Pharm 4 Drugs Flashcards
Epinephrine MOA Tx Side Effects/Adverse Drug Rx Contraindications Toxicity
MOA: (adrenergic agonist) alpha = beta
TX: increases BP & blood flow, anaphylactic shock
SE: tachycardia, anxiety, tremor, elevated BP
C: none
Tox: Fatal arrhythmias
Norepinephrine MOA TX SE/ADR C TOX
MOA: (adrenergic agonist) alpha > beta
TX: vasopressor
SE: elevated BP, tachycardia, anxiety, tremor
C: poor organ perfusion
Tox: perfusion problems (kidneys when in shock), cardiac arrhythmias
Isoproterenol MOA TX SE/ADR C TOX
MOA: (adrenergic agonist) pure beta TX: certain types of shock to increase CO SE: tachycardia, chest pain C: tachycardias, angina Tox: tachycardia, arrhythmia
Amphetamine MOA TX SE/ADR C TOX
MOA: (adrenergic agonist) same as epi, except effects last hours and is orally active
TX: ADD, ADHD, narcolepsy, severe depression refractive to antidepressants
SE: increased sys/dias BP, HR may decrease by reflex
C: ventricular tachyarrhythmia, HTN
Tox: tachycardia, arrhythmia
Cocaine MOA TX SE/ADR C TOX
MOA: (adrenergic agonist) local anesthetic with adrenergic agonist properties, potent CNS stimulant, blocks reuptake of catecholamines at adrenergic receptors
TX: vasoconstriction and anesthesia in upper respiratory passages
SE: cardiotoxicity, vasoconstriction
C: ventricular fibrillation, sensitivity to other local anesthetics
Tox: tachycardia, arrhythmia, MI
Phenylephrine MOA TX SE/ADR C TOX
MOA: (adrenergic agonist) pure alpha - vasoconstriction with no HR effects TX: topical/systemic nasal decongestant ADR: HTN C: HTN, stroke Tox: HTN
Pseudoephedrine MOA TX SE/ADR C TOX
MOA: (adrenergic agonist) alpha > beta - vasoconstriction with modest effect on HR
TX: systemic decongestant (methamphetamine precursor)
ADR: tachycardia, HTN
C: HTN
Tox: tachycardia, arrhythmia
Clonidine MOA TX SE/ADR C TOX
MOA: (adrenergic antagonist), decreases adrenergic/sympathetic outflow, turns down the thermostat
TX: HTN, narcotic withdrawal, chronic pain
SE: sedation, dizziness, dry mouth/eyes, otherostatic hypotension w/o syncope, fatigue, sexual dysfunction
C: none
Tox: (none) potential for severe rebound HTN
Doxazosin MOA TX SE/ADR C TOX
MOA: (adrenergic antagonist), alpha 1 blocker
TX: HTN, BPH
SE: first dose syncope, drowsiness, dizziness, orthostatic hypotension
C: none
Tox: none (precaution - orthostatic hypotension)
Propranolol MOA TX SE/ADR C TOX
MOA: (adrenergic antagonist), non-selective (beta 1 &2) pure beta blocker
TX: lower BP and HR, angina (if no BP problem), HTN, rate control, tremor, social phobia
ADR: bradycardia, hypotension, heart block, fatigue, sexual dysfunction
C: heart block, reactive airway disease
Tox: heart block (avoid in patients with hx of anaphylaxis or severe asthma)
Atenolol MOA TX SE/ADR C TOX
MOA: (adrenergic antagonist), selective beta 1, beta 1 > beta 2
TX: HTN, rate control
ADR: bradycardia, heart block, hypotension, fatigue, sexual dysfunction
C: heart block, reactive airway disease
Tox: heart block
Albuterol MOA TX SE/ADR C TOX
MOA: (adrenergic agonist), selective beta 2, beta 2 > beta 1
TX: bronchodilator in asthma/COPD/bronchitis
ADR: tachycardia, tremor, anxiety, elevated BP
C: none
Tox: cardiac arrhythmias
Labetolol MOA TX SE/ADR C TOX
MOA: (adrenergic antagonist), blocks alpha-1 & beta-1 TX: antihypertensive SE: none C: none Tox: none
Monamine Oxidase Inhibitors (MAOIs) MOA TX SE/ADR C TOX
MOA: (adrenergic agonist), interferes with reuptake/storage of adrenergic monoamine neurotransmitters like NE, Epi, dopamine
TX: antidepressant, keeps sympathetic agents in nerve synapse longer
SE: none
C: none
Tox: none
Acetylcholine MOA TX SE/ADR C TOX
MOA: (cholinergic agonist), muscarinic and nicotinic - primary neurotransmitter of ANS
TX: none as rapidly metabolized (2-3 minute 1/2 life)
SE: SLUDGE
C: none
Tox: acetyl cholinesterase inhibitor poisoning