ANS Meds Flashcards
Main class of sympathetic stimulants
adrenergic agonists
Main class of sympathetic depressants
adrenergic blockers
Main class of parasympathetic stimulants
cholinergics
Main class of parasympathetic depressants
anticholinergics
What are sympathetic stimulants used for
to increase BP and HR, codes, anaphylaxis, shock, asthma, congestion
Main sympathetic stimulants SE
decreased renal blood flow, anxious symptoms
Sympathetic Stimulants Example
epinepheine, sudafed, albuterol, dopamine, norepi, doubtamine, afrin, doubtrex
Epinephrine
short duration, peaks at 20 min and only lasts 30 min
Sympathetic Depressants SE
low bp and hr, dizziness, orthostatic hypotension, depression, decreased libido
Sympathetic depressant examples
carvedilol (non selective), Atenolol (only blocks B1)
Sympathetic depressant uses
HTN, Tachycardia, anxiety, CAD
Sympathetic depressant cautions
dont give if pt has low bp or HR; DONT GIVE TO PTS. WITH HEART BLOCK/ COPD AND ASTHMA
What do parasympathetic stimulants mimic
acetylcholine
Parasympathetic stimulants uses
myastheia gravis, alzhimers
Parasympathetic Stimulants SE
GI, cramping, twitching, increased saliva and urine, dizziness, decreased IOP
Parasympathetic stimulants examples
metoclopramide (reglan)- used post op to help peristalsis, Urecholine, Pilocarpine- decrese IOP
Parasympathetic stimulants contraindications
COPD, bradycardia, hypotension
monitor output
Parasympathetic Depressnats
block acetylcholine receptors (cant see,spit or poop)
Parasympathetic depressant uses
overactive bladder, GI spasms, decrease secretions, parkinsons
Parasympathetic depressant SE
blurred vision, dry mucous membranes, urinary retention, constipation, increased IOP
Parasympathetic depressant examples
atropine, bentyl, detrol, atrovent, dramamine
Parasympathetic depressant contraindications
GLUCOMAS
Alpha 1
vasoconstriction, increased HR/BP, pupil dilation, bladder relaxation
Beta 1
increased HR, acts on kidneys to increase BP by retaining sodium and H2O
Alpha 2
decreased GI tone and BP, safety valve to sympathetic (keeps BP from going up further)
Beta 2
decreased GI tone, Bronchodilation, increases BG, good for copd and asthma
What cells do sympathetic stimulants act on
A1, B1, B2 (rare A2)
What cells do sympathetic depressants block
A1, B1, B2