ANS Drugs Flashcards
what drug could potentially treat Venus Williams Sjogren syndrome?
pilocarpine
what are the side effects of dopamine?
tachycardia, increase blood pressure, and abnormal heartrate - pts who receive this typically have low BP so this is good
what are some side effects of pseudoephedrine?
insomnia (stimulant) and anxiety
what routes can epinephrine be given in?
IV, SQ, IM, and inhaled
what are adrenergic agonists?
stimulates A1, A2, B1, and B2 receptors to trigger a response - stimulates sympathetic nervous symptoms
what does a high dose of dopamine do?
stimulates alpha and beta 1 receptors which increases cardiac output
is bethanechol direct action or indirect action?
a direct-acting muscarinic agonist
what are doxazosin (Cardura) and tamsulosin (Flomax) used for?
high blood pressure and benign prostatic hypertrophy (BPH)
what are the symptoms of a cholinergic crisis (too much acetylcholine)?
S - salivation (excessive) L - lacrimation (tearing) U - urination D - diaphoresis and diarrhea G - GI cramping E - emesis (vomiting) B - bradycardia and bronchospasms
where are muscarinic receptors found?
sweat glands, blood vessels, and GI tract
what do muscarinic antagonists do?
the block cholinergic response that typically would be triggered by acetylcholine
if a pt takes too much bethanechol what would happen?
decreased blood pressure and heart rate
what kind of drug is pseudoephedrine (Sudafed)?
adrenergic agonists
what do muscarinic agonists do?
stimulate the parasympathetic nervous system at muscarinic receptors which are found in sweat glands, blood vessels, and GI tract
what is the route for dopamine?
IV - drip
what is the route for pseudoephedrine?
oral
what are the side effects of atropine?
dry mouth, blurred vision, tachycardia, angina, dizziness, and headache
pseudoephedrine (Sudafed) is a bronchodilator where?
B2
what kind of drug is epinephrine?
adrenergic agonists
what is a cholinergic crisis?
too much acetylcholine
- SLUDGE and the killer B’s
what are cholinergic receptors?
- all respond to the same neurotransmitter acetylcholine
- either stimulate or block parasympathetic nervous system
- nicotinic n, nicotinic m, or muscarinic
what is phentolamine used for?
used to prevent tissue necrosis caused by IV adrenergic agonists like epinephrine or dopamine leaking out of the bloodstream - regitine rescue
what are the side effects of oxybutynin (Ditropan)?
CNS depression, urinary retention, confusion
what does epinephrine do?
increases BP, increases HR, bronchodilation, vasoconstrict, and can cause an abnormal heart rhythm