Adrenergic Agonists Flashcards
Catecholamines
Cannot be used orally, brief duration of action, cannot cross the blood brain barrier
Adrenergic agonists
Produce their effects by activating adrenergic receptors; sympathomimetic
-Broad spectrum of application: congestive heart failure (CHF), asthma, preterm labor
Noncatechlamines
Can be given orally, metabolized slowly by MAO/longer half life, more able to cross blood brain barrier
Albuterol
Beta2 receptors only
Isoproterenol
Beta1 and beta1 receptors
Epinephrine
Alpha1, alpha2, beta1, and beta2
Clinical applications of alpha1
Vasoconstriction, mydriasis
Drugs capable of activating alpha1 receptors
Epinephrine, norepinephrine, phenylephrine, dopamine
Therapeutic applications of alpha1 activation
Hemostasis, nasal decongestion, adjunct to local anethesia, elevation of blood pressure, mydriasis
Adverse effects of alpha1 activation
Hypertension, necrosis, bradycardia
Alpha2 activation
CNS: reduction of sympathetic outflow to heart and blood vessels; relief of severe pain
Beta1 activation therapeutic applications
Cardiac arrest, heart failure, shock, AV heart block