Organization of the nervous system Flashcards
Dopamine affects which receptors?
Beta receptors
Norepinephrine affects which receptors?
Alpha receptors
Beta 1 receptors
Epinephrine affects which receptors?
Nonselective, hits all receptors
Which receptor is the cardiovascular control system in the medulla?
Alpha 2
Drug that is best alpha 1 receptor agonist?
Phenylephrine
Drug that is best B1 receptor agonist?
Isoproterenol
Drug that is best B2 receptor agonist?
Isoproterenol
Norepinephrine effect on pulse rate?
Decreased
Norepinephrine effect on blood pressure?
Increased
Norepinephrine effect on peripheral resistance?
Vasoconstriction, increased
Epinephrine effect on pulse rate?
Increased
Epinephrine effect on blood pressure?
no effect
Epinephrine effect on peripheral resistance?
Vasodilation
Isoproterenol effect on pulse rate?
Increased
Isoproterenol effect on blood pressure?
Decreased slightly
Isoproterenol effect on peripheral resistance?
Vasodilation
Uses for Epinephrine?
Anaphylaxis
Glaucoma
Phenylephrine is a substrate for what?
MAO (Monoamineoxidase)
Not COMT
Phenylephrine uses?
Mydriasis without cycloplegia
glaucoma
Pressor
Nasal decongestant
Main functional trait of a1 receptor agonist imidazoline?
Basic nature of imidazoline ring causes compounds to exist in ionized form at physiologic pH, not absorbed well so they work locally
Where does clonidine bind to receptors?
a2 receptors in the nucleus of the solitary tract in the medulla
Uses for clonidine?
Hypertension
Opiate withdrawal
How do a2 adrenergic agonists reduce blood pressure?
They reduce sympathetic output from the brain
Which a2 receptor agonist has the shortest half life?
Guanabenz
Guanfacine is used to treat which behavioral disorder?
ADHD
a2 receptor agonist we talked about that works as a prodrug?
Methyldopa
Tizanidine is used to treat what?
Muscle spasticity
Adverse effects of a2 receptor agonist?
Sedation
Sodium and water retention
Dry mouth
Withdrawal syndrome
Main function of isoproterenol?
Bronchodilation
Albuterol is what kind of agonist?
Beta 2 receptor agonist
Albuterol used to treat what?
Asthma
COPD
Problem with using Salmeterol for acute asthma symptoms?
It takes 20 minutes to activate
+ enantiomer of Dobutamine affects what receptors?
B1 receptor agonist, a1 antagonist
- enantiomer of Dobutamine affects what receptors?
a1 agonist, potency of B receptors reduced 10X
Use for Dobutamine?
Acute heart failure/shock
Amphetamines have what effect on sympathetics?
Reverse the NE transporter
Coccaine has what effect on sympathetics?
Blocks the NE transporter
Clinical uses for Amphetamines?
ADHD
Narcolepsy
Anorexiant
Nasal Decongestant
How does D(-)Ephedrine work?
Direct agonist activity at adrenergic receptors
How does L(+)Pseudoephedrine work?
Reduces agonist activity-major mechanism is via reversal of the transporter