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43 Cards in this Set
- Front
- Back
What is the transmitter of the sympathetic pregangions?
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Ach
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What is the transmitter of the parasympathetic preganglions?
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Ach
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What is the transmitter of the sympathetic post ganglions?
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Norepi and Epi
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What is the transmitter at the parasympathetic post ganglions?
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Ach
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What are the 3 catecholamines? What do these resemble?
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Epi, Norepi, Dopamine
They resemble sympathomimetic amines |
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What is the process of synthesis of catecholamines?
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L-tyrosine --> L-DOPA --> Dopamine --> NOrepi --> Epi
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What are the adrenoreceptors? What targets these?
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Alpha 1, Alpha 2, Beta 1, Beta 2
Targeted by catecholamines |
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What effects do alpha 1 receptors have?
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Vasoconstriction, Mydriasis, Increased closure of internal sphincter of bladder
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What effects do alpha 2 receptors have?
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Negative feedback:
Inhibition of norepi release, inhibition of ach release, inhibition of insulin release |
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What effects do beta 1 receptors have?
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Increased HR
Increased Contractility Increased lipolysis Increased release of renin |
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What effects do beta 2 receptors have?
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Bronchodilation,
Peripheral vasodilation, Increased muscle and liver glycogenolysis, Increased release of glucagon, Relaxed uterine smooth muscle |
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What receptors does epinephrine stimulate?
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At low doses: beta
At high doses: alpha |
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What receptors does norepinephrine stimulate?
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Mostly alpha
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What receptors does Isoproterenol stimulate?
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Beta 1 and Beta 2
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What receptors does Dopamine stimulate?
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Beta 1, Alpha 1, D
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What receptors does Phenylephrine stimulate?
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Pure alpha, mostly alpha 1
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What receptors does Dobutamine stimulate?
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Beta 1
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What receptors does Vasopressin stimulate?
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V1, V2
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What are 5 Direct Alpha agonists?
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Epinephrine (high dose),
Norepinephrine, Dopamine, Phenylephrine, Alpha 2 agonists |
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What are 4 direct beta agonists?
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Epinephrine (low dose),
Isoproterenol, Dopamine Dobutamine |
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What are 4 Alpha 2 agonists?
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Clonidine, Guarabenz, Guanfacine, Alpha-methylnorepinephrine
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What are 8 Direct acting adrenergic agonists?
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Epinephrine,
Norepinephrine, Isoproterenol, Dopamine, Phenylephrine, Dobutamine, Vasopressin, Alpha 2 agonists |
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What are3 Indirect acting adrenergic agonists?
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Amphetamine, Cocaine, Tyramine
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What receptors does amphetamine stimulate?
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Alpha and beta
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What receptors does cocaine stimulate?
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Alpha and beta
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What are 5 Alpha 1 blockers?
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Terazosin, Dozazosin,
Prazosin, Alfuzosin, Tamsulosin |
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What are 2 non-selective Alpha 1 blockers?
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Phenoxybenzamine, Phentolamine
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What are direct acting cholinergic agonists?
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Drugs that mimic the effects of acetylcholine by binding directly to cholinoceptors
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What are 4 direct acting cholinergic agonists?
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Acetylcholine, Bethanachol, Carbachol, Pilocarpine
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What receptors does Acetylcholine stimulate?
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Muscarinic and Nicotinic
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What receptors does bethanachol stimulate?
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Muscarinic
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What receptors does carbachol stimulate?
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Muscarinic and Nicotinic
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What receptors does Pilocarpine stimulate?
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Muscarininc
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What are acetylcholinesterases?
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Enzymes that cleave ach to acetate and choline and terminate its actions
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What are ANTIcholinesterases?
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REVERSIBLY and indirectly provide a cholinergic action by prolonging the lifetime of ach produced endogenously. Leads to accumulation of ach in synapse.
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What are 7 Indirect-Acting Cholinergic Agionists: Anticholinesterases?
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Physostigmine, Neostigmine, Pyridostigmine, Edrophonium, Donepezil, Rivastigmine, Galantamine
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What are muscarinic antagonists?
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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
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What are 3 muscarinic antagonists?
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Atropine, Scopalamine, Ipratropium
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What are 3 types of nicotinic antagonists: ganglionic blockers?
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Nicotine, Depolarizing neuromuscular blockade, nondepolarizing neuromuscular blockade
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What drug is a depolarizing neuromuscular blockade?
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Succinylcholine
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What are the two categories of nondepolarizing neuromuscular blockades?
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Aminosteroidal compounds,
Benzylisoquinolinium compounds |
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What are the 4 drugs that are aminosteroidal compounds, a category of nondepolarizing nm blockades?
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Pancuronium, Pipercuronium, Vecuronium and Rocuronium
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What are the 5 drugs that are benzylisoquinolinium compounds, a category of nondepolarizing nm blockades?
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D-tubocuranine, Cistracurium, Doxacurium, Mivacurium, Atacurium
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