autonomic nervous system

Question 1

pilocarpine

Answer 1

tx acute gluacoma attack
direct cholingeric agonist

Question 2

bethanechol

Answer 2

Urecholine - tx urinary retention
direct cholingeric agonist

Question 3

physostigmine

Answer 3

tx od of anticholingergics (atropine, thiazides)
anti-cholinesterase

Question 4

edrophonium

Answer 4

no longer available, short half life. tx of myasthenia gravis

Question 5

neostigmine

Answer 5

tx of myasthenia gravis, longer half lifea

Question 6

atropine

Answer 6

anti-cholinergic
tx of symptomatic bradycardia
tx of gi/gu (antispasmodic)
tx of exposure to cholingergic chemicals (nerve gas, insecticides, toxic mushrooms)

Question 7

scopolamine

Answer 7

tx of motion (sea sickness), patch

Question 8

epinephrine

Answer 8

adrenergic drug. IV, IM, SC, no ORAL
+ introtrope and + chonotrope
bronchodilation
fat liposis
increase in glucose

Question 9

inotrope
chonotrope

Answer 9

contractility
increase HR

Question 10

adrenergic drugs for shock

Answer 10

1. hypovolemia - use dopamine or norepinephrine
2. septic shock - use dopamine or norepinephrine
3. cardiogenic shock - use dobutamine (+inotrope)

Question 11

norepinephrine

Answer 11

can cause pre renal acute kidney injury

Question 12

dopamine

Answer 12

is a renal dilator - good for kidneys

Question 13

before treating any type of shock,

Answer 13

use IV normal saline (0.9% nacl aka crystalloid solution, not medications.

Question 14

isoproterenol

Answer 14

similar to epinephrine

Question 15

phenylephrine

Answer 15

nasal decongestant

Question 16

clonidine

Answer 16

decrease BP, drowsiness, bradycardia, constipation and dry mouth

Question 17

pure b2 agonists

Answer 17

albuterol, metaproterenol, ritodrine, terbutaline

Question 18

alpha 1 blockers

Answer 18

1st dose phenomenon
prazosin (minipress)
terazosin (hytrin)
tamsulosin (flomax)
doxazosin (cardura)

Question 19

phetolamine (regitine) - IV/IM

Answer 19

alpha blocker used for HTN crisis:
1. pheochromocytoma
2. cocaine OD
3. MAOI/tyrosine interaction HTN crisis
do not use BB in these cases