ANS Flashcards
Biosynthesis of cathecolamines
Location:
Sympathetic post ganglion
Adrenal medulla
CNS
Enzyme required to convert tyrosine to L-DOPA
Tyrosine hydroxylase
Enzyme needed to covert L-DOPA to Dopamine
L-DOPA decarboxylase
Enzyme needed to convert dopamine to NE
Dopamine-B-hydroxylase
Enzyme needed to convert NE to epinephrine
Phenylethanolamine-N-methytransferase
Responsible for the metabolism of catecholamines
MAOs and COMTs
Responsible for the metabolism of Acetylcholine
Acetylcholinestrases
Inhibits Formation of L-DOPA
Methyrosine
Dopamine storage inhibitor
Reserpine
Releasers of catecholamines
Tyramine Amphetamine Ephedrine ANGF a-latro toxin
Inhibits Release of catecholamines
Guanethedine
Guanedrel
Bretylium
Reuptake inhibitors of catecholamines
TCAs
Cocaine
Robexetine
B1 > A1
Choices:
A. Epi
B. NE
C. Dopamine
B. NE
B1 = B2»_space; A1
Choices:
A. Epi
B. NE
C. Dopamine
A. Epi
D1 > B1 > A1
Choices:
A. Epi
B. NE
C. Dopamine
C. Dopa
Metabolism of Epi and NE’s product
Vanillylmandelic acid or 3-methoxy-4-OH-madelic acid
Metabolism of Dopamine’s product
Homovanillic acid
1st line tx for anaphylactic shock
Epinephrine
1st line tx for septic shock
NE
aka adrenaline
Epinephrine
Aka levarterenol
Norepinephrine/ Noradrenaline
Mgt of septic and cardiogenic shock
Mgt of AHF
Diuresis
Dopamine
Adverse effect during a1 overstimulation
Digital necrosis
Adverse effect during B1 overstimulation
Ventricular tachyarrhythmia
aka isoprenaline
Isoproterenol
1st line tx for cardiogenic shock
Dobutamine
2 examples of SABA or short acting B agonist
Albuterol and Terbutaline
aka albuterol
Salbutamol
2 examples of Tocolytic B1 agonists
Ritodrine and isoxsuprine