Adrenergic Agonists Flashcards

1
Q

Reuptake is inhibited by (3 drugs)

A

1- cocaine
2- Tricyclic
3- imipramine( antidepressant)

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2
Q

Increase Renin release by which receptor?

A

B1 receptor = then causes increase in BP.

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3
Q

Increase glycogenolysis & gluconeogenesis occurs by which receptor?

A

α1 & B2 receptor

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4
Q

Increase production of aqueous humor by which receptor?

A

B2 receptor in the ciliary epitheliam .

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5
Q

Powerful cardiac stimulant is

A

Epinephrine. Also it increases O2 consumption. So it is CI in Angina.

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6
Q

A drug mediate increases systolic pressure and decreases diastolic pressure is

A

Epinephrine.
Isoprenaline

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7
Q

A drug Inhibits release of histamine is

A

Epinephrine

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8
Q

Physiological antagonist of histamine

A

Epinephrine

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9
Q

The indication of epinephrine (6 uses)

A

1- anaphylactic shock
2- cardiac arrest
3- cardiogenic shock.
4- local hemostatics
5- combined with local anesthetics
6- bronchospasm.

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10
Q

The adverse effects of epinephrine on CVS &CNS

A

CVS: tachycardia, angina , hypertension, cerebral hemorrhage , coldness extremities.

CNS: headache, restlessness, nasal stuffiness.

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11
Q

The CI of epinephrine ( 4 points)

A

1- cardiovascular disease
2- hypertension
3- hyperthyroidism
4- diabetes mellitus.

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12
Q

A drug mediate increases in both systolic pressure and diastolic pressure is (3 drugs)

A

Norepinephrine + amphetamine.

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13
Q

Reflex bradycardia as a result of using

A

Norepinephrine

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14
Q

Use in cases of Shock

A

Norepinephrine (NE) : causes increase both systolic (SBP) & diastolic pressure (DBP)

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15
Q

Adverse effects of norepinephrine

A

Potent V.C can cause blanching of skin, tissue necrosis. impaired circulation can be treated with phentolamine (non selective α blocker) or terbutaline (selective B2 agonist)

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16
Q

The DOC in cardiogenic shock and septic shock

A

Dopamine

17
Q

Selective D1 agonists

A

Fenoldopam

18
Q

Used in hypertensive emergency

A

Fenoldopam

19
Q

Use in acute heart failure.

A

Dobutamine : ⬆️ H.R without O2 consumption

20
Q

α1&2 agonist

A

Oxymetazoline

21
Q

Therapeutic use of oxymetazoline (2 uses)

A

to relief Nasal congestion and ophthalmic redness .

22
Q

Adverse effects of oxymetazoline

A

Rebound congestion, local irritation and sneezing , nervousness.

23
Q

Rebound Nasal congestion caused by

A

Oxymetazoline , Phenylephrine.

24
Q

Used in (hypotensive) emergency.

A

Phenylephrine

25
Q

Clinical use of phenylephrine (3 points)

A

1- mydriatic agent .
2- decongestant agent
3- vasopressor agent.

26
Q

Used in orthostatic hypotension.

A

Midodrine (α1 agonist )

27
Q

used in hypertension in pregnancy. ⭐️ ⭐️

A

α methyldopa .

28
Q

The uses of clonidine & α methyldopa

A

Treatment of hypertension
To Minimize the symptoms of withdrawal of opiates and tobacco smoking.

29
Q

Used as a uterine relaxant

A

Terbutaline , Ritodrine (selective B2 agonists)

30
Q

Therapeutic uses of salbutamol & terbutaline ( 2 uses)

A

1- salbutamol for management of asthma
2- terbutaline to relax the muscles of Uterus.

31
Q

Used for patients with overactive bladder.

A

Mirabegron ( selective B3 agonist)

32
Q

Therapeutic uses of amphetamine.(3uses)

A

Obesity ( phentermine)
Attention deficit hyperactivity disorder (Methylphenidate)
Narcolepsy . (Modafinil)

33
Q

Therapeutic uses of cocaine

A

Local anesthetics

34
Q

The uses of ephedrine

A

Increase BP
Bronchodilator.
Stimulates CNS

35
Q

The uses of pseudoephedrine

A

Nasal and sinus decongestant