Autonomic drug information Flashcards
norepinephrine
affect alpha 1 to increase BP for acute hypotension and cardiac arrest
epi
alpha and beta affected
For PEA, cardiac arrest, asthma, COPD, anaphylaxis, local anesthetic
Dopamine
low dose–> renal vasodilation via D1
High dose–> B1 activation for HR and contractility and A1 for vasoconstriction (shock and severe CHF)
SLUDD-C
salivation, lacrimation, urination, defecation, digestion, pupil constriction
Direct muscarinic agonist
stimulate PNS via muscarinic ACh receptors in peripheral tissue
Indirect cholinergic agonist
blocks acetylcholinesterase at nicotinic and muscarinic
Indication direct muscarinic agonist
acute angle glaucoma
post op ileus
post part urinary retention
dry mouth
C/I direct muscarinic agonist
CVD and asthma
Indication Indirect cholinergic agonist
MG, alzheimers, glaucoma, antidote for atropine
Treat organophosphate toxicity
atropine and pralidoxime
Indication direct muscarinic antagonist
COPD bradycardia motion sick parkinson urge incontinence diarrhea
C/I direct muscarinic antagonist
acute narrow angle glaucoma, BPH with urine retention
Depolarizing nicotinic antagonist
produce persistent depolarization–> skeletal muscle resistant to Each activation
Nondepolarizing nicotinic antagonist
block nicotinic receptor. neurotransmission in skeletal muscle–> decrease ACh–> skeletal muscle paralysis
Indication nicotinic antagonist
muscle relax in surgery and intubation
S/E nicotinic antagonist
hypotension, respiratory arrest