Pharmacology Exam 1 Drug List Flashcards
Classification of PHENYLEPHRINE (Neo-Synephrine)
TC: Nasal decongestant
PC: Adrenergic (sympathomimetics)
Action/use of PHENYLPHRINE (Neo-Synephrine)
Specifically an alpha-adrenergic agonist (fight or flight stimulation)
Nasal decongestant
Maintains a good BP
Side/adverse affects of PHENYLPHRINE (Neo-Synephrine)
Intranasal use can cause burning of the mucosa and rebound nasal congestion if used for long periods of time
High doses can elevate BP causing bradycardia (slows heart rate down)
Also maybe anxiety, restlessness, and tremors
BLACKBOX: no IV use
Classification of EPINEPHRINE
TC: Anti-allergy and cardiac stimulation
PC: Pure Adrenergic
Action/use of EPINEPHRINE
Specifically stimulates alpha receptors (fight or flight stimulation)
Used for cardiac arrest, asthma, allergry reactions such as anaphylaxis in which you would need an epi-pen
Side/adverse affects of EPINEPHRINE
Rapid heart rate
Increased blood pressure
Overdose can cause a heart attack
Classification of PRAZOSIN (Minipress)
TC: Antihypertensive (lowers BP)
PC: Adrenergic blocker
Action/use of PRAZOSIN (Minipress)
Selectively an alpha1 adrenergic anatagonist
Blocks norepinephrine at its receptors
Reduces blood pressure so can be used to treat hypertension
Commonly used in combination with beta blockers or diurectics
Side/adverse effects of PRAZOSIN (Minipress)
Like other alpha blockers, tends to cause orthostatic hypotension which is a large drop in BP, so it should be given before bed and the first dose should be very low
Classification of BETHANECHOL (Urecholine)
TC: Nonobstructive urinary retention agent
PC: Cholinergic agonist
Action/use of BETHANECHOL (Urecholine)
Parasympathomimetic that causes parasympathetic stimulation
Stimulates smooth muscle contractions to clear digestive and urinary tracts, as well as treating nonobstructive urinary retention
Side/adverse effects of BETHANECHOL (Urecholine)
Increased salvation, sweating, abdominal cramping, hypotension leading to fainting, belching, diarrhea, diaphoresis (stay close to the bathroom)
*Pts with asthma, epilepsy, parkinsons should not use
Classification of PHYSOSTIGMINE (Antilirium)
TC: Antidote for atropine-induced delirium
PC: Acetylcholinesterase inhibitor (so parasympathetic actions will occur)
Action/use of PHYSOSTIGMINE (Antilirium)
Parasympathetic that stops the destruction of acetylcholine
Side/adverse effects of PHYSOSTIGMINE (Antilirium)
Bradycardia, asytole, restlessness, nervousness, seizures, salivation, urinary frequently, muscle twitching, respiratory paralysis
Classification of ATROPINE
TC: Antitode for anticholinesterase poisoning and suppresses abnormal heart rhythms
PC: Cholinergic receptor blocker (induces sympathetic)
Action/use of ATROPINE
Blocks acetylcholine and induces fight or flight
as well as raising heart rate