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Phar 5714 Formulation Exam Study Guide

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PHAR 5714 FORMULATION EXAM STUDY GUIDE ...

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PHAR 5714 FORMULATION EXAM STUDY GUIDE


breathing pattern affect deposition? - ANSWER YES

Upper respiratory tract includes - ANSWER nose

pharynx

larynx

Lower respiratory tract - ANSWER trachea, bronchi, bronchioles, alveoli

airway dimensions - ANSWER from trachea to alveolar sacs - airway diameter
decreases from 1.8cm to 0.04cm

Total surface area of alveolar - ANSWER 140 m2 - large surface area allowed for more
gas exchange

physiology of the lung - ANSWER 1. globet cells produces mucus to trap foreign
particles

2. epithelial cells in conducting airways are ciliated - to transport foreign particles
upwards for elimination

What is an aerosol? - ANSWER A suspension of solid or liquid particles in gas

What are the sites of aerosol particle deposition? - ANSWER 1. at back of throat -
swallowed and useless

2. at bronchioles - good for local treatment eg asthma

3. at alveoli - for systemic absorption

4 factors affecting deposition - ANSWER 1. particle properties: size, shape, charge

2. aerosol particles: concentration, velocity of spray, particle size range

3. respiratory tract properties - disease state, geometry

4. breathing patterns - residence time (breath holding), volumetric flow rate (breathing
rate)

Are all particles the same size in an aerosol? - ANSWER - no, they are polydisperse

- a log-normal distribution

aerodynamic diameters (AED) - ANSWER - particles with same AED can be of different
dimensions and shapes

,3 ways in which particles deposit in airways - ANSWER 1. diffusion

2. sedimentation

3. inertial impaction

diffusion of aerosol - ANSWER - very fine particles (less than 0.5 micron) are deposited
by diffusion

- random movement of particles through the gas (Brownian motion)

- rate is inversely proportion to particle size

sedimentation of aerosol particles - ANSWER - sedimentation due to vertical
gravitational force

- Stoke's law applies: sedimentation rate depends on particle size and density

What is the dominant mechanism for deposition for particles between 0.5 to 5 microns -
ANSWER sedimentation

Inertial impaction - ANSWER - particles carried by a gas stream has its own momentum

- particles can either

1. follow its own momentum and impact onto the airway wall, or

2. follow the changing airstream

inertial impaction depends on - ANSWER 1. particle's momentum - size and flow rate

2. position of particle in the airstream

3. angle of bifurcation

which mechanism is the main mechanism for deposition in upper airways? - ANSWER
Impaction (10 micron size has 50% chance of impaction)

Interception - ANSWER - interception occurs when edge of a particle contacts airway
wall

- major deposition mechanism for elongated particles

Deposition Fraction (DF) - ANSWER mean probability that a particle inhaled is deposited
in the respiratory tract

4 regions of the respiratory tract for deposition - ANSWER 1. extrathoracic region (E) -
airways in head + neck

2. upper bronchial region (UB): trachea + bronchi

3. Lower bronchial region (LB): bronchioles

, 4. Alveolar region (A): alveoli

Important factors which affect deposition - ANSWER 1. particle size - less than 0.5
micron -> exhale, between 0.5 to 5 -> deposit in lower airways, larger than 5 -> deposit in
upper airways or in head and neck

- too small - exhaled out

2. effect of shape - long thin fibres easily deposit in alveoli

3. effect of density - porous particles have lower density

4. effect of humidity - ONCE particles enter the respiratory tract, they are exposed to
high humidity, which affect size, dispersibility, depends on hydrophobic/philic
properties

Hydrophilic particles - ANSWER - once entered airway, absorbed moisture layer, which
increases effective particle size, hence deposit at higher regions of the respiratory tract

Lipophilic particles - ANSWER - not affected as much

Does breathing pattern affect deposition? - ANSWER YES



increasing inhaled volume - ANSWER increase deposition at lower respiratory tract



increased flow rate - ANSWER increase deposition at upper respiratory tract by inertial
deposition



breath holding - ANSWER increase deposition by sedimentation and diffusion



Optimal deposition if - ANSWER 1. slow inspiration (reduces impaction in oropharynx)

2. deep breath (deeper penetration to small airways)

3. breath holding (allow sedimentation / diffusion)



Some examples of locally active inhaled drugs - ANSWER 1. use to treat asthma and
COPD

- beta agonist

- Ach agents

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