Chapter 20: Adrenergic Agonists Flashcards

1
Q

Adrenergic Agonists are also called

A

sympathomimetic

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2
Q

adrenergic agonists have applications in

A
  • congestive heart failure
  • asthma
  • preterm labor
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3
Q

epinephrine receptor specificity

A
  • alpha1 and alpha2
  • beta1 and beta2
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4
Q

Adrenergic receptor activation effect on Atrioventricular (AV) heart block

A
  • enhance impulse conduction through AV node
  • can help overcome AV block
  • drugs= temporary form of treatment
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5
Q

long term management of AV heart block

A

pacemaker

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6
Q

cardiac arrest treatment

A

Epinephrine
- IV/direct injection into the heart

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7
Q

anaphylactic

A
  • severe allergic response
  • hypotension, bronchoconstriction, edema of the glottis
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8
Q

treatment of anaphylaxis

A

epinephrine

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9
Q

therapeutic uses of epinephrine

A
  • delays absorption of local anesthetic
  • controls superficial bleeding
  • elevates blood pressure
  • overcomes AV block
  • restores cardiac functioning during arrest
  • causes bronchial dilation in patients with asthma
  • treatment of choice for anaphylactic shock
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10
Q

epinephrine absorption

A
  • intramuscular (IM), subcutaneous (SQ), and intravenous (IV)
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11
Q

epinephrine half life

A

short

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12
Q

adverse effects of epinephrine

A
  • hypertensive crisis
  • dysrhythmias
  • Angina pectoris
  • necrosis after extravasation
  • hyperglycemia
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13
Q

what patients are at high risk for dysrhythmias

A

patients with hyperthyroidism

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14
Q

patients at risk for angina pectoris are patients with

A

coronary atherosclerosis

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15
Q

norepinephrine recept specificity

A
  • alpha1
  • alpha2
  • beta1
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16
Q

chemical classification of norepinephrine

A

catecholamine

17
Q

therapeutic uses of norepinephrine

A
  • hypotensive states
  • cardiac arrest
18
Q

how does norepinephrine differ from epinephrine

A

does not activate beta2 receptors (does not promote hyperglycemia)

19
Q

norepinephrine cannot be given

A

orally

20
Q

isoproterenol receptor specificity

A

beta1 and beta2

21
Q

isoproterenol chemical classification

A

catecholamine

22
Q

isoproterenol therapeutic uses

A

Cardiovascular
- AV heart block
- cardiac arrest
- increase cardiac output during shock

23
Q

isoproterenol adverse effects

A
  • tachydysrhythmias and angina pectoris
  • hyperglycemia in patients with diabetes
24
Q

administration of isoproterenol

A
  • IV, IM, and intracardiac injections