Adrenergic Drugs Flashcards

1
Q

Which adrenoceptor is responsible for contraction of peripheral vasculature, smooth muscle contraction and increased BP?

A

Alpha 1

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2
Q

Which terminal does Alpha2 regulate?

A

Presynaptic.

Regulates neurotransmitter release.

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3
Q

Which Beta receptor is not affected much by NE?

A

Beta2.
Has higher affinity for Epinephrine vs NE.

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4
Q

Which endogenous catecholamine is a full agonist for both alpha and beta receptors?

A

Epinephrine

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5
Q

What is another name for epinephrine?

A

Adrenaline

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6
Q

What are the affects of epinephrine on alpha1 receptors?

A

Increased resistance > higher BP

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7
Q

What are the affects of epinephrine on beta1 receptors?

A

Direct cardiac stimulation > higher BP

Positive inotropy and chronotropy

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8
Q

What is inotropic referring to?

A

Force or speed of contraction of muscles

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9
Q

Chronotropic refers to

A

Heart Rate

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10
Q

Which catecholamine drugs mimic the effect of sympathetic nervous system?

A

Sympathomimetic Drugs

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11
Q

Epinephrine effect on beta2 receptors

A

Smooth muscle relaxation

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12
Q

Which catecholamine results in a compensatory vagal reflex to overcome direct positive chronotropy?

A

Norepinephrine (noradrenaline)
Since does not effect B2 - there isn’t a balance, requiring the body to react with a vagal reflex.

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13
Q

“zoline” refers to what kind of drug?

A

Sympathomimetic direct alpha1 agonists
Used as topical nasal decongestants

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14
Q

Which sympathomimetic B2 selective agonist can be used to treat asthma?

A

Albuterol
Salmeterol

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15
Q

Why does dobutamine, a beta1 selective agonist, increase cardiac output with less reflex tachycardia?

A

Lacks B2 stimulated venous dilation

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16
Q

Which sympathomimetic meds inhibit norepinephrine release, lowering sympathetic nervous system outflow?

A

Clonidine, methyldopa.

Alpha-2 agonists.

17
Q

How do indirect sympathomimetics work?

A

Modify release and uptake of NT

18
Q

Which drug increases NT concentration by blocking uptake 1?

A

Cocaine

19
Q

How does Tyramine, an amino acid, work on the sympathetic nervous system?

A

It is an amino acid that prefers vesicular transport > displaces endogenous catecholamine, leading to a release of them.

20
Q

Which drugs are highly abused, results in appetite depression, increase mood and alertness and is an indirect sympathomimetic?

A

Amphetamine
Methamphetamine
Leads to high NE release