Autonomic Pharm

Question 1

Neostigmine

Answer 1

Atony of bladder
Relief of acute pseudo-colonic obstruction
Fast subq peristalsis

Question 2

Echothiopate

Answer 2

Treat glaucoma

Contracts ciliary muscles

Question 3

Edrophonium (tensilon)

Answer 3

Rapid myasthenia gravis test

Floods ACh receptors

Question 4

Physostigmine

Answer 4

Treat myasthenia gravis

Must be taken q2-4h

Question 5

Donepezil, rivastigmine, galantamine

Answer 5

Treat Alzheimer’s

Slows cognitive decline

Question 6

Atropine

Answer 6

Treat organophosphate poisoning

Use with pralidoxamine

Question 7

Pyridostigmine

Answer 7

Nerve gas prophylactic

Question 8

Epinephrine

Answer 8

Vasopressor
Increase bp by inotrope, chronotrope and peripheral vasoconstriction
Use in cardiac arrest, anaphylaxis, asthma

Question 9

Norepinephrine

Answer 9

Used for bp in intensive care and shock

Interacts with MAOIs, antihistamines, tricyclic antidepressants

Question 10

Dopamine

Answer 10

Only used IV
Manages shock
Interactions with MAOIs and beta blockers

Question 11

Isoproteronol

Answer 11

Beta selective
String vasodilator with increased inotrope and chronotrope
Treats arrhythmia and brachycardia

Question 12

Dobutamine

Answer 12

Selective beta one agonist

Used for cardiac decompensation after surgery and CHF

Question 13

Albuterol: Proventil, proair, ventolin

Answer 13

Beta two selective agonist

Short acting Bronchodilator

Question 14

Serevent, foradil

Answer 14

Long acting beta two agonist

Question 15

ACh inhibitors

Answer 15

Prevent ACH breakdown and increase ACh concentration

Used for treatment of atonic bladder and GI tract, glaucoma, myasthenia gravis, Alzheimer’s