ANS pt 2 - slides 18+ Flashcards
what explains some of the adverse effects associated with non-selective beta blockers
unwanted blockade of beta 2 receptors instead of the targeted beta 1
what are two mixed-acting sympathomimetics that can be used to treat nasal congestion
ephedrine
pseudoephedrine
name an alpha 2 antagonist
yohimbine
what are beta 1 antagonists used to treat
hypertension
angina
arrhythmias
what is the action of alpha 1 antagonists
reduces vasoconstriction and peripheral resistance
name 4 uses of alpha 1 agonists
control superficial bleeding
reduces congestion
mydirasis
hypotensive emergencies
how do you treat toxicity of amphetamine
acidification of urine
what is a use of clonidine (alpha 2 agonist)
antihypertensive
what are the 3 kinds of indirect acting sympathomimetics
displacement drugs
inhibit reuptake of NE from synapse
Inhibit NE breakdown in neurons
adverse effects of beta 1 blockade
bradycardia
HF
hypotension
what are some adverse effects of amphetamine
insomina
irritability
psychosis
anorexia
tacchycardia
dependance
tolerance
name 7 uses for beta antagonists
angina
hypertension
HF
post MI
arrhythmias
stage fright/anxiety
migrane prophylaxis
what is the mechanism of adrenergic antagonists
generally reversible blockade of adrenergic receptors
what is an adverse effect of alpha 1 agonists
excessive inc in BP
what is a reversible non-selective alpha antagonist
phentolamine
what receptors can dopamine bind to
Dopamine receptors
alpha 1
beta 1
beta 2
what type of drug is propranolol
non-selective beta antagonist
what is the use of mirabegron
reduce urinary urgency/incontinence
what are 3 uses of amphetamine
stimulates CNS
treat ADD
decrease appetite
what kind of drug is yohimbine
alpha 2 antagonist
what receptors can adrenaline bind to
alpha and beta adrenergic receptors
what’s a example of a beta 1 agonist
dobutamine
name an alpha 1 agonist
phenylephrine
what is a use for dobutamine (beta 1 agonist)
treat acute heart failure
what is the effect of salbutamol
dilates bronchi
how do displacement drugs work
stimulate release of stored NA from vesicles into the synapse
what is the use of alpha 1 antagonists
treats hypertension
adverse effects of beta 2 blockage
bronchoconstriction
inhibition of hepatic glycogenolysis
inhibition of hypoglycemia symptoms
inhibiton of lipolysis
inhibition of peripheral vasodilation of BVs
what receptors can noradrenaline bind to
alpha 1,2
beta 1
name 3 alpha 1 antagonists
prazosin
terazosin
doxazosin
what is the name for the NE-secreting tumour
pheochromocytoma
what is isoproterenol
non selective adrenergic agonist
what is the effect of dobutamine
inc HR
inc force of contraction
what is a example of a alpha 2 agonist
clonidine
what are 3 adverse effects of salbutamol
palpitations
termor
hyperglycemia
name 2 uses of yohimbine
erectile dysfunction
lipolytic agent (low evidence)
what kind of drug is phentolamine
reversible non-selective alpha antagonist
what is the non selective adrenergic agonist and what receptors does it work on
isoproterenol
beta 1 and beta 2
name a non-selective beta antagonist
propranolol
what are the uses of non-selective alpha antagonists
treating NE secreting tumour
3 things should you be aware of before administering epi
arrhythmias
hypertension
diabetes
what two drugs inhibit reuptake of NE from synapse
cocaine
tricyclic antidepressants
name 4 uses for epi
treat anaphylactic shock
cardiac arrest
control bleeding
limits diffusion of medication by local vasoconstriction
prazosin
terazosin
doxazosin are what kind of drugs
alpha 1 antagonists
what kind of drug is phenylephrine
alpha 1 agonist (adrenergic)
what type of drug is mirabegron
beta 3 agonist
what type of drug is salbutamol
beta 2 agonist
what is a example of a beta 3 agonist
mirabegron
what is an irreversible non-selective alpha antagonist
phenoxybenzamine
what is the use of salbutamol
relieves asthma caused by bronchospasm
what is the action of yohimbine
can inc perfusion of certain tissues
what is an example of a beta 2 agonist
salbutamol
what is dobutamine
beta 1 agonist
what is the effect of alpha 2 agonists
less NA release - less sympathetic effects
name an adverse effect of alpha 1 antagonists
orthostatic hypotension
+reflex inc in HR
what drugs inhibits NE breakdown in neurons
MAOIs
what kind of drug is phenoxybenzamine
an irreversible non-selective alpha antagonist
what does phenylephrine do (a1 agonist)
vasoconstriction - inc BP
other a1 effects
what are 2 adverse effects of beta 1 agonists
arrhythmias
tachycardia
what is a pheochromocytoma
NE-secreting tumour
how does clonidine work
presynaptic negative feedback that results in decreased NA release
what are some adverse effects of clonidine
(and other alpha 2 agonists)
hypotension
xerostomia
sedation
what is the effect of miragbegron
relaxation of detrusor muscle
what are 3 beta 1 antagonists
metoprolol
atenolol
bisoprolol
what are some adverse effects of blockage of all 3 beta receptors
sedation
lethargy
erectile dysfunction
nightmaress
what is clonidine
alpha 2 agonist
what are the 3 actions of beta 1 antagonists
dec HR and contractility
dec renin secretion
dec activation of renin-angiotensin-aldosterone system
what are some adverse effects of yohimbine
tachycardia
hypertension
hypoglycemia