Respiratory System
Introduction:
The respiratory system is responsible for breathing and gas exchange in the body. It supplies oxygen to the blood and removes carbon dioxide produced during metabolism. In pharmacotherapeutics, the study of the respiratory system focuses on the prevention and treatment of diseases affecting the airways and lungs using appropriate drug therapy.
Respiratory disorders are common and range from mild conditions like cough and cold to life-threatening diseases such as asthma, chronic obstructive pulmonary disease, and respiratory infections.
Components of the Respiratory System:
The respiratory system consists of the following major parts:
- Nose and nasal cavity
- Pharynx
- Larynx
- Trachea
- Bronchi and bronchioles
- Lungs and alveoli
Common Respiratory Disorders:
The major diseases affecting the respiratory system include:
- Asthma
- Chronic obstructive pulmonary disease (COPD)
- Bronchitis
- Pneumonia
- Tuberculosis
- Allergic rhinitis
- Cough
Asthma:
Asthma is a chronic inflammatory disorder of the airways characterized by bronchoconstriction, mucus secretion, and airway hyper-responsiveness. Symptoms include wheezing, breathlessness, chest tightness, and cough.
Drugs used in asthma management include:
- Bronchodilators
- Corticosteroids
- Leukotriene modifiers
- Mast cell stabilizers
Chronic Obstructive Pulmonary Disease (COPD):
COPD is a progressive lung disease characterized by airflow limitation that is not fully reversible. It includes chronic bronchitis and emphysema and is commonly caused by smoking.
Treatment focuses on symptom control and includes:
- Bronchodilators
- Corticosteroids
- Antibiotics during infections
- Oxygen therapy
Bronchitis:
Bronchitis is inflammation of the bronchial tubes and may be acute or chronic. It is associated with cough, mucus production, and chest discomfort.
Drug therapy includes expectorants, bronchodilators, and antibiotics if bacterial infection is present.
Pneumonia:
Pneumonia is an infection of the lung tissue caused by bacteria, viruses, or fungi. It presents with fever, cough, chest pain, and difficulty in breathing.
Management includes appropriate antibiotics, antipyretics, and supportive care.
Tuberculosis:
Tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis. It mainly affects the lungs and spreads through airborne droplets.
Treatment requires long-term combination therapy with antitubercular drugs to prevent resistance.
Allergic Rhinitis:
Allergic rhinitis is an inflammatory condition of the nasal mucosa caused by allergens such as pollen or dust. Symptoms include sneezing, nasal congestion, and runny nose.
Drugs used include antihistamines, nasal corticosteroids, and decongestants.
Cough:
Cough is a protective reflex to clear the airways. It may be productive or non-productive.
Drug therapy includes antitussives for dry cough and expectorants for productive cough.
Role of Pharmacist in Respiratory Disorders:
Pharmacists play an important role in managing respiratory diseases by:
- Advising correct use of inhalers and nebulizers
- Ensuring adherence to long-term therapy
- Monitoring adverse drug reactions
- Educating patients on lifestyle changes such as smoking cessation
Summary:
The respiratory system is essential for life, and its disorders significantly affect patient health. Understanding respiratory pharmacotherapeutics enables pharmacy students to contribute effectively to the management of respiratory diseases and improve patient outcomes.
Frequently Asked Questions (FAQs)
1. What is the role of bronchodilators in asthma?
Bronchodilators relax airway muscles and improve airflow, providing quick relief from breathing difficulty.
2. Why is long-term therapy required in tuberculosis?
Long-term treatment prevents drug resistance and ensures complete elimination of the infection.
3. What is the difference between asthma and COPD?
Asthma is usually reversible and inflammatory, while COPD is progressive and largely irreversible.
4. Why is inhaler technique important?
Correct inhaler use ensures the drug reaches the lungs effectively and improves treatment outcomes.
5. Why should pharmacy students study respiratory therapeutics?
Respiratory diseases are common, and pharmacists play a key role in medication management and patient education.



