24 Autonomic Nervous System Flashcards
Trimethaphan
Ganglionic blocker
IV治療惡性高血壓
Mecamylamine
Ganglionic blocker
PO治療惡性高血壓
Reserpine
Indirect-acting adrenergic blocker
抑制 dopamine 攝入小泡
用來降血壓,但會致鬱
Guanethidine
Indirect-acting adrenergic blocker
抑制 Vesicle 內 Neurotransmitter 釋放至突觸間隙
用來降血壓
Ephedrine
Indirect-acting adrenergic agonist
促進 Vesicle 內 Neurotransmitter 釋放
口服治療鼻塞、尿床
Amphetamine
Indirect-acting adrenergic agonist
促進 Vesicle 內 Neurotransmitter 釋放
較易進入中樞,造成情緒亢奮、食慾抑制
Methylphenidate
Amphetamine 一種
治療過動兒
Phenylpropanolamine (PPA)
Amphetamine 一種,抑制食慾幫助減肥
Amitriptyline (TCA)
Indirect-acting adrenergic agonist
抑制 NE, serotonin reuptake
治療憂鬱症
Hemicholinium
Indirect-acting cholinergic blocker
抑制 choline 攝入(ACh 原料)
Botulism
Indirect-acting cholinergic blocker
抑制 ACh 釋放到突觸
用於除皺、肌肉鬆弛
Neostigmine
Indirect-acting cholinergic agonist
抑制 ACh 被 AChE 分解
治療術後腸阻塞、重症肌無力
Physostigmine
Indirect-acting cholinergic agonist
抑制 ACh 被 AChE 分解
可過 BBB,治療青光眼
Epinephrine
Mixed adrenergic agonist (α, β1, β2)
過敏性休克
Norepinephrine
Mixed adrenergic agonist (α, β1)
治療低血壓,但腎灌流會下降
Dopamine
Mixed adrenergic agonist (D>β>α)
治療低血壓,且不影響腎灌流
Midodrine
α1 agonist
治療姿勢性低血壓
Phenylephrine
α1 agonist
散瞳劑、治療鼻塞
Clonidine
α2 agonist
治療腎不好的高血壓,但突然停藥會有 rebound HTN
Methyldopa
α2 agonist
治療孕婦高血壓,突然停藥會有 rebound HTN
Isoproteronol
β agonist
強心劑,少用
Dobutamine
β1 agonist
治療心衰竭
Albuterol, Fenoterol, Salbutamol, Terbutaline
β2 agonist, quick relief asthma
Salmeterol, Procaterol
β2 agonist, long-term control asthma
Ritodrine
β2 agonist, 子宮肌肉放鬆(安胎)
Phentolamine
α blocker
診斷 Pheochromocytoma
Phenoxybenzamine
α blocker
治療 Pheochromocytoma
Tamsulosin, Prazosin, Terazocin, Doxazosin
α1 blocker
治療 BPH & HTN
Mirtazapine
α2 blocker (抑制節前神經元的負回饋)
Anti-depressant
Carvedilol, Labetalol
α1 & β blocker
治療 HTN, HF, 適合 COPD 患者
Propranolol, Nadolol, Pindolol
β blocker
治療 HTN, angina, Post-MI, 甲亢
Timolol
β blocker
治療青光眼
Atenolol, Metoprolol, Bisoprolol
β1 blocker
治療 HTN, angina
Esmolol
β1 blocker
治療 Arrhythmia
Bethanechol
mAChR agonist
治療術後腸麻痺、尿滯留
Pilocarpine, Carbachol
mAChR agonist
治療青光眼
Cevimeline
mAChR agonist
治療 Sjögren’s syndrome, 增加唾液分泌
Methacholine
mAChR agonist
診斷氣喘(誘發 Bronchospasm)
Atropine
mAChR antagonist
散瞳、術前減少分泌物與腸道活動
Homatropine, Tropicamide
mAChR antagonist
散瞳、檢查眼底
Benztropine
mAChR antagonist
治療 Parkinson’s disease
Scopolamine
mAChR antagonist
暈車藥
Pirenzepine, Propantheline
mAChR antagonist (M1 blocker) 治療胃潰瘍
Ipratropium
mAChR antagonist
治療 Asthma, COPD(促 Bronchodilation)
Clidinium
mAChR antagonist
治療腸躁症
Oxybutynin
mAChR antagonist
治療尿失禁
Succinylcholine
nAChR agonist
一開始會使肌肉收縮,後來會放鬆,幫助插管
與 Halothane 併用易導致惡性高熱
Edrophonium
nAChR agonist
診斷重症肌無力(短效)
Pyridostigmine
nAChR agonist
治療重症肌無力
Decamethonium
nAChR agonist
短效,肌肉鬆弛,助插管
Tubocurarine
nAChR agonist
從小肌肉到大肌肉抑制
Pancuronium
nAChR agonist
從小肌肉到大肌肉抑制