Pharm 1 Flashcards

Pharmacology 1- Summer 2019

1
Q

Epinephrine

A
Adrenergic AGONIST   
alpha=beta
Increase heart rate
Side effects: Tachycardia, Anxiety, increase BP
Contraindications: NONE
Precautions: Arrhythmia, Hypertension
Toxicity: Fatal Arrhythmias
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Norepinephrine

A

Adrenergic AGONIST
alpha>beta
Vasopressor= Increases BP and Blood Glucose
Side Effects: Elevated BP, Tachycardia, Anxiety
Contraindications: Poor organ perfusion
Precaution: Kidney perfusion in shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Isoproterenol

A
Adrenergic AGONIST
Increase HR, PUMPING action, Cardiac output
Clinical: Treat chock, Increase CO
Side Effect: Tachycardia, Chest pain
Contra: Tachycardia, Angina
Caution: Cardiac disease, arrhythmias
toxicity: tachycardia, arrhythmia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Amphetamine

A

Adrenergic AGONIST
like epinephrine but orally active, long lasting
Clinical: ADD, ADHD, Sever depression, weight loss
Side Effects: Increased BP, Decreased HR, Palpitations
Contraindications: V tach, HTN
Toxicity: Tachycardia, Arhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Cocaine

A

Adrenergic AGONIST properties
Blocks conduction of nerve impulses following local application.
Potent CNS stimulant
Blocks re-uptake of catecholamines (epi, NE, dopamine) at adrenergic receptors

Vasoconstriction in upper respiratory (former topical anesthetic)
SE: cardiotoxicity, vasoconstriction = MI
Contra: VF, Sensitivity to other anesthetics
Toxicity: Tachycardia, arrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Phenylephrine

A
Adrenergic AGONIST
pure alpha
Topical NASAL decongestant
Systemic nasal decongestant
Adverse: HTN
Contra: HTN, stroke
Caution: HTN
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pseudoephedrine

A
Adrenergic AGONIST
alpha>beta
Vasoconstrict, modest HR effector
Systemic decongestant
Methamphetamine precursor

Adverse: Tachycardia, HTN
Contra: HTN
Caution/Tosic: Tachycardia, arrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Clonidine

A

“Clondike” thermostat
Adrenergic ANTagonist
Clinical: treat HTN, narcotic withdrawal, Chronic pain
Side effects: sedation, orthostatic Hypotension, dry mouth
Contraindications: NONE
Cautions: Cardiovascular disease, decrease renal function,
Rebound HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Doxazosin

A

Adrenergic BLOCKER
alpha 1
Treats: Hypertension and Prostatic Hyperplasia (BPH)
Side Effects: First dose syncope, dizziness, ortho hypoTN
Caution: ortho-hTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

PropranOLOL

A

Beta BLOCKER
B1=B2
Clinical: treat Angina, HTN, Tachycardia, Tremor
Adverse: Bradycardia, HypoTN, Heart Block, Fatigue,
Sexual dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

AtenOLOL

A

Beta BLOCKER

treats: HTN, and tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Albuterol

A

Beta AGONIST
Clinical: Bronchodilator for asthma, COPD, Bronchitis
Adverse: Tachycardia, Tremors, Anxiety, Increase BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

LabetOLOL

A

Beta BLOCKER
Adrenergic ANtagonist
Clinical: Anti-Hypertensive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

MAO Inhibitor

A

Interferes with re-uptake of Epi, NE, Dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

AcetylCHOLINE

A
Cholinergic AGONIST
Clinical: NONE
Side effects: SLUDGE, pupil constrict
Contra: NA
Cautions: NA
broken down too fast
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

BethaneCHOL

A

oral Cholinergic AGONIST
Clinical: Urinary retention, Reverse anticholinergic agents,
Treat Ileus (paralyzed bowel syndrome)
Side effects: cholinergic SLUDGE pupil constrict
Contra: Insecticide/Nerve gas poisoning
Cautions: Pts with diarrhea, IBS, arrhythmias
Toxicity: Overdose= arrhythmias

17
Q

Physostigmine

A

cholinergic AGONIST
Inhibits AChE (=prolongs ACh in body)
Clinical: Eye drops to treat glaucoma
Decrease intraocular pressure
Treat poisoning w/ significant ant-ACh properties
Side effects: SLUDGE pupil constrict
Contra: narrow angle glaucoma
Caution: Pts with diarrhea or IBS
Toxicity: usually minor, they’re Eye drops

18
Q

Pilocarpine

A
Cholinergic AGONIST
Decrease intraocular pressure
Reverse pupil dilation
Clinical: Treat glaucoma
              Oral eye drop for dry mouth (xerostomia)
Side effects: SLUDGE constrict pupil
19
Q

Atropine

A

“dry pine”
Cholinergic ANTagonist (muscarinic/parasympathetic)
Clinical: treats bradycardia
treatment for “AChE inhibitor”
Side effects: Dry mouth, urinary retention
Contra: none
Cautions: anticholinergic side effects, Tachycardia
droopy eye lids/mouth myacthenia gravis

20
Q

Scopolamine

A

cholinergic ANTagonist (muscarinic/parasympathetic)
Clinical: Prevent nausea (sea sickness)
Side effects: dry mouth, urinary retention,
mydriasis (big pupil)
Contra: bradycardia
Caution: anti-cholinergic side effects

21
Q

Ipratropium

A

cholinergic ANTagonist
Relieves bronchoconstriction
Reduces secretions in chronic bronchitis
Clinical: Respiratory inhalant for Asthma, COPD
Side effects: dry mouth, urinary retention
Precaution: some cardia arrhythmias
Toxicity: some cardiac arrhythmia

22
Q

Oxybutynin

A

cholinergic ANTagonist (muscarinic/parasympathetic)
Clinical: overactive bladder/urge incontinence
Side effects: dry mouth, urinary retention
Contraindications: bradycardia
Cautions: anticholinergic side effects