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10 Cards in this Set

  • Front
  • Back

Epinephrine (Adrenalin)

Adrenergic agonist, sympathomimetic, catecholamine


MOA: stimulates alpha1, beta1, & beta 2 adrenergic receptors


Effects:


alpha1 - ↑ blood pressure


beta1 - cardiac stimulation


beta2 - promotes bronchodilation (relaxation), vasodilation of skeletal muscle vasculature


*undergoes enzymatic inactivation by monoamine oxidase (MAO) in the liver

Dopamine

Adrenergic agonist, catecholamine, sympathomimetic, vasopressor


MOA: stimulates alpha1, beta1, & dopaminergic receptors


Effects: acts on renal nephrons (autocrine/paracrine)


low doses - dopaminergic receptors; dilates renal & mesenteric vasculature, ↑ renal perfusion, ↑ UO


moderate doses - dopaminergic & beta; ↑ HR, ↑ contractility, ↑ CO


high doses - all 3 receptors; peripheral vasoconstriction, ↑ BP

albuterol (Proventil)

Sympathomimetic, beta2 adrenergic agonist


MOA: selective beta 2 receptors


Effects: bronchodilation; ↑ diffusion & perfusion, ↑ blood O2


* many adverse effects, more common when administered PO than INH

phenylephrine (neo-synephrine)

Selective alpa1 adrenergic agonist, sympathomimetic, decongestant


MOA: alpha adrenergic receptors on nasal blood vessels to cause shrinkage of swollen membranes & local arterial vasoconstriction


Effects: nasal decongestion, ↑ BP (for IV)


*typically given topically for nasal decongestion, causes rapid and intense response

propranolol (Inderal)

non-selective beta-adrenergic antagonist, adrenergic antagonist, beta-blocker, antihypertensive


MOA: blocks beta1 & 2 receptors


Effects: ↓ sympathetic outflow to periphery and suppress RAAS


↓ BP, ↓ HR, ↓ force of contraction, ↓ CO, ↓ glycogenolysis


*Boxed Warning: beta-blocker therapy should not be stopped abruptly

phentolamine (Oraverse)

alpha1 blocker, alpha1 adrenergic antagonist


MOA: competitively blocks alpha1-adrenergic receptors


Effects: brief antagonism of circulation Epi and norEpi; controls BP


*used to treat pheochromocytoma & prevent tissue necrosis

prazosin (Minipress)

alpha1 blocker, selective alpha1-adrenegrcic antagonist, antihypertensive


MOA: selective blockade of alpha1 adrenergic receptors by competing with norEpi on vascular smooth muscle


Effects: vasodilation, ↓ BP

bethanechol (Urecholine)

cholinergic agonist, parasympathetic agent, muscarine agonsit


MOA: acts on muscarinic receptors in heart, exocrine glands, & smooth muscle (bladder)


Effects: contraction of the detrusor muscle & relaxation of the external sphincter, micturation


* used to treat non-obstructive urinary retention, antidote = atropine

atropine

anticholinergic, parasympatholytic, muscarinic cholinergic receptor anatagonist


MOA: competes w/ ACh for binding sites on muscarinic receptors on cardiac/smooth muscle & exocrine glands


Effects: blocks muscarinic effects, ↓ GI motility, ↓ secretory activity (↓ saliva & bronchial secretions), ↓ GU muscle tone, ↑ HR, ophthalmic mydriasis


*OD by any muscarinic agonist, antidote for organosphosphate poisoning


*Anticholinergic crisis : mad as a hatter, dry as a bone; red as a beet, hot as a hare; blind as a bat

tolterodine (detrol)

anticholinergic, antimuscarinic, nonselective muscarinic antagonist


MOA: antimuscarinic activity (mostly on bladder)


Effects: relaxes urinary bladder, ↓ urinary frequency & urgency


*used to treat overactive bladder syndrome