Pharmacology of Adrenergic agonists and antagonists Flashcards

1
Q

T/F: The adrenergic Nervous system relates to the fight or flight system of the autonomic nervous system

A

True

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2
Q

What type of receptors are the alpha and beta receptors of the adrenergic nervous system

A

G-coupled protein receptors

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3
Q

In a synapse where are the alpha 1 receptors usually located

A

Post synaptic membrane of effector organs

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4
Q

What does alpha-1 receptor activation do

A

contraction throughout the body (mydriasis, vasoconstriction, goosebumps)

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5
Q

What does beta-2 receptor activation do

A

relaxtion throughout the body ( vasodilation, bronchodilation)

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6
Q

What does beta-1 receptor activation do

A

increase heart rate, increased force of contraction, increased conduction velocity, renin release

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7
Q

What does alpha-2 receptor activation do

A

Inhibit norepinephrine release

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8
Q

What are two consequnces of using drug agonists

A

Desentization and Denervation

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9
Q

What is denervation supersensitivity

A

When loss of nerve occurs the effector muscle grows a much more sensitive to the neurotransmitter

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10
Q

What is the main neurotransmitter of the sympathetic nervous system

A

Norepinephrine

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11
Q

What are the classification for adrenergic agonists based on their structure

A

catecholamine and non-catecholamines

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12
Q

What are the classifications for adrenergic agonists based on their action

A

direct-acting, indirect-acting, mixed-acting

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13
Q

What enzymes metabolize circulating catecholamines as well as ones in the brain

A

COMT and MAO

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14
Q

T/f: Catecholamines can be given orally

A

False: Catecholamines are dosed IV, IM, topically, and aerosol

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15
Q

What property of non-catecholamines protects them from MAO metabolism

A

substitution on the alpha carbon

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16
Q

What are possible MOAs of indirect adrenergic agonists

A

increase availability of norepinephrine or epinephrine in the snyapse through facilitating relase of norepinephrine from sympathetic nerve endings, impair reuptake of released catecholamines, block metabolizing enzymes

17
Q

What are the two drugs that work indirect by releasing norepinephrine and activate adrenergic receptors as well

A

Ephedrine and pseudoephedrine

18
Q

What are the therapeutic uses of adrenergic agonists

A

Decongestion and maintain blood pressure (alpha 1)/ manage acute asthma attacks, asthma prophylaxis (beta-2 agonists)/ anaphylactic shock (epinephrine)

19
Q

What are the MOA of alpha-2 agonists

A

inhibit the release of NE decreasing vascular tone and cardiac output

20
Q

What is a common Alpha-2 agonist

A

clonidine

21
Q

What is the result that occurs from using a L-tyrosine hydroxylase inhibitor

A

reduces the biosynthesis of dopamine,norepinephrine and epinephrine leading to a lower blood pressure

22
Q

T/F: NE antagonists acting as a false transmitter act just like NE but do no bind correctly and take up space that could be used by NE

A

True

23
Q

What are the results of Alpha-1 antagonsits

A

lower peripheral vascular resistance and lower blood pressure

24
Q

What is epinephrine reversal

A

Epinephrine is used with an alpha-1 antagonists that causes an overall large drop in blood pressure

25
Q

How do beta-1 antagonists work on the heart

A

Slow the heart down

26
Q

What disease states would beta-1 antagonists be used to treat

A

Angina, chronic heart failure following heart attack