Organization of the nervous system Flashcards

1
Q

Dopamine affects which receptors?

A

Beta receptors

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2
Q

Norepinephrine affects which receptors?

A

Alpha receptors

Beta 1 receptors

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3
Q

Epinephrine affects which receptors?

A

Nonselective, hits all receptors

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4
Q

Which receptor is the cardiovascular control system in the medulla?

A

Alpha 2

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5
Q

Drug that is best alpha 1 receptor agonist?

A

Phenylephrine

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6
Q

Drug that is best B1 receptor agonist?

A

Isoproterenol

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7
Q

Drug that is best B2 receptor agonist?

A

Isoproterenol

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8
Q

Norepinephrine effect on pulse rate?

A

Decreased

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9
Q

Norepinephrine effect on blood pressure?

A

Increased

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10
Q

Norepinephrine effect on peripheral resistance?

A

Vasoconstriction, increased

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11
Q

Epinephrine effect on pulse rate?

A

Increased

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12
Q

Epinephrine effect on blood pressure?

A

no effect

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13
Q

Epinephrine effect on peripheral resistance?

A

Vasodilation

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14
Q

Isoproterenol effect on pulse rate?

A

Increased

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15
Q

Isoproterenol effect on blood pressure?

A

Decreased slightly

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16
Q

Isoproterenol effect on peripheral resistance?

A

Vasodilation

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17
Q

Uses for Epinephrine?

A

Anaphylaxis

Glaucoma

18
Q

Phenylephrine is a substrate for what?

A

MAO (Monoamineoxidase)

Not COMT

19
Q

Phenylephrine uses?

A

Mydriasis without cycloplegia
glaucoma
Pressor
Nasal decongestant

20
Q

Main functional trait of a1 receptor agonist imidazoline?

A

Basic nature of imidazoline ring causes compounds to exist in ionized form at physiologic pH, not absorbed well so they work locally

21
Q

Where does clonidine bind to receptors?

A

a2 receptors in the nucleus of the solitary tract in the medulla

22
Q

Uses for clonidine?

A

Hypertension

Opiate withdrawal

23
Q

How do a2 adrenergic agonists reduce blood pressure?

A

They reduce sympathetic output from the brain

24
Q

Which a2 receptor agonist has the shortest half life?

A

Guanabenz

25
Q

Guanfacine is used to treat which behavioral disorder?

A

ADHD

26
Q

a2 receptor agonist we talked about that works as a prodrug?

A

Methyldopa

27
Q

Tizanidine is used to treat what?

A

Muscle spasticity

28
Q

Adverse effects of a2 receptor agonist?

A

Sedation
Sodium and water retention
Dry mouth
Withdrawal syndrome

29
Q

Main function of isoproterenol?

A

Bronchodilation

30
Q

Albuterol is what kind of agonist?

A

Beta 2 receptor agonist

31
Q

Albuterol used to treat what?

A

Asthma

COPD

32
Q

Problem with using Salmeterol for acute asthma symptoms?

A

It takes 20 minutes to activate

33
Q

+ enantiomer of Dobutamine affects what receptors?

A

B1 receptor agonist, a1 antagonist

34
Q
  • enantiomer of Dobutamine affects what receptors?
A

a1 agonist, potency of B receptors reduced 10X

35
Q

Use for Dobutamine?

A

Acute heart failure/shock

36
Q

Amphetamines have what effect on sympathetics?

A

Reverse the NE transporter

37
Q

Coccaine has what effect on sympathetics?

A

Blocks the NE transporter

38
Q

Clinical uses for Amphetamines?

A

ADHD
Narcolepsy
Anorexiant
Nasal Decongestant

39
Q

How does D(-)Ephedrine work?

A

Direct agonist activity at adrenergic receptors

40
Q

How does L(+)Pseudoephedrine work?

A

Reduces agonist activity-major mechanism is via reversal of the transporter