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22 Cards in this Set
- Front
- Back
Irreversible, (long acting) non selective A blocker used for presurgical mgmt of pheocromocytoma, or mgmt of hypertension.
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Phenoxybenzamine, slight A1 selectivity.Has Serotonin blocking effects, can be used for carcinoid tumor, and has H1 blocking effects and can be used for mastocytosis
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Reversible, shorter acting non selective A blocker. Reduces vascular tone of arteries and veins
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Phentolamine
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Side effects and toxicities associated with non selective A blockers
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compensatory tachycardia, due to baroreceptor reflex
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Drug used prevent tissue ischemia and necrosis due to epinephrine.
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Phentolamine
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Drug used to treat rebound hypertension caused by abrupt clonidine termination
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Phentolamine
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Side effects associated with A1 selective antagonists
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orthostatic hypotension associated with first few doses
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A1 selective blockers, used to treat hypertension:
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Prazosin, Doxazosin, and terazosin. Cause less compensatory tachcardia than non selectives
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A1 selective antagonists commonly used for urinary hesitancy in men with BPH
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Tamsulosin and silodosin
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To minimize orthostatic hypotensive effects of the A1 selective antagonists, what should the patient do?
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Take a smaller first dose, and do it right before going to bed
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What are the B1 selective antagonists, used for Hypertension, that have an advantage in patients with asthma?
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Metoprolol, Acebutolol, Atenolol, Esmolol
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Which B blockers have a partial agonist activity, and are also used in patients with asthma due to a lessened bronchospasm effect
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Pindolol, Acebutolol
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Which antagonists have a combined effect, due to optical activity, the diferent isomers acting on either A or B receptors
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Labetelol and carvedilol
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A beta blocker without a local anesthetic reflex that can be used topically in patients with glaucoma
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Timolol
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What is the shortest acting ester B blocker, and is used only parenternally?
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Esmolol
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What is the longest acting B blocker?
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Nadolol
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Which B blockers are less lipid soluble and probably enter the CNS to a lesser extent
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Acebutolol, Nadolol, and Atenolol
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Which B blockers can reduce morbidity and mortality when used properly in heart failure?
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Labetalol, carvedilol, and metoprolol
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Which combined A and B blocker is sometimes used to treat Pheocromocytomas secreting large amounts of epinephrine and norepinephrine?
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Labetalol
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Blockage of symptoms of hypoglycemia in cases of insuilin overdose is a major problem with these drugs.
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B Blockers
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Toxic effects of B Blockers
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can cause bronchospasm in asthmatics, atrioventricular blockade, bradycardia, as well as sexual dysfunction
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B blocker with a high lipid solubility that can enter the CNS readily. is prototype B blocker
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Propanolol
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B Blocker with a high lipid solubility that easily enters the CNS. Is used to treat angina, arrythmias, hypertension, tremor, stagefright, and migraine
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Propanolol
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