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27 Cards in this Set

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1. allergic reactions
2. Chronic obstructive pulmonary disease
3. Hypotension
4. Prolonged shock
5. Nasal congestion
6. With local anesthetics
7. Topical hemostatic
8. Dilate pupil
What are some (8) therapeutic effects for drugs with ADRENERGIC EFFECTS (alpha, b1, b2 agonists)?
drugs w/adrenergic effects (alpha, b1, b2 agonists)
usually cardiovascular (alpha or b1) or bronchiolar(b2) effects desired. Target may also be metabolic rate (b2).
allergic reactions
a. can reverse bronchiolar constriction (b1)

b. can cause vasoconstriction and reduce edema (alpha)

c. can increase cardiac output (b1)
(b2)
What adrenergic drug can reverse bronchiolar constriction with allergic reactions?
(alpha)
What adrenergic drug can cause vasoconstriction and reduce edema with allergic reactions?
b1
What adrenergic drug can increase cardiac output with allergic reactions?
a. can reverse bronchiolar constriction (b1)

b. can cause vasoconstriction and reduce edema (alpha)

c. can increase cardiac output (b1)
With adrenergic (agonist) drugs, what do they do therapeutically, to reverse allergic reactions?
Chronic obstructive pulmonary disease
asthma
emphysema
chronic bronchitis

inhalation causes fewer side effects than oral or sublingual routes
Prolonged

microclots

necrosis

vasodilator
________ shock (beta). Note: already getting reflexive sympathetic discharge. Too much vasoconstriction reduces circulating plasma volume and causes _______ contributing to shock. Body needs are not being met and some ________ is likely; therefor, use _________ (b agonists)
Isoproterenol

Dopamine
What are some examples of drugs that are B agonists and vasodilate blood vessels when in prolonged shock?
Hypotension
like that caused in spinal anesthesia (alpha). Not the same thing as shock. In ____________, the fluids remain inside blood vessels (not in tissue spaces) and, with effort, body needs are being met.
Nasal congestion
use as nose spray

fewer side effects (alpha)
local anesthetics
delay absorption (longer acting with fewer central side effects (alpha).
Topical hemostatic
alpha

dentist

professional sports

nosebleeds

controls bleeding
alpha agonists
Which adrenergic drug dilates pupil for an eye exam?
dilates
In the sympathetic nervous system, the pupil constricts or dilates?
constricts
In the parasympathetic nervous system, the pupil constricts or dilates?
1. anxiety, tremulousness (CNS effect)
2. awareness of rapid heart beat
What are some side effects of taking drugs w/ adrenergic effects (agonists)?
photophobia
headache
substernal pain (heart pain)
serious arrythmias (b1)
fatal cases have acute pulmonary edema (increased BP causes heart failure) (alpha)
What are some toxic effects or untoward effects for taking drugs w/ adrenergic effects (agonists)?
drugs w/ adrenergic effects (agonists)
fatal cases have acute pulmonary edema (increased BP causes heart failure) (alpha)
tissue necrosis
What is the local toxicity for taking drugs w/ adrenergic effects (agonists)?
tissue necrosis
i.e. if infused into the vein with insufficient blood flow
1. Angina
2. Hypertension
3. Hyperthyroidism
What are some contraindications or reasons why you wouldn't want to take adrenergic agonist drugs?
b1

alpha
Which adrenergic (agonists)drugs cause stimulation to increase heart workload (contraindication)?
alpha
b1
Which adrenergic (agonists)drugs cause stimulation to increase BP dramatically?
B2

B1
_____ stimulation increases metabolism more, ______ increases heart palpatations and makes symptoms worse.
thyroid
What organ is the "metabolic center"?