Section B6While inflammation was mentioned in the previous section as an indication for bronchodilator, we decided to add this section due to questions ad nauseum regarding the use of bronchodilaotrs as such.
We educated folk know that bronchodilators are, well, bronchodilators. They, in essence, dilate bronchioles, which are the air passages in our lungs. Actually, what they do is relax spasming bronchiolar muscles when they are spasming.
Yet, while this is the scientifically proven use for bronchodilators such as Albuterol and Xopenex, we know that can't possibly be the only use for this great medicine. Therefore, since it sounds good and makes us feel good, bronchodilators just have to be indicated for inflammation too.
After all, inflammation is the cornerstone of many pulmonary ailments. We aren't quite sure how it works, but just know bronchodilators work along with inhaled and systemic corticosteroids to ease inflammation.
Likewise, it is not true that "If the bronchioles are not spasming, bronchodilators do not dilate bronchioles.
It is also not true that bronchodilators do not make it down to the alveoli, as we know this medicine has amazing shrinking abilities to reach the alveoli, and amazing enlarging abilities to stick to the large airways and nasal passages.
It is also not true that there are no beta adrenergic receptor cells in the alveoli and the throat, as we know they just have to be there. Also, there must be beta receptors in the nose and throat too.
Therefore, in case you were wondering, bronchodilators do work well for inflammation of the nose, throat, bronchioles, alveoli and anywhere else along the respiratory tract.
And this is why we recommend bronchodilator breathing treatments work for pneumonia (an inflammatory disease of the alveoli), bronchiectasis and bronchiolitis, as well as several others.
Note: Like the rest of this Real Physician's Creed, this information must never be mentioned verbally in front of RTs. They can wonder, but must never know.