Quiz 2: ANS drugs Flashcards
Atropine
-MOA
-use
-adverse effects
MOA: competitive anticholinergic
Use: tx of chol. poisoning, mydriatic
adverse e: ABCDS
Dicyclomine
MOA:
USE:
ADVERSE EFFECT:
MOA: anticholinergic
USE: antispasmodic in the GI
ADVERSE EFFECT: ABCDS
Ipatropium
MOA:
USE:
ADVERSE EFFECT:
MOA: anticholinergic
USE: bronchodilation for COPD
ADVERSE EFFECT: ABCDS
Tolterodine
MOA:
USE:
ADVERSE EFFECT:
MOA: anticholinergic
USE: urinary incontinece
ADVERSE EFFECT: ABCDS
Nicotine
MOA:
USE:
ADVERSE EFFECT:
MOA: cholinergic
USE: smoking cessation
ADVERSE EFFECT: Dumbbels
what type of drug is used in parkinsons and as a neuromuscular blocker during surgery
anti-cholinergic drugs
anti-cholinergic side effects
ABCDS
agitation
blurred vision
constipation and confusion
stasis of urine and sweating
cholinergic side effects
dumbels
diarrhea
urination
miosis/muscle weak
bronchorrhea
emesis
lacrimation
salivativation/sweating
anti muscarinic contraindication
- cardiac arrythmias
- bowel obstruction
- atonal bladder
- glaucoma
- elderly men (avoid in BPH)
a1, a2, b2, b3
a1: decongestant
a2: HTN
b2: asthma
b3: overactive bladder
epinephrine
MOA:
USE:
ADVERSE EFFECT:
MOA: non-specific adrenergic agonist. direct acting
USE: anaphalactic shock, asthma attack
ADVERSE EFFECT: HTN, arrthymia, pulmonary edema
phentermine
MOA:
USE:
ADVERSE EFFECT:
MOA: non-specific adrenergic agonist. sympathomimetic
USE: exogenous obesity
ADVERSE EFFECT:
methylphenidate
MOA:
USE:
ADVERSE EFFECT:
MOA: non-specific adrenergic agonist. sympathomimetic
USE: ADHD, narcolepsy
ADVERSE EFFECT: insomnia
Cocaine
MOA:
USE:
ADVERSE EFFECT:
MOA: blocks NE and dopamine reuptake
USE: local anesthetic
ADVERSE EFFECT: addiction, seizures
what are the non-specific adrenergic agonist drugs we discussed
1.epinephrine
2. phentermine
3. methylphenidate
4. cocaine
phenylphrine
MOA:
USE:
ADVERSE EFFECT:
MOA: alfa specific adrenergic agonsit. direct sympathomimetic
USE: nasal decongestant
ADVERSE EFFECT: HTN
Oxymetazoine
MOA:
USE:
ADVERSE EFFECT:
MOA: alfa specific adrenergic agonsit. direct sympathomimetic
USE: nasal decongestant
ADVERSE EFFECT: HTN
what are the alfa specific adrenergic agonist we discussed?
- phenylphrine
- oxymetazoine
clonidine
MOA:
USE:
ADVERSE EFFECTS:
MOA: alfa 2 specific adrenergic agonist
USE: vasoconstriction, hypotensive, ADHD and opiod withdrawl
ADVERSE EFFECTS: bradychardia
Albuterol
MOA:
USE:
ADVERSE EFFECTS:
MOA: b2 agonist
USE: acute bronchospasm
ADVERSE EFFECTS: tremor, tachycardia
salmeterol
MOA:
USE:
ADVERSE EFFECTS:
MOA: b2 agonist
USE: chronic bronchospasm
ADVERSE EFFECTS: tremor, tachycardia
alfa antiadrenergic effects
-inhibits vasoconstriction
-lowers BP, reflex increases HR
Beta specific antiadrenergic effects
-lowers BP
-use with caution w diabetic and asthma patients
tamsulosin
MOA:
USE:
ADVERSE REACTION:
MOA: alfa blocker
USE: bening prostatic hyperplasia
ADVERSE REACTION: hypotension