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43 Cards in this Set

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  • Back
What is the transmitter of the sympathetic pregangions?
Ach
What is the transmitter of the parasympathetic preganglions?
Ach
What is the transmitter of the sympathetic post ganglions?
Norepi and Epi
What is the transmitter at the parasympathetic post ganglions?
Ach
What are the 3 catecholamines? What do these resemble?
Epi, Norepi, Dopamine

They resemble sympathomimetic amines
What is the process of synthesis of catecholamines?
L-tyrosine --> L-DOPA --> Dopamine --> NOrepi --> Epi
What are the adrenoreceptors? What targets these?
Alpha 1, Alpha 2, Beta 1, Beta 2

Targeted by catecholamines
What effects do alpha 1 receptors have?
Vasoconstriction, Mydriasis, Increased closure of internal sphincter of bladder
What effects do alpha 2 receptors have?
Negative feedback:

Inhibition of norepi release, inhibition of ach release, inhibition of insulin release
What effects do beta 1 receptors have?
Increased HR
Increased Contractility
Increased lipolysis
Increased release of renin
What effects do beta 2 receptors have?
Bronchodilation,
Peripheral vasodilation,
Increased muscle and liver glycogenolysis,
Increased release of glucagon,
Relaxed uterine smooth muscle
What receptors does epinephrine stimulate?
At low doses: beta
At high doses: alpha
What receptors does norepinephrine stimulate?
Mostly alpha
What receptors does Isoproterenol stimulate?
Beta 1 and Beta 2
What receptors does Dopamine stimulate?
Beta 1, Alpha 1, D
What receptors does Phenylephrine stimulate?
Pure alpha, mostly alpha 1
What receptors does Dobutamine stimulate?
Beta 1
What receptors does Vasopressin stimulate?
V1, V2
What are 5 Direct Alpha agonists?
Epinephrine (high dose),
Norepinephrine,
Dopamine,
Phenylephrine,
Alpha 2 agonists
What are 4 direct beta agonists?
Epinephrine (low dose),
Isoproterenol,
Dopamine
Dobutamine
What are 4 Alpha 2 agonists?
Clonidine, Guarabenz, Guanfacine, Alpha-methylnorepinephrine
What are 8 Direct acting adrenergic agonists?
Epinephrine,
Norepinephrine,
Isoproterenol,
Dopamine,
Phenylephrine,
Dobutamine,
Vasopressin,
Alpha 2 agonists
What are3 Indirect acting adrenergic agonists?
Amphetamine, Cocaine, Tyramine
What receptors does amphetamine stimulate?
Alpha and beta
What receptors does cocaine stimulate?
Alpha and beta
What are 5 Alpha 1 blockers?
Terazosin, Dozazosin,
Prazosin, Alfuzosin, Tamsulosin
What are 2 non-selective Alpha 1 blockers?
Phenoxybenzamine, Phentolamine
What are direct acting cholinergic agonists?
Drugs that mimic the effects of acetylcholine by binding directly to cholinoceptors
What are 4 direct acting cholinergic agonists?
Acetylcholine, Bethanachol, Carbachol, Pilocarpine
What receptors does Acetylcholine stimulate?
Muscarinic and Nicotinic
What receptors does bethanachol stimulate?
Muscarinic
What receptors does carbachol stimulate?
Muscarinic and Nicotinic
What receptors does Pilocarpine stimulate?
Muscarininc
What are acetylcholinesterases?
Enzymes that cleave ach to acetate and choline and terminate its actions
What are ANTIcholinesterases?
REVERSIBLY and indirectly provide a cholinergic action by prolonging the lifetime of ach produced endogenously. Leads to accumulation of ach in synapse.
What are 7 Indirect-Acting Cholinergic Agionists: Anticholinesterases?
Physostigmine, Neostigmine, Pyridostigmine, Edrophonium, Donepezil, Rivastigmine, Galantamine
What are muscarinic antagonists?
Inhibit all muscarinic functions and block the few exceptional sympathetic neurons that are cholinergic such as those innervating salivary and sweat glands. Does not block nicotinic receptors and has little or no action at skeletal nm junction or autonomic ganglia
What are 3 muscarinic antagonists?
Atropine, Scopalamine, Ipratropium
What are 3 types of nicotinic antagonists: ganglionic blockers?
Nicotine, Depolarizing neuromuscular blockade, nondepolarizing neuromuscular blockade
What drug is a depolarizing neuromuscular blockade?
Succinylcholine
What are the two categories of nondepolarizing neuromuscular blockades?
Aminosteroidal compounds,
Benzylisoquinolinium compounds
What are the 4 drugs that are aminosteroidal compounds, a category of nondepolarizing nm blockades?
Pancuronium, Pipercuronium, Vecuronium and Rocuronium
What are the 5 drugs that are benzylisoquinolinium compounds, a category of nondepolarizing nm blockades?
D-tubocuranine, Cistracurium, Doxacurium, Mivacurium, Atacurium