Pharmacodynamics IV Flashcards
How are drugs classified?
Classification, Nomenclature
What do we classify drugs in terms of?
Body systems, Therapeutics (receptor blockers, ion channels), Site of action (cellular site)
Describe the chain of effects
Molecular pharmacology (drug receptor interaction), Cell pharmacology, Cell physiology, Tissue physiology (tissue function alterations), Organ physiology, Clinical effect (illness treated)
Briefly describe what happens during an asthma attack
Airways/vessels become constricted/narrower
Describe contraindications
Salbutamol acts on sympathetic control (dilation of bronchi)
B2 agonists cause fight/flight effect on rest of system
B blockers used to treat forms of heart disease (B1 blockers for asthmatics with heart disease)
Describe antihypersensitive products
B-blockers, A-blockers, Diuretics (forced urine), Angiotensin converting enzyme inhibitors, Ca channel blockers, Vasodilators, Drugs affecting CNS control of bp
Describe the function of angiotensin converting enzyme inhibitors (ACE)
Peptide hormones causes vasoconstriction/inc bp, stimulates release aldosterone
Describe multiple molecular actions
ACE inhibitors/Cardiac failure - Blocks formation of angiotenisin II (blocks vasocontriction/aldosterone preventing water retention)
and Blocks bradykinin breakdown (leads to vasodilation)
Describe the hormones released the autonomic nervous system (ANS)
SNS - Release Nora/Adrenaline
PSN - Release Acetylcholine
Describe ACh
Agonist on PSNS, acts on both muscarinic/nicotinic receptors
Describe muscarinic receptors
They’re G-protein coupled , causes smooth muscle cell contraction, endothelial cell stimulation and initiation of vasodilation
Slowing of heart rate and conductance
Describe nicotinic receptors
They’re ligand-gated Na channels causing muscle contraction and neuronal excitation
What are the different types of drug receptors?
Adrenoreceptors, Histamine, Serotinin, muscarinic, opioid
Describe adrenoreceptors
Epinephrine - Increase cardiac output
Propranolol - B-blockers used for hypertension
Describe histamine
Cimetidine H2 receptor - Inhibits stomach acid production
H1 receptor - Treat allergies