Adrenergic Drugs Flashcards

1
Q

How does epinephrine effect cardiac function?

A

increases the force of contraction (positive inotropic effect), increases heart rate, increases conduction velocity at the AV node

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2
Q

how does epinephrine effect the vascular tone?

A

increases systolic BP; decreases diastolic BP and total peripheral vascular resistance; MAP remains unchanged

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3
Q

what receptor type is responsible for the epinephrine effects of cardiac function?

A

beta 1

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4
Q

what receptor types are responsible for epinephrine effects on vascular tone of skin vessels and mucous membranes?

A

mostly alpha 1

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5
Q

what receptor types are responsible for epinephrine effects on vascular tone of skeletal muscle?

A

alpha 1 and beta 2

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6
Q

what receptor types are responsible for epinephrine effects on vascular tone in renal and cerebral arteries?

A

D1 and alpha 1

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7
Q

what are the effects of epinephrine on the respiratory system?

A

relaxes bronchial muscle and decreases bronchial secretion and congestion within bronchial mucosa

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8
Q

how does epinephrine effect skeletal muscle?

A

causes muscle tremor and increases K+ uptake by skeletal muscle

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9
Q

what effect does epinephrine have on blood glucose levels?

A

elevates blood glucose levels by enhancing liver glycogenolysis and gluconeogenesis

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10
Q

what effect does epinephrine have on fee fatty levels?

A

increases it

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11
Q

what effect does epinephrine have on renin?

A

it increases renin release

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12
Q

which receptor is responsible for epinephrine causing relaxation of the bronchial muscle?

A

beta 2

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13
Q

which receptor is responsible for epinephrine causing a decrease in bronchial secretion and congestion within bronchial mucosa?

A

alpha 1

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14
Q

which receptor is responsible for epinephrine causing muscle tremors?

A

beta 2

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15
Q

which receptor is responsible for epinephrine causing an increase in K+ uptake by skeletal muscle?

A

beta 2

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16
Q

which receptor is responsible for epinephrine causing elevated blood glucose levels?

A

beta 2

17
Q

which receptor is responsible for epinephrine causing increase renin release?

A

beta 1

18
Q

what are the effects of norepinephrine on the heart?

A

reduces HR

19
Q

what is the effect of norepinephrine on vessels?

A

vasoconstrictor

20
Q

what effect does norepinephrine have on blood pressure?

A

increases systolic blood pressure and increases diastolic blood pressure

21
Q

what effect does norepinephrine have on peripheral vascular resistance?

A

increases

22
Q

what effect does epinephrine have on peripheral vascular resistance?

A

decreases it

23
Q

what are the effects of phenylephrine?

A

mydriatic and decongestant; causes severe vasoconstriction, blood pressure elevation, and severe bradycardia

24
Q

what are the effects of clonidine?

A

central effect on presynaptic alpha 2 receptors in the lower brainstem area: decreasing sympathetic outflow, reduction in blood pressure, and bradycardia