Pharmacology autonomic nervous system Flashcards
What are the two types drugs that act on muscarinic receptors?
parasympathomimetic(cholinergic)
parasympatholytic (anticolinergic)
What does the M2 parasympathetic receptor effect?
heart
PSNS effector cells
cardiac muscles
What does the M3 parasympathetic receptor effect?
smooth muscle and exocrine
intestinal smooth muscle and glands
What are the two major classes of parasympathomimetic drugs?
cholinergic agonists and
anticholinesterases
What is the general function of parasympathomimetic drugs?
stimulate muscle contraction in target organs
Salvation, lacrimation, urination, defecation, digestion (SLUDD)
What are the target organs for parasympathomimetic drugs?
paratoid gland, eye, bladder, GI tract
What are clinical uses of cholinergic drugs?
-stimulate GI motility and gastric emptying
-stimulate bladder emptying
-constrict the pupil
What are the functions of parasympatholytic drugs?
-interrupt parasympathetic nerve impulses in the CNS and ANS
-prevent ach from stimulating collinergic receptors
What is the general function of parasympatholytic drugs?
relax muscles in target organs
lack of sweating, blurry vision, urine retention, dry mouth, constipation, tachycardia (ABDUCT)
What are the clinical uses of anticholinergic drugs?
-cause bronchodialation, stop diarrhea, stop vomiting, pupil dilation, treat brachycardia
What are the two types of drugs that act on adrenergic receptors?
sympathomimetics (adrenergic agonists)
Sympatholytics (antagonists/blockers)
What are the three major classes of sympathomimetic drugs?
direct acting, indirect acting, dual acting
What is the main location, action, and clinical uses of alpha 1 adrenergic agonist drugs?
location: blood vessels and eye
actions: vasoconstriction and pupil dilation
clinical uses: hypotension, anti arrhythmic, and mydriasis
What is the main location, action, and clinical uses of alpha 2 adrenergic agonist drugs?
location: CNS and pancreas
action: decreases sympathetic outflow, decreased NE release, decreased insulin release
clinical uses: sedative, analgesic, muscle relaxation, anxiolysis
What is the main location, action, and clinical uses of beta 1 adrenergic agonist drugs?
location: heart and kidney
actions: increased heart rate, increased heart contractility, increased renin release
clinical uses: hypotension, anesthesia, bradychadia