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41 Cards in this Set

  • Front
  • Back

2 types of Adrenergic receptors

Alpha and beta receptors

Alpha 1 receptors G protein

Gq

Alpha 2 G protein

Gi

Beta 1&2 g protein

Gs

Alpha 1 receptor locations

Eye


Bladder


Blood vessels

Alpha 2 receptor locations

Pancreas


Prejunctional synapse

Beta 1 receptor locations

Heart

Beta 2 receptor locations

Lungs


GI


Pancreas

Alpha 1 activation

Mydraisis


Vasoconstriction


Urinary retention

Alpha 2 activation

Decrease insulin secretion


Decrease I'm NT release

Beta 1 receptor activation

Increased HR

Beta 2 receptor activation

Bronchodilation


Vasodilation


Increase GI motility


Increased insulin

Albuterol receptor

B2

Isoproterenol

Receptors: B1&2


- catecholamines


- less adverse side effects than epi n norepi

Epinephrine receptor

A1&2 B1&2

Drugs capable of A1 activation

Epi


Norepi


Dopamine


Phenylephrine

A1 =?

Vasoconstriction

B1 =?

Heart

B2 =?

Lungs

Therapeutic effect B1 activation

HF


Shock


Improve tissue perfusion


AV block

Adverse effect B1

Angina pectoris


Dysrhythmia

Therapeutic application B2 activation

Asthma (Bronchodilation)


Preterm labor (uterine relaxation)

B2 activation adverse effecrs

Hyperglycemia (in pts with diabetes)


Tremors

Epi side effects

Hypertensive crisis

Catecholamines

Epi, norepi, dopamine

Norepi Therapeutic uses

Hypotension


Cardiac arrest

Difference btwn norepi n epi

- doesn't activate B2 receptors

Norepi n epi interactions

MAOIs


TCA


Adrenergic blocking agents

Isoproterenol

Has few adverse effects than epi n norepi


- same drug interactions

Catecholamines v. Noncatecolamines

Adrenergic antagonist

Directly blocks adrenergic receptors


- all have reversible effects


- more selective than agonist

2 types of adrenergic antagonists

Alpha adrenergic blocker


Beta adrenergic blocker

Therapeutic effects of alpha blockade

- Tx of primary HTN (Vasodilation: A1 receptor blockade)


- antidote to overdose of alpha adrenergic agonist


- BPH


- Pheochromocytoma (secrete alot of catecholamines Increasing BP)


- Raynauds




Adverse effects of A1 blockade

Orthostatic HTN


Reflex tachycardia


Na+ retention

Prazosin

Competitive agonist


- Tx of HTN

Tamsulosin (flowmax)

Tx of BPH


Alpha 1 antagonist

Beta adrenergic antagonist 1 Therapeutic application

- HTN


- cardiac dysrythymia


- MI


- HF


- hyperthyroidism


- stage fright


- Glaucoma

Metropolol

Beta blocker


- Chosen over non selective beta blockers bc of diabetes n asthma pts

B2 activation and Hypokalemia in diabetics

- B2 receptors increase breakdown of glycogen to glucose


- In diabetic pts cnt maintain blood glucose balance

MAOs

One of the enzymes that inactivate epi and other catecholamines



** pt taking MAOIs shouldn't have epi (prolongs effects)

Ephedrine

Receptors: Alphas n betas


Mixed acting drug


Noncatecolamine


Activation when binder to alpha n beta sites