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36 Cards in this Set

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What are the Catecholamines/Neurotransmitters?
Epinephrine
Norepinephrine
Dopamine
Located at the end of neurotransmitters; transmits signal from each neuron
Adrenergic/ Fight or flight
Sympathetic
Parasympathetic
Body at rest; rest and digest
Adrenergic is known as
Adrenergic agonists
Sympathomimetics
Drugs that mimic the effects of the SNS neurotransmitters
Epinephrine
Norepinephrine
Dopamine
Located on the END of the neurotransmitters
Adrenergic Receptors
Alpha-adrenergic receptors
Beta-adrenergic receptors
Dopaminergic receptors (respond only to dopamine)
Alpha 1 location?
Located on postsynaptic effector cells (the cell, muscle, or organ that the nerve stimulates)
Alpha 2 location?
Located on presynaptic nerve terminals (the nerve that stimulates the effector cells)
Alpha-Adrenergic Agonist responses
Vasoconstriction
CNS stimulation
Beta-Adrenergic Receptors location?
Postsynaptic
Beta 1 location?
Heart
Beta 2 location?
Smooth muscle of the brinchioles, arterioles, and visceral organs
Beta Adrenergic Agonist Responses
Bronchical, GI, uterine smooth muscle relaxation, glycogenolysis, cardiac stimulation, dilating vessels
What do Dopaminergic Receptors cause?
Increase blood flow by dilation, happens in the following blood vessels: renal, mesenteric (around stomach area), coronary, cerebral
Endogenous
Develops from within the system (epinephrine, norepinephrine, dopamine)
Synthetic
Dobutamine (Beta 1)
Phenylephrine (Alpha 1)
MOA: Direct-acting sympathomimetic
Binds directly to the receptor and causes a physiologic response
MOA: Indirect-acting sympathomimetic
Release of catecholamine from storage, then binds and causes a physiologic response
MOA: Mixed-acting sympathomimetic
Directly binds & indirectly binding
Positive inotropic effect
Increased force of contraction
Positive chronotropic effect
Increased heart rate
Positive dromotropic effect
Increased conduction through AV node
Beta 2 treats?
Asthma & Bronchitis
Beta 2 Drugs
Albuterol, Ephedrine, Epinephrine, Formoterol, Levalbuterol, Metaproterenol, Pirbuterol, Salmeterol, and Terbutaline
Alpha 1 is used to treat?
Nasal congestion
Alpha is used to treat
Conjunctival congestion (eyes), reduction of intraocular pressure, and dilation of pupils
Medicine for Nasal Congestion
Ephedrine
Naphazoline
Oxymetazoline
Pheylephrine
Tetrahydrozoline
"ine" ending, 1E 1N 1O 1P 1T
Medicine for conjunctival congestion
Epinephrine
Naphazoline
Phenylephrine
Tetrahydrozoline
Medicine for open-angle glaucoma
Epinephrine
Dipivefrin
Pressors or Vasopressors cause what?
Constriction
Vasoactive Adrenergics
Cardioselective Sympathomimetics
Vasoactive Sympathomimetics medicine?
Dobutamine
Dopamine
Ephedrine
Epinephrine
Fenoldopam
Midodrine
Norepinephrine
Phenylephrine
2D 2E 1F 1M 1N 1P
Alpha Adrenergic Adverse Effects
CNS: Headach, restlessness, excitement, insomnia, euphoria
Cardiovascular: Palpitations (dysrhythmias), tachycardia, vasoconstriction, hypertension
Other: Loss of appetite, dry mouth, nausea, vomiting, taste change (rare)
Beta Adrenergic Adverse Effects
CNS: mild tremors, headach, nervousness, dizziness
Cardiovascular: increased HR, palpitations, fluctuation in BP
Other: sweating, nausea, vomiting, muscle cramps
Interations with Adrenergic drugs?
Anesthetic drugs
Tricycline antidepressants
Monoamine Oxidase Inhibitors
Antihistamines
Thyroid preparations
Adrenergic Antagonist
Salmeterol is used for what?
Bronchospasms, not management of acute symptoms