Adrenergic Agonists Flashcards
inhibits tyrosine hydroxylase
metyrosine
inhibits VMAT
reserpine
inhibits NET
cocaine
TCAs
inhibit VAMPS and SNAPS
bretylium
guanethidine
B1 = B2 vasodilator, increased CO decreased DAP and MAP tx: bronchospasm, HB, Brady arrhythmias SE: flush, angina, arrhythmias
isoproterenol - nonselective
A1, A2, B1
increases TPR, DAP, SAP
+ inotropic effects on heart
NE
used in cardiac arrest
hypotension
NE
ADR: anxiety, palpitation, acute rise BP, headache, necrosis, gangrene, contracts uterus, severe HTN, anginal pain
NE
A1, A2, B1, B2
.3 - .5 ml per 1:1000
Epi
low dose: decrease TPR, DAP, MAP
medium dose: increase SBP, DAP decrease, no change MAP and no reflex HR change
high dose: vasoconstriction- MAP increase, SAP increase, DBP decrease, increase HR and decrease reflex HR
Epi
ADR: restlessness, throbbing headache, tremor, cerebral hemorrhage, cardiac arrhythmias
Epi
Contraindicated: hypertensives, hyperthyroid, and angina pectoris, MAOI use
Epi
A1, A2, B1, B2
gains access to CNS
pseudoephedrine - OTC decongestant - cold meds
displaces NE from vesicle
ephedrine
increase urine output
D1
dopamine
D1
peripheral arterial dilation and naturiuresis
treats HTN - increases salt and water excretion
SE: reflex tachycardia, flush, headache, increases IOP
Contraindicated: glaucoma
fenoldopam