Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
108 Cards in this Set
- Front
- Back
NE
|
alpha 1, beta 1
|
|
Ep
|
alpha 1
beta 1,2 |
|
amphetamine
|
alpha 1
beta 1 |
|
ephedrine
|
alpha 1
beta 1,2 |
|
pseudophedrine
|
alpha 1
beta 1,2 |
|
alphamethyl dopa
|
alpha 1
|
|
clonidine
|
alpha 1
|
|
guanabenz
|
alpha 1
|
|
phenylephrine
|
alpha 1
|
|
methoxamine
|
alpha 1
|
|
metaraminol
|
alpha 1
|
|
isoproterenol
|
beta 1,2
|
|
dobutamine
|
beta 1
|
|
dopamine
|
beta 1
|
|
terbutaline
|
beta 2
|
|
metaproterenol
|
beta 2
|
|
albuterol
|
beta 2
|
|
ritodrine
|
beta 2
|
|
prazosin
|
alpha 1 antagonist
|
|
phentolamine
|
alpha 1 antagonist
|
|
phenoxybenzamine
|
alpha 1,2 antagonist
|
|
propranolol
|
beta 1,2 antagonist
|
|
pindolol
|
beta 1,2 antagonist
|
|
metoprolol
|
beta 2 antagonist
|
|
atenolol
|
beta 2 antagoinst
|
|
labetalol
|
alpha 1
beta 1,2 antagonist |
|
carvedilol
|
alpha 1
beta 1,2 antagonist |
|
timolol
|
beta 1,2 antagonist
|
|
metyrosine
|
NE synthesis blocker
|
|
reserpine
|
NE depleter
|
|
guanethidine
|
NE depleter
|
|
cocaine
|
NE re-uptake blocker
|
|
imipramine
|
NE re-uptake blocker
|
|
tranylcypromine
|
MAO inhibitor
|
|
phenelzine
|
MAO inhibitor
|
|
what area of the brain does NE work at?
|
locus coeruleus
|
|
what is NE metabolized to?
|
Vanillylmandelic acid- VA
|
|
tumor of the adrenal gland?
|
pheochromocytoma
|
|
contraindications with Ep?
|
MAO inhibitors
halothane-sensitizes myocardium to catecholamines |
|
main alpha 1 agonists?
|
metaraminol
phenylephrine |
|
what drug is used for a sustained rise in BP?
|
metaraminol
|
|
what drug is used to dilate the pupil but not affect accomodation, also used in glaucoma?
|
phenylephrine
|
|
what are the main alpha 2 agonists?
|
alpha-methyldopa
clonidine guanabenz |
|
what drug is used in hypertensive pregnant women to decrease BP?
|
alpha-methyldopa
|
|
main alpha 1,2 antagonists?
|
phenoxybenzamine
phentolamine |
|
main alpha 1 antagonists?
|
prazosin
doxazosin terazosin tamsulosin |
|
what drug is used in treatment of peripheral vascular disease?
|
phenoxybenzamine
|
|
what drug is used to diagnose pheochromocytoma?
|
phentolamine
|
|
beta 1 agonists?
|
dopamine, dobutamine,
|
|
mixed beta agonists?
|
isoproterenol
ephedrine Ep |
|
what drug is used to relieve dysmenorrhea?
|
ephedrine
|
|
what drug causes a fall in BP with a rise in HR and CO?
|
isoproterenol
|
|
which drug is used in shock to carefully increase sympathetic activity?
|
dopamine
|
|
which drug is used in heart failure to avoid hypertension?
|
dobutamine
|
|
what are the main beta 2 agonists?
|
metaproterenol
turbutaline albuterol salmeterol ritodrine |
|
what drug is used for management of premature labor?
|
ritodrine
|
|
what is the most selective beta 2 agonist?
|
salmeterol
|
|
main beta blockers?
|
propranolol
pindolol timolol labetalol carvedilol |
|
contraindications of propranolol?
|
asthma, peripheral vascular disease and insulin dependent DM
|
|
beta blocker with partial agonist activity and low rebound affect?
|
pindolol
|
|
drug used in prevention of reinfarction?
|
timolol
|
|
beta-blocker used in heart failure?
|
carvedilol
|
|
drug used in treating hypertension of pheochromocytoma and hypertensive crisis?
|
labetalol
|
|
main beta 1 blockers?
|
metoprolol
atenolol acebutolol |
|
drug used to treat hypertension in patients with asthma, insulin dependent DM and peripheral vascular disease?
|
metoprolol
|
|
contraindication of metoprolol?
|
congestive heart failure
|
|
drug used once a day for hypertension?
|
atenolol
|
|
sites of nicotinic receptors?
|
NMJ
adrenal medulla sym. and para ganglion |
|
main muscarinic agonists?
|
bethanechol
carbachol methacholine muscarine pilocarpine |
|
what drug is used to selectively contract the bladder and GI tract?
|
bethanechol
|
|
what drug is used to test for asthma and why?
|
methacholine- hyperactivity of bronchioles
|
|
what drug is used to treat glaucoma?
|
pilocarpine- unblocks trabeculae
|
|
what are the main muscarinic antagonists?
|
atropine
scopolamine |
|
anti-parkinsonism drugs?
|
trihexyphenidyl HCL
Benztropine Mesylate |
|
most important use of NMJ blockers?
|
muscle relaxation during surgical anesthesia
|
|
main anticholinesterases?
|
neostigmine
pyridostigmine edrophonium |
|
NMJ antagonists?
|
curare
succinylcholine |
|
what is the main nicotinic antagonist?
|
mecamylamine
|
|
what drug is used to treat atropine poisoning?
|
physostigmine
|
|
which drug blocks the activity of tyrosine hydroxylase and is used to control pheochromocytoma?
|
alpha-methyltyrosine
|
|
which drugs decrease sympathetic outflow by stimulating alpha two receptors at the vasomotor center?
|
alpha methyldopa
clonidine guanabenz |
|
what is administered with L dopa to decrease the sympathetic side effects by inhibiting AAAD?
|
carbidopa
|
|
which drugs are used to displace NE from stored pools?
|
amphetamine
tyramine |
|
which drug works gradually to decrease BP by blocking NE vesicular uptake and is contraindicated in depressed patients?
|
reserpine
|
|
which drug competes for NE storage sites and causes an initial rise in BP due to NE displacement?
|
guanethidine
|
|
which reuptake inhibitor works selectively for NE?
|
desipramine
|
|
which reuptake inhibitor works selectively for DA?
|
buproprion
|
|
which monoamine does amitriptyline work most for?
|
5HT>NE
|
|
which monoamine does nortriptyline work most for?
|
NE>5HT
|
|
what is the irreversible MAO inhibitor?
|
phenelzine
|
|
what is the reversible MAO inhibitor?
|
tranylcypromine
|
|
which drug works selectively to inhibit MAO B to battle Parkinson's?
|
selegiline (deprenyl)
|
|
characteristics of curare?
|
poorly absorbed, no BBB
urinary excretion histamine release long acting |
|
characteristics of pancuronium?
|
5X potency of curare
urinary excretion little histamine release blocks M2- tachycardia |
|
which NMJ blocker is spontaneously broken down in plasma, and whose breakdown product make cause seizures?
|
atracurium
|
|
which NMJ blocker is 10 more potent that curare, is metabolized by the liver and does not release histamine?
|
vecuronium
|
|
characteristics of mivacurium?
|
short duration of action
cholinesterase metabolism like curare, but short action |
|
which NMJ blocker has the most rapid onset, and is preferred anesthetic if succinylcholine is not desired?
|
rocuronium
|
|
characteristics of succinylcholine?
|
rapid onset and short DOA
hydrolyzed by cholinesterase little histamine release K release- hyperkalemia hyperthermia- increase Ca release increase intraocular P |
|
contraindication of succinylcholine?
|
low cholinesterase levels- apnea
|
|
what are the Na channel blocker toxins and where do they come from?
|
tetrodotoxin- puffer fish
saxitoxin- dinoflagellates |
|
which toxin causes Na influx with initial hypermovement and eventual paralysis?
|
batrachotoxin
|
|
characteristics of alpha bungarotoxin?
|
curare analog
found in asian snake muscle weakness and paralysis |
|
which toxin causes an ACh release blockade and what are the effects?
|
botulinum toxin
absence of muscarinic action loss of tone, fatigue and paralysis respiratory arrest |
|
which toxins cause an ACh flood with excess muscarinic action and skeletal muscle hyperactivity?
|
latrotoxin- black widow
beta-bungarotoxin |
|
which drug is an anticholinesterase with direct stimulating action on skeletal muscle use in myasthenia gravis?
|
neostigmine
|
|
effects of pentolinium?
|
fall in BP
increase in HR reduced GI motility and tone |
|
what drug causes an epi-reversal?
|
phentolamine- alpha blocker
|