Patient/caregiver was instructed upon chemical mediators causing exacerbation of asthma and COPD as follows:

  1. Chemical mediators called leukotrienes are increasingly produced from various cells, such as, mast cells and eosinophils, during inflammatory and allergic responses involving the airways.
  2. Inflammatory and allergic states involving the airways include conditions such as, activation of seasonal allergies, asthma, chronic bronchitis, and emphysema.
  3. Leukotrienes act on leukotriene receptors located in the airways, resulting in edema and swelling of airways and increased secretion of thick mucus.
  4. This contributes to reduced airway patency, bronchoconstriction, and spasm of airway smooth muscle.
  5. Airway constriction results in exacerbation of symptoms of asthma and COPD, leading to increased shortness of breath and effort of breathing.