Autonomic Adrenergic Pharmacology Flashcards
Where are adrenergic alpha 1 receptors located?
in the vascular smooth muscle (skin, kidney, viscera, and skeletal muscle)
What are adrenergic alpha 1 receptors responsible for?
the constriction of vascular smooth muscle
Where are adrenergic alpha 2 receptors located?
present in pre-synaptic adrenergic neurons, various post synaptic locations, and extra-synaptic locations
What are adrenergic alpha 2 receptors responsible for?
the auto inhibition of norepinephrine release - they turn off the release
Where are adrenergic beta 1 receptors located?
SA node, atria, and ventricles of the heart
What is the role of adrenergic beta 1 receptors?
increased contractility, heart rate, and conduction velocity
Where are adrenergic beta 2 receptors located?
pulmonary airway muscle, vasculature of skeletal muscle (and other vasculature), and pre-synaptic adrenergic neurons
What is the role of adrenergic beta 2 receptors in the bronchioles?
dilation of airways
What is the role of adrenergic beta 2 receptors in vasculature of skeletal muscle?
the dilation of blood vessels
What is the role of adrenergic beta 2 pre-synaptic neurons?
auto stimulation of norepinephrine release
What are some general clinical uses for catecholamines?
Local anesthetics, hemostatic, cardiac arrest, AV block, anaphylactic shock and allergic reactions
What would be the point of having EPI in a local anesthetic?
it is hemostatic and it helps to keep the anesthetic at the desired site by alpha 1 adrenergic receptor constriction of the vasculature
When is EPI used as a hemostatic agent?
in surgery to stop bleeding
What is Isoproteronol (as in what does it target)?
it is a beta agonist
Why would you want catecholamines for anaphylactic shock and allergic reactions?
It is used to try to regulate the heart in these situations and for beta 2 regulation to open up the airways