mucin
37
what is the dissolution of the particle dependent on?
- composition of mucus layer at deposition site
38
what is the mucociliary escalator
- self cleaning mechanism - from the action of mucus and cilia - coordinated movement of cilia causes mucus to move towards pharynx - it is then swallowed
39
where do the macrophages wander?
- throughout the lung | - ingest particles and molecules rapidly in solution
40
what do macrophages release?
-peroxides - degrade proteins
41
what do granulocytes do?
migrate to airways release proteases phagocytose material
42
what do lymphocytes do?
sensitises lung to future doses | responds to antigenic material
43
what is the alveolar epithelium composed of?
- type 1 and 2 alveolar cells | - very close together, creating large S.A.
44
what are the 3 ways of transport through alveolar epithelium? VMI
1. vesicles 2. membrane pores 3. intracellular tight junctions