Ailment Treatments Flashcards
Anaphylactic shock (bronchospasm, mucous membrane congestion, angioedma, severe hypotension
Epi
Bronchial asthma
Albuterol, terbutalime, salmeterol
B2 agonists
Dilate pupil for eye examination
Phenyleprhine
Alpha 1 agonist
Reduce inter ocular pressure
Apraclonidine, brimonidine
Alpha 2 agonists
Delay premature labor
Terbutaline, Ritodrine
Beta 2 agonists
ADHD
Amphetamine: NET blocker
methylphenidate: analog of amphetamine
Narcolepsy
Amphetamine
NET blocker
Allergic rhinitis, nasal congestion
Pseudoephedrine
Indirect release of NE
Mucosal and opthalmjc local anesthetic
Cocaine
NET blocker
Depression
Phenelzine (MAO- A and B inhibitor)
selegiline (MAO B inhibitor)
Parkinson’s disease
Selegiline (MAO-B inhibitor)
entacapone (COMT inhibitor)
Pheochrmocytoma
PBZ: alpha antagonist (with metyrosine: tyrosine hydroxylase inhibitor)
phentolamine alpha blocker
Propranolol and timolol (beta blocker)
Chronic hypertension
Terazosin or doxazosin: longest duration (alpha 1 blockers) Prazosin with other treatments
Peripheral vascular disease or reynaulds phenomenon
Prazosin, alpha 1 antagonists
PBZ alpha antagonist
Urinary obstructive BPH
Terazosin, doxazosin, tamsulosin, prazosin
Alpha 1 antagonisfsm
Doxazosin longest duration
Tamsulosin least likely to cause postural hypotension
Erectile dysfunction
Phentolamine (alpha antagonist) with smooth muscle relaxant (paerverine) and sildenefil and other phosphodiesterase inhibitors
Hypertension (autonomics)
Beta blockers
Clonidine (alpha 2 agonist)
Ischemic heart disease, angina (autonomics)
Beta blockers
Heart failure
Metoprolol and carvedilol (beta blockers)
Open angle Glaucoma
Pilocarpine-cholinomimetics
Alpha agonists
Beta blockers-timolol
Prostaglandins-latanoprost
Thyroid storm
Esmolol ( beta blocker)
GI and urinary tracts, postoperative ileus, atonic bladder, reflux esophagitis, abdominal distention
Bethanechol
Cholinergic agonist
Acute hypotension
Short acting
NE alpha agonist
Phenylephrine alpha 1 agonist
Cardiogenic shock
Dopamine or doubutamine
B1 agonists
Emergency cardiac arrest or heart block
Isoproterenol-beta agonist
Epi
Hemostatic during surgery
Epi
Prevent spread of anesthetics
Epi
Decongest nasal mucous membranes
Phenylephrine (alpha 1 agonist)
Ephedrine (alpha 1 agonist)
Pseudoephedrine indirect NE release
Orthastatic hypotension
Midodrine
Hypertension with diabetes or Raynaud’s syndrome
Selective beta one blocker
2nd generation
Atenolol, esmolol, metoprolol
Hypertension with bradycardia
Beta blockers with sympathomimetic activity
Pindolol, labetalol
Hypertension with occlusive peripheral artery disease or chronic heart failure
Beta blocker with alpha 1 antagonist and B2 agonist properties
Labetalol
Dry mouth, xerostoma/sjogrens disease
Pilocarpine, cevimeline
Diagnosis of asthma
Bronchial hyperactivity causes an exaggerated bronchoconstrictor response to cholinomimetics
Methacholine
Smoking cessation
Nicotine
Asthma and COPD
Iprateopium and tiotropium-anti muscarinic
Peptic ulcer
Pirenzepine-selective for M1antimuscarinic
Urinary bladder spasm/incontinence
Oxybutynin tolerodine selective for M3
Anti muscarinic
Reverse sinus bradycardia
Atropine- anti muscarinic
Inhibit salivation and mucous secretions during surgery
Atropine, scopolamine
Anti muscarinic
Motion sickness
Scopolamine
Anti muscarinic
Myasthenia gravis
AChe inhibitor
Edrophonium-tests
Neostigimine, pyridostigmine treat
Alzheimer’s disease
AChe inhibitors
Mydriatics Drugs that dilate pupils
Phenylephrine-short
Atropine-longer
Tracheal intubation, prevent truama during electroshock therapy, facilitate fractures and dislocations,
NMJ blockers
Succinylcholine, vecurinium, mivacurium, cistacurium
Epilepsy, tetanus, strychnine poisoning
NMJ blockers
Succinylcholine, vecuronium, mivacurium, cistatracurium
Renal insufficiency or resistant hypertension
Loop diuretics-most effective
Initial hypertension therapy
Thiazide diuretics
Taking NSAIDs with hypertension
Calcium channel blockers
Nephropathy associated with diabetes and hypertension
Renin angiotensin inhibitors
Resistant hypertension
Centrally active sympatholytics (clonidine)
Hypertension and BPH
Alpha 1 antagonists
Treat hypertension in pregnancy
Methyldopa
Severe refractory hypertension with renal failure
Minoxidil-direct arterial dilator
K channel agonist-opener
Hair growth occurs
Primary and secondary prevention of coronary artery disease
Statins
Hypertiglyceridemia
Niacin or fibrates
Increase HDL significantly
Niacin
Atrial fibrillation
Digoxin
Patients taking beta blockers and need inotropic support
Phosphodiesterase inhibitors
Digoxin induced arrythmias
Class IB arrythmia drugs
Block Na channels
Arrythmias associated with anesthesia, surgery, exercise, or cocaine
Class II
Block beta receptors
Ventricular arrythmias associated with cardiac resuscitation
Class III
Block k channels
Least likely to cause arrythmias
Class III
K channel blockers