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ADRENERGIC AGONIST


(sympathomimetics or adrenergics)

DRUGS THAT STIMULATE THE SYMPATHETIC NERVOUS SYSTEM.



They mimic the sympathetic neurotransmitter (NT) epinephrine and norepinephrine.

fight or flight

ADRENERGIC RECEPTOR

ADRENERGICS ACT ON THE RECEPTOR.



LOCATED IN EFFECTOR CELLS OF HEART, BRONCHIOLE WALLS, GI TRACT, URINARY BLADDER, AND CILIARY MUSCLES OF THE EYE

FOUR MAIN ADRENERGIC RECEPTORS

ALPHA 1, ALPHA 2, BETA1, AND BETA 2.


ALPHA 1 ACT ON

BLOOD VESSELS, EYE, BLADDER, PROSTATE



IN BLOOD VESSELS VASOCONSTRICT, INCREASE BP AND CONTRACTILITY OF HEART.



PUPIL DILATION IN EYE



RELAXATION OF BLADDER



CONTRACTION OF PROSTATE

ALPHA 2 ACT ON

BLOOD VESSELS AND SMOOTH MUSCLE (GI)



DECREASE BP (REDUCE NE) IN BLOOD VESSELS.



DECREASE GI TONE AND MOTILITY.


BETA 1 ACT ON

HEART AND KIDNEY



INCREASE HEART CONTRACTION AND HEART RATE



INCREASE RENIN SECRETION ,ANGIOTENSIN AND BP IN KIDNEY.

BETA 2 ACT ON

SMOOTH MUSCLE (GI), LUNGS, UTERUS, AND LIVER.



DECREASE GI TONE AND MOTILITY.



BRONCHODILATE LUNGS.



RELAX UTERINE SMOOTH MUSCLE.



ACTIVATE GLYCOGENOLYSIS AND INCREASE BLOOD SUGAR IN LIVER.

DOPAMINERGIC

LOCATED RENAL,MESENTERIC,CORONARY AND CEREBRAL ARTERIES.



THE VESSELS DILATE AND BLOOD FLOW INCREASES.

ONLY DOPAMINE CAN ACTIVATE THIS RECEPTOR.

TWO ENZYMES THAT INACTIVATE NOREPINEPHRINE (NE)

(MAO)-MONOAMINE OXIDASE-INSIDE NEURON



(COMT)- catechol-O-methyltransferase- OUTSIDE NEURON.

CATECHOLAMINES

CHEMICAL STRUCTURES OF A SUBSTANCE (EITHER ENDOGENOUS OR SYNTHETIC) THAT CAN PRODUCE SYMPATHOMIMETIC RESPONSE.



EX: E,NE, DOPAMINE


NONCATECHOLAMINES

STIMULATE THE ADRENERGIC RECEPTORS. MOST HAVE A LONGER DURATIONOF ACTION THAN CATECHOLAMINES.



EX: PHENYLEPHRINE,


METAPROTERENOL, AND ALBUTEROL

ADRENERGIC BLOCKERS


(antagonist or sympatholytics)

DRUGS THAT BLOCK THE EFFECTS OF ADRENERGIC (NT)



They block the alpha and beta receptor sites.

SELECTIVE ALPHA BLOCKER

BLOCK ALPHA 1

NON SELECTIVE ALPHA BLOCKER

BLOCK ALPHA 1 AND ALPHA 2

ALPHA BLOCKERS

PROMOTE VASODILATION CAUSING A DECREASE IN BP

BETA BLOCKERS

DECREASE HEART RATE AND BLOOD PRESSURE

NONSELECTIVE BETA BLOCKERS

BLOCK BETA 1 AND BETA 2

SHOULD BE USED WITH EXTREME CAUTION WITH COPD OR ASTHMA.

SELECTIVE BETA BLOCKER

DECREASE PULSE RATE AND BP



BLOCK BETA 1 ONLY.

ADRENERGIC NEURON BLOCKERS

BLOCK THE RELEASE OF (NE) FROM SYMPATHETIC TERMINAL NEURONS.



CLINICAL USE: DECREASE BP



EX: RESPERINE

WHAT TWO GROUPS OF DRUGS AFFECT THE PARASYMPATHETIC NERVOUS SYSTEM

CHOLINERGIC AGONIST AND ANTICHOLINERGICS

ACETYLCHOINE

THE NEUROTRANSMITTER LOCATED AT THE GANGLIONS AND THE PARASYMPATHETIC TERMINAL NERVE ENDINGS.



INNERVATES CHOLINERGIC RECEPTORS IN ORGANS TISSUES AND GLANDS.


TWO TYPES OF CHOLINERGIC RECEPTORS

MUSCARINIC AND NICOTINIC

MUSCURINIC

STIMULATE (SMOOTH MUSCLE) AND SLOW HEART RATE.


NICOTINIC

NEUROMUSCULAR AFFECT THE (SKELETAL MUSCLES)

CHOLINERGIC

-STIMULATE PNS-DECREASE VITAL ORGANS


-CARDIAC-DECREASE PULSE AND BP


-GI-INCREASE PERISTALISIS


-GU-INCREASE URINE


-EYE-CONSTRICT PUPIL


-LUNG-BRONCHO CONSTRICT





INDIRECT ACTING CHOLINERGIC AGONIST

BREAKDOWN CHOLINESTERASE

DIRECT ACTING CHOLINERGIC AGONIST

ACT ON RECEPTORS TO ACTIVATE A TISSUE RESPONSE.

ANTICHOLINERGIC

INHIBIT ACTION OF ACH BY OCCUPYING THE ACH RECEPTORS.

MAJOR BODY TISSUES AND ORGANS AFFECTED BY THE ANTICHOLINERGICS

HEART,RESPIRATORY TRACT, GI TRACT, URINARY BLADDER, EYES AND EXOCRINE GLANDS.

MAJOR RESPONSES TO ANTICHOLINERGICS

DECREASED GI MOTILITY, SALIVATION,DILATION OF PUPILS (MYDRIASIS), INCREASE IN PULSE RATE.