FInal recaprecap 2 Flashcards
Ephedrine
Alfa 1 mimetic
Vasoconstriction on peripheral vessels,
Vasodilation on large vessels
Heart rate increases
Heart contractility increases
Ergot alkaloids
Alfa1 blockers
Toxins from parasitic fungus in grains
Severe and chronic poisonings
Beta adrenoblockers
Heart rate and contractility decrease
Broncho contraction
- Don’t use with asthmatics
Precautions of Beta adrenoblockers
Heart diseases
- Negative ino-dromo-chromotropic actions
- Heart rate drop
- Don’t use with asthmatic or respiratory
tract problem patients (bronchoconstriction)
Clinical use of Betablockers
Reduce the heart workload
- Chronic heart failure
- Myocardial infarction
Arrhythmia treatments
In case of hypertension - reduces it
Parasympathomimetics / - lytics
Muscarinic receptors:
- Postganglionic parasympathetic
neuroeffector junction + blood vessels
Nicotinic receptors:
- Autonomic ganglia, adrenal medulla
chromaffin cells and neuromuscular
junction of somatic nervous system
Effects of parasympathomimetics in organs and organ systems
Decrease blood pressure
Bronchial contraction
Constriction of SM
- Uterine rupture, miscarriage
Miosis
Indirect acting cholinomimetics
Act through acetylcholine metabolism
Cholinesterase inhibitors
Acetylcholine accumulates and causes the mimetic efect
Organophosphorous compounds
Indirect acting cholinomimetics
IRREVERSIBLE!
Pesticides, insectisides, ectoparasitics
Antidote: atropine
Toxicity and counterindications of parasympathomimetics
Skeletal muscle weakness, nausea, vomiting, diarrhea, bradycardia
Atropine
Acts competitively with acetylcholine
Reversible block of muscarinic receptors
Reduces parasympathetic effects
Good distribution and absorption
Antinicotinic agents
Skeletal muscle relaxants
Neuromuscular blocking agents
Depolarising and nondepolarising
Blocks neurotransmission between the neuron and the muscle
General anesthesia, orthopaedic manipulations
Effects of antimuscarinic agents on organs and organ systems
“don’t digest”
- Secretions decrease
- Increase in heart rate
- Increase luminal diameter of bronchi
Biological role of histamine
Sleep-wake cycle
Energy metabolism
Endocrine functions
Behavior
Vestibular function
Effects of histamine
Dilation of peripheral capillaries
- Increased permeability
- Edema
- Bronchial contraction
Pathological effect of histamine
Edema
Large dose - anaphylactic shock
SM contraction
H1 blockers
Antihistamines ! For allergic reactions
1st generation (sedative side effect)
2nd generation: no sedative, does not pass BBB
Smooth muscle relax, more lumen diameter in bronchi
Not subcutaneously! irritant to tissues
H2 blockers
Glands
- gastric ulcers
Decrease the secretion of HCl
Antiemetic
Where are H1 receptors found?
Mainly in smooth muscle of GI, respiratory and urogenital tracts
also in vessels, nerve cells, immune system cells
H1 receptor functions
Contraction of smooth muscle
Vasodilation & permeability increase
Release of adrenaline & noradrenaline