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16 Cards in this Set
- Front
- Back
Which would kill you...no para or no symp?
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No para
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What ratio of epi to norepi is released by the adrenal medulla?
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2/3 epi to 1/3 NE
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Tyrosine hydroxylase does what?
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Converts tyrosine to L-Dopa--if you inhibit this then you block dopamine synthesis
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How do you terminate Norepi release?
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Stimulate Postganglionic Alpha 2 receptors causing a negative feedback shutdown of Norepi release
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A-methyl tyrosine
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Inhibits tyrosine hydroxylase
Uses: Pheocromocytoma ASE: Hypotension and sedation |
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What does cocaine do to NE?
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Blocks its reuptake
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Where are alpha 1 receptors found?
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Vascular smooth muscle cells and pupil dilatory muscles
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Where are alpha 2 receptors found?
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Postganglionic presynaptic receptors that inhibit NE release--also in platelets to cause aggregation
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Where are beta 1 receptors found?
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Heart, fat cells
Action is to activate adenylate cyclase |
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Where are B2 receptors found?
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Respiratory and vascular smooth muscle
Cause vasodilation |
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Where are the cells with dopamine receptors?
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D1--smooth muscle, renal blood vessels--cause renal VASODILATION
D2--CNS |
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How is epi made?
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Dopamine is hydroxylated at the beta carbon to make Norepi and Norepi is methylated in the adrenal glands into epi
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What are some drugs affected by chirality?
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Propanolol and Sotalol
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What are the two main enzyme systems that break down sympathetic transmitters?
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COMT and MAO
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Which drugs are susceptible to being broken down by COMT and which are vulnerable to MAO?
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Catecholamines are broken down by COMT
Vulnerable amino terminal drugs are broken down by MAO |
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What drugs all cause NE release from nerve terminals?
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Amphetamines
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