Autonomic NS- Adrenergic Flashcards

1
Q

Direct acting catecholamines

A
Epinephrine
NE
Dopamine
Isoprenaline
Dobutamine
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2
Q

Dobutamine Receptor preferance

A

B1 > B2&raquo_space;> a1

doBButAmine

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3
Q

Epinephrine dose dependent effects

A

Low dose- B1, B2 agonist

High dose- a1 agonist

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4
Q

Epinephrine indications

A
Cardiac arrest
Heart block
Anaphylactic shock
Hypotensive crisis
Acute asthma attack
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5
Q

NE indications

A

Cardiac arrest
Heart block
Septic, Cardiogenic, Neurogenic shock
Hypotensive crisis

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6
Q

Dopamine dose dependent effects

A

Low dose- D1 stimulation (Increased renal perfusion)
Medium dose- B1 stimulation
High dose- Acts like Epi

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7
Q

Dopamine indication

A

Shock

With renal failure

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8
Q

Isoprenaline Receptor preferance

A

B1=B2

Iso isl like equally =

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9
Q

Dobutamine Receptor preferance

A

B1 > B2&raquo_space;> a1

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10
Q

Dobutamine indication

A

Cardiogenic shock
Acute heart failure
Cardiac stimulation in cardiac stress test

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11
Q

a- agonists

Receptor preferance

A
Phenylephrine- a1
Oxymetazoline- local a1, systemic a2
Clonidine- a2, I2
Rimenidine- a2, I2
Methyldopa- a2
Brimonidine- a2
Tizanidine- a2

All -dine suffix is for a2-R
Long words are for a1-R
You cant measure BMR on CT

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12
Q

Clonidine indications

A

Antihypertensive
ADHD
Tourettes
Alcohol withdrawal synd.

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13
Q

Which a-agonist is indicated locally in case of Glaucoma?

Which R?

A

a2-R

Brimonidine

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14
Q

Which a-agonist is an orally taken muscle relaxant?

Which R?

A

a2-R

Tizanidine

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15
Q

B2- agonists

A
Albuterol
Fenoterol
Terbutaline
Salmeterol
Formeterol

AFT and FOR SALE-meterol

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16
Q

Albutarol is also called

A

Salbutamol

17
Q

Short acting B2 agonists

A

Albuterol
Fenoterol
Terbutaline

18
Q

Long acting B2 agonists

A

Salmeterol

Formoterol

19
Q

Besides Asthma treatment, give another indication for Terbutaline?

A

Suppress premature labor

20
Q

Indirect acting sympathomimetics can be 3 types

A

Release inducing
Reuptake inhibitors
MAO inhibitors

21
Q

Indirect acting sympathomimetics

Release inducing

A

Amphetamine
Methylphenidate
Tyramine
Ephedrine

TEAM players!! they help release more

22
Q

Indirect acting sympathomimetics
Reuptake inhibitors
+ MOA

A

Cocaine- NET+DAT inhibition
Atomoxetine- NE reuptake inhibition
Modafinil- NET+DAT inhibition

23
Q

Indirect acting sympathomimetics
MAO inhibitors
+ MOA

A

Tanylcypromine- Non selective, irreversible
Moclobemide- MAO A, reversible
Selegiline- MAO B, reversible

24
Q

Selegiline MOA+ indication

A

MAO B inhibition
Reversible
Parkinson

25
Tanylcypromine, Moclobemide indication
Antidepressant | Tanylcypromine is not longer used
26
Direct acting sympatholytics a antagonists Which R?
``` Phentolamine- Non selective Phenoxybenzamine- Non selective Prazosin- a1 Doxazosin- a1 Tamsulosin- a1 Urapidil- a1 antag, a2 agon, B antag, 5-HT agon Mitrazapine- a2 ```
27
Direct acting sympatholytics | Only a1 antagonists
Prazosin Doxazosin Tamsulosin
28
Direct acting sympatholytics | Non selective a antagonists
Phentolamine | Phenoxybenzamine
29
Direct acting sympatholytics | a2 antagonist
Mitrazapine
30
Prazosin Doxazosin Tamsulosin Indication
HTN | BPH -> relax muscle and allows urination
31
Which a1 antagonist is used in PTSD?
Prazosin אתה צריך לקבל פרס אם אתה עוזר ל PTSD
32
Non selective B-R antagonists
Propranolol Timolol Pindolol Sotalol Pls Tell People Sorry, we dont treat CHF
33
Selective B-1 antagonists
``` Bisoprolol Acebutolol Nebivolol Esmolol Metoprolol ``` BANE-M Bane is the 1st bad guy in Batman
34
Combined a and B antag | Which R?
Cervedilol Labetalol ללללא קקקקריטי להם איזה רצפטור Both B1, B2, a1 antagonists
35
Which B blockers have the highest lipid solubility?
Propranolol Nebivilol Bisoprolol
36
Indirect acting sympatholytics | Tyrosine hydroxilase inhibitor
Metyrosine
37
Tyrosine hydroxilase- tell me about it
Rate limiting step in catecholamine synthesis | Dopamine, NE, Epi..
38
Indirect acting sympatholytics | VMAT inhibitor
Reserpine רסרפין עוצר את הרזרבה