Primary Management – Respiratory

Cough

Antitussives

?: up regulation of NMDA receptor
? antagonizes NMDA glutamate receptors

  • ??? ??
    • Narcotic opioids
      • Morphine, codeine, hydrocodone
      • ???? ?? ??, ??, ??, ????, ??
    • Non-narcotic opioids
      • Dextromethrophan; weak NMDA antagonist
    • Nonopioids
    • ??????: dextromethorphan + ephedrine + pheniramine
    • ????: dextromethorphan ?? codeine -> ?? ?? ??.
    • ?????: ??? codeine + guaifenesin
  • ??? ??
    • Levodropropizine ????, ?? ?? ? C-fiber ??.
      24?? ?? ???, ?? ??? ?? ? ??
    • Guaifenesin ?? ???? ??. ?? ?? ????? ??? ?? ??? ???? ??.
  • ? ?
    • 1?? ?????
      • CNS ????, ????? ??.
    • ???? (e.g., ipratropium bromide ???)

Sputum

https://www.ekjm.org/upload/7806682.pdf

Expectorants 분비촉진제

An agent that induces discharge or expulsion of mucus from the respiratory tract

  • Hypertonic saline
  • Iodine-containing compounds
  • Guaifenesin (glyceryl guaiacolate)
  • Bromhexine
  • Ion channel modifiers
    • Tricyclic nucleotides
      • Regulate ion transport through P2Y2 purinergic receptors that increase intracellular calcium
    • Nebulised uridine triphosphate aerosol

Mucoregulators 점액조절제

Drugs that regulate mucus secretion or interfere with the DNA/F-actin network

  • Carbocysteine
    • S-Carboxymethylcysteine (SCMC-Lys)
  • Anticholinergic agents
  • Glucocorticoids
  • Macrolide antibiotics

Mucolytics 점액용해제

Liquifies mucus by disrupting disulfide bonds.

  • N-acetylcysteine (NAC)
  • Erdostein
  • Peptide mucolytics
    • Lysozyme, streptodornase, dornase alpha
  • Non-destructive mucolytics
  • Bromhexine

Mucokinetics

The majority of mucokinetic agents (sometimes referred to as cough clearance promoters) increase mucociliary clearance by acting on the cilia.

  • Bronchodilators
    • �2 agonist:
  • Ambroxol
    • Stimulate surfactant and mucus secretion

Hemoptysis

  1. Chest PA

Antibiotics 항생제

http://www.ksid.or.kr/file/2017_49_4_ko.pdf

Oseltamivir

??: qd, 10? ??: bid, 5?

JX999 ?? ??

  • ????: 48?? ? ??? ?? ?? ????? ?? ??, (???? ???) ???? ? ????
  • ????: 48?? ? ??? ?? ?? ????? ?? ??, ????? ?? ?? ??.

??

Nasal spray

Mometasone furoate 60?, 140? ? ??????