adrenergic: chapter 19 Flashcards

1
Q

what do a1 receptors on blood vessels do

A

vasoconstriction

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2
Q

what do b2 receptors on the heart do

A

increase contractility and hr

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3
Q

what do b2 receptors on blood vessels do

A

vasodilation

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4
Q

what do b1 receptors on the kidneys do

A

increase renin secretion

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5
Q

what do b2 receptors on the liver do

A

glycogenolysis

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6
Q

what do a1 and b2 receptors on gi muscle do

A

relaxation

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7
Q

what do a1 receptors on the bladder sphincter do

A

constriction

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8
Q

what do b2 receptors on the uterus do

A

relaxation

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9
Q

what do b2 receptors son the bronchial muscles do

A

relaxation

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10
Q

what response do adrenergic drugs produce

A

sympathetic

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11
Q

what does binding to a1 receptors lead to (2)

A

vasoconstriction, relaxation

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12
Q

what does stimulation of b1 receptors lead to (4)

A

positive intotropic, positive chronotropic, positive dromotropic, increase renn secretion

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13
Q

respiratory indications for adrenergic drugs

A

bronchodilation, asthma, bronchitis, anaphylaxis

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14
Q

indiciations for topical nasal decongestants

A

dilate arterioles and reduce nasal blood flow

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15
Q

opthalmic indications for adrenergic drugs

A

vasoconstriction of arterioles, reduce intraocular pressure to treat open angle glaucoma, dilate pupils

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16
Q

cardiovascular indications for adrenergic drugs

A

support cv system during heart failure or shock

17
Q

what are 2 serious side effects of adrenergic drugs

A

seizure, extreme elevation in blood pressure

18
Q

what drug can be used to control extreme elevations in blood pressure

A

rapid acting sympatholytic

19
Q

what receptors does dobutamine target

A

b1

20
Q

what effect does dobutamine have on the body

A

increase cardiac output by increasing contractility (positive inotrophy)

21
Q

what receptor does dopamine target

A

b1 and b1

22
Q

what effect does dopamine have when given at lower infusion rates

A

dilate blood vessels in the brain, heart, kidneys, and mesentary

23
Q

what effect does dopamine have when given at higher infusion rates

A

improve heat contractility and output, cause vasoconstriction

24
Q

what receptors does epinephrine act on

A

A and B

25
Q

how does epinephrine have an effect on b1 receptors

A

increase the force of contraction and hr

26
Q

how does epinephrine have an effect on b2 receptors

A

cause bronchodilation and decrease release of histamine

27
Q

how does epinephrine have an effect on a1 receptors

A

cause vasoconstriction which reduces upper airway obstruction, increase bp, and prevent shock

28
Q

what effect does norepinephrine have on a receptors

A

vasoconstriction

29
Q

besides a receptors, what other receptors does norepinephrine stimulate

A

b1

30
Q

what receptors does phenylephrine have an effect on

A

a

31
Q

indication for the use of phenylephrine

A

short term treatment to raise bp, control dysrhythmia, and cause vasoconstriction

32
Q

why may epinephrine not be used in the case of shock

A

it can cause vasoconstriction of renal vessels leading to possible kidney damage

33
Q

what is the drug of choice for treating shock. why

A

norepinephrine because it can cause vasoconstriction of peripheral blood vessels and increase bp without constricting renal vasculature

34
Q

what order should the patient take their medications if they are prescribed a bronchodilator and a corticosteroid

A

take the bronchodilator first, wait 5min, then take the corticosteroid

35
Q

what should be done after taking inhalent forms of adrenergic drugs. why

A

rinse mouth to prevent irritation and infection