Adrenergic-Blocking Drugs Flashcards

0
Q

adrenergic receptors

A

specific receptor sites located throughout the body for the endogenous sympathetic neurotransmitters norepinephrine and epinephrine

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1
Q

acrocyanosis

A

decreased amount of oxygen delivered to the extremities, causing the feet or hands to turn blue

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2
Q

agonists

A

drugs with a specific receptor affinity that mimic the body’s natural chemicals (e.g. hormones, neurotransmitters)

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3
Q

angina

A

paroxysmal (sudden) chest pain caused by myocardial ischaemia

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4
Q

antagonists

A

drugs that bind to specific receptors and inhibit or block the response of the receptors

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5
Q

dysrhythmias

A

irregular heart rhythms; almost always called arrhythmias in clinical practice

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6
Q

extravasation

A

the leaking of fluid from blood vessel into the surrounding tissues, as in the case of an infiltrated intravenous infusion

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7
Q

first-dose phenomenon

A

severe and sudden drop in blood pressure after administration of the first dose of an alpha-adrenergic blocker

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8
Q

intristic sympathomimetic activity

A

the paradoxical action of some beta-blocking drugs (e.g. acebutolol) that mimics the action of the sympathetic nervous system

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9
Q

lipophilicity

A

the chemical attraction of a substance (e.g. a drug molecule) to lipid or fat molecules

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10
Q

orthostatic hypotension

A

a sudden drop in blood pressure when a person stands up; also referred to as postural hypotension or orthostasis

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11
Q

pheochromocytoma

A

a vascular adrenal gland tumour that is usually benign but secretes epinephrine and norepinephrine and this often causes central nervous system stimulation and substantial bolo pressure elevation

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12
Q

Raynaud’s disease

A

a narrowing of small arteries that limits the amount of blood circulation to the extremities, causing numbness of the nose, fingers, toes, and ears in response to cold temperatures

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13
Q

sympatholytics

A

drugs that inhibit the postganglionic functioning of the sympathetic nervous system

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14
Q

adrenergic-blocking drugs: alpha1 blockers

A

alfuzosin [Uroxatral], doxazosin [Cardura], phenoxybenzamine [Dibenzyline], phentolamine [generic], prazosin [Minipress], terazosin [Hytrin], tamsulosin [Flomax]

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15
Q

adrenergic-blocking drugs: beta blockers (non-selective)

A

carvedilol [Coreg, Coreg CR], labetalol [Normodyne, Trandate], nadolol [Corgard], penbutolol [Levatol], pindolol [Visken], propranolol [Inderal], sotalol [Betapace], timolol [Blocadren, Timoptic]

16
Q

adrenergic-blocking drugs: beta blockers (cardio-selective)

A

acebutolol [Sectral], atenolol [Tenormin], betaxolol [Kerlone], bisoprolol [Zebeta], esmolol [Brevibloc], nebivolol [Bystolic], metroprolol [Lopressor, Toprol-XL]

17
Q

alpha blockers adverse effects: cardiovascular system

A

palpitations, orthostatic hypotension, tachycardia, oedema, chest pain

18
Q

alpha blockers adverse effects: central nervous system

A

dizziness, headache, anxiety, depression, weakness, numbness, fatigue

19
Q

alpha blockers adverse effects: gastrointestinal system

A

nausea, vomiting, diarrhoea, constipation, abdominal pain

20
Q

alpha blockers adverse effects: other

A

incontinence, dry mouth, pharyngitis

21
Q

beta blockers adverse effects: cardiovascular system

A

atrioventricular bloom, bradycardia, heart failure

22
Q

beta blockers adverse effects: central nervous system

A

dizziness, fatigue, depression, drowsiness, unusual dreams

23
Q

beta blockers adverse effects: gastrointestinal system

A

nausea, vomiting, constipation, diarrhoea

24
Q

beta blockers adverse effects: haematologic

A

agranulocytosis, thrombocytopenia

25
Q

beta blockers adverse effects: metabolic

A

hyperglycaemia and/or hypoglycaemia, hyperlipidaemia

26
Q

beta blockers adverse effects: other

A

impotence, alopecia, bronchospasm, wheezing, dry mouth

27
Q

adrenergic-blocking drugs

A

atenolol, carvedilol, esmolol, labetalol, metoprolol, phentolamine, propranolol, sotalol, tamsulosin