Rotation: Pharm Flashcards
D1-D2 direct agonist plus indirect agonist (releaser)
dopamine
Name 2 nicotinic receptor agonists.
- ACh
- nicotine
Name the SNS and PNS receptors in the GI/GU.
M α1 β2
Adrenergic Agonist; α 1, α2, β1
NE
Pralidoxime
cholinesterase reactivator (antidote for organophosphate poisoning)
Name the SNS and PNS receptors in the kidneys.
β1
- List the precursors and key enzymes for the synthesis and transporters involved in the storage of acetylcholine and NE.
- ACh synthesis= via choline acetyltransferase
- storage = vesicular monoamine transporter (VMAT)
- release = decreased by botox, increased by black widow spider toxin
- termination = AChE
- NE synthesis = via tyrosine hydroxylase
- storage = vesicular monoamine transporter (VMAT)
- release = VSCC
- termination = MAO
Pilocarpine
muscarinic receptor agonist
Name the SNS and PNS receptors in the BVs.
M (not innervated) α1 β2
Adrenergic Agonist; α 1, α2, β1, β2 (nonselective)
epinephrine
Name the SNS and PNS receptors in the adrenal medulla.
Nn
Dopamine
D1-D2 direct agonist plus indirect agonist (releaser)
Physostigmine
AChE Inhibitor
Botulinum toxin
inhibits ACh release
Nicotine
nicotinic receptor agonist
- Describe the synaptic mechanisms by which acetylcholine and NE are inactivated at a synapse.
- diffusion
- reuptake
- destruction (AChE)
Name a Muscarinic Receptor Antagonist.
atropine
This inhibits acetylcholine release.
botulinum toxin
What is the antidote to SLUDGE s/s?
atropine
- Describe the receptors and signal transduction systems for acetylcholine and NE.
- ACh = ionotropic or metabotropic receptors
- NE = GPCRs
Bethanechol
muscarinic receptor agonist
Name an NMJ depolarizing blocker.
succinylcholine
This is the antidote for organophosphate poisoning.
Pralidoxime
Edrophonium
AChE Inhibitor
Name the SNS and PNS receptors in the lungs.
M β2
Norepinephrine
Adrenergic Agonist; α1, α2, β1
What does SLUDGE mean, and what does it stand for?
adverse reactions to direct-acting muscarinic receptor drugs
S = salivation
L = lacrimation
U = urination
D = defication
G = GI (cramping, emesis, nausea)
E = eye (miosis)
Atacurium
NMJ competitive blocker (non-depolarizing) (-curare)
Name 3 muscarinic receptor agonists.
- ACh
- Bethanechol
- Pilocarpine
Succinylcholine
NMJ depolarizing blocker
What are the anticholinergic/antimuscarinic side effects?
no pee, no see, no spit, no shit
Name 4 AChE inhibitors.
- Physostigmine
- Neostigmine
- Edrophonium
- Organophosphates
Neostigmine
AChE Inhibitor
Name the SNS and PNS receptors in the eyes.
M α1
Epinephrine
Adrenergic Agonist; α1, α2, β1, β2 (nonselective)
Name 2 NMJ competitive blocker (non-depolarizing).
Atacurium; Rocuronium
Name the SNS and PNS receptors in the heart.
M β1
Name a cholinesterase inhibitor. What is it used for?
Pralidoxime; antidote for organophosphate poisoning
Acetylcholine
muscarinic receptor agonist
Acetylcholine
nicotinic receptor agonist
Rocuronium
NMJ competitive blocker (non-depolarizing) (-curare)
Organophosphates
AChE Inhibitor
Atropine
Muscarinic Receptor Antagonist