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

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

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

25
how does epinephrine have an effect on b1 receptors
increase the force of contraction and hr
26
how does epinephrine have an effect on b2 receptors
cause bronchodilation and decrease release of histamine
27
how does epinephrine have an effect on a1 receptors
cause vasoconstriction which reduces upper airway obstruction, increase bp, and prevent shock
28
what effect does norepinephrine have on a receptors
vasoconstriction
29
besides a receptors, what other receptors does norepinephrine stimulate
b1
30
what receptors does phenylephrine have an effect on
a
31
indication for the use of phenylephrine
short term treatment to raise bp, control dysrhythmia, and cause vasoconstriction
32
why may epinephrine not be used in the case of shock
it can cause vasoconstriction of renal vessels leading to possible kidney damage
33
what is the drug of choice for treating shock. why
norepinephrine because it can cause vasoconstriction of peripheral blood vessels and increase bp without constricting renal vasculature
34
what order should the patient take their medications if they are prescribed a bronchodilator and a corticosteroid
take the bronchodilator first, wait 5min, then take the corticosteroid
35
what should be done after taking inhalent forms of adrenergic drugs. why
rinse mouth to prevent irritation and infection