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80 Cards in this Set
- Front
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alpha 1 receptors SNS locations
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alpha 1 receptors are always smooth, they are found in the veins, nasal, bladder, urethra, prostate, and eyes
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alpha 1 agonist receptor effects
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vasoconstriction of the veins resulting in a reflex lowering of the HR,
increases resistance to urinary outflow due to radial muscle contractions. |
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how the alpha 1 agonist works
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alpha 1 agonist will contract the smooth muscle by releasing Ca from the sarcoplasmic reticulum,
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alpha 1 agonist, effects on the nasal passage, prostate, and bladder.
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constriction of smooth muscle causes an increase in nasal space, however, constriction of the prostate will inhibit urine flow... alpha 1 agonist are bad for the prostate.
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alpha 1 agonist contraindications
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advise against use if person has high BP, or has BPH.
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uses of alpha 1 agonist
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used to help with acute shock and to reduce the congestion of nasal passages. the reflex of this constriction will lower HR
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alpha 1 agonist drugs
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midodrine,
phenylephrine neosynephrine pheudephedrine sudafed oxymetazoline afrin |
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alpha 1 agonist drug uses
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increase BP, possible from shock, - midodrine
used as a decongestant, both phenylephrine (neosynephrine), pseudoephedrine (sudafed) and oxymetazoline (afrin). |
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alpha 1 agonist are mostly known for being decongestants
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keeping in mind contraindications, any decongestants will increase blood pressure.
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alpha 1 receptors antagonist, (ants) effects
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alpha 1 ants will cause vasodilatation, (a reflex response will cause an increase in HR).
alpha 1 ants will also case increased nasal congestion. as well as create an increase in urine outflow. |
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alpha 1 ants contraindications
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alpha 1 ants should be avoided if patient has an increases HR. or is suffering from angina
be careful of the first dose phenomena which first time alpha 1 ants suffer from. |
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alpha 1 ant uses
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but can help in reducing BP. as well as reducing the size and pressure of the prostate. keep in mind that it may be bad for the allergies
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alpha 1 ant names
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all alpha 1 ant names end in -zosin,
there is prazosin, terazosin, doxazosin, and alfuzosin... and of course tamsulosin. |
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prazosin
terazosin or hytrin doxazosin or cardura alfuzosin or uroxatral |
alpha 1 ants, specilated for treating hypertension, and BPH
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tamsulosin or flomax
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an alpha 1 ant, but has a greater affinity for alpha 1a receptors. this allows flomax to relieve more BPH symptoms without overlay affecting the blood vessels and causing hypotension
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labetalol and carvedilol or coreg
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these two drugs are ants at the Beta 1, beta 2 and alpha 1 receptors.
they act as a combination of propanolol with prazosin. probanolol being a beta blocker and prazosin being an alpha 1 blocker. and beta blockers combined with alpha 1 blockers will have similar effects as lebatalol and carvedilol. labetalol and carvedilol are capable of lowering HR, reducing cardiac output, while also lowering peripheral resistance. which makes them very effecting at lowering BP (no reflex reactions) what will the effects of beta 2 ants be? |
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alpha 2 receptor locations
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alpha 2 receptors are found in the CNS, at the endings of the SNS, and in the eyes
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alpha 2 agonist effects
alpha 2 are a black sheep |
decrease in SNS activity, causing a decrease in blood pressure, HR, peripheral resistance, there is also a decrease in aqueous humor production.
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alpha 2 agonist negative effects
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because of their positive influence on the SNS they have cause sever xerostoma.
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alpha 2 agonist affect on SNS activity
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by lowering SNS activity the CNS dumbs down and sedation, analgesia, as well as reduce withdrawal symptoms appear. good for treating ADHD :)
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uses of alpha 2 agonist
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reduce hypertension, sedation, analgesia, ADHD, assistance with detox, and lessoning glaucoma.
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alpha 2 agonist drugs.
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clonidine, or catapres, methyldopa, guanabenz, guanfacine or tenex, dexmedetomidine, primonidine or alphagan, and aprachonidine.
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clonidine or catapres, and guanfacine
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these are alpha 2 ants, they are very similar antihypertensive drugs, that are also used on kids with ADHD.
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what is special about methyldopa
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methyldopa is an alpha 2 agonist pro drug, once in the brain it becomes converted to alpha methly NE. remember pro drugs?
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guanabenz, and dexmedetomidine
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didnt talk about much... :(
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brimonidine or alphagan, and apraclonidie
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both have been developed into eye drops for local administration.
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alpha 2 ants
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will increase everything... only good in bed
..yohimbine |
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alpha ants
alpha 1 and alpha 2 receptors |
phentolamine
and phenoxybenzylamine (irreversible covalent bonds) |
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uses of alpha ants
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used before surgery when an adrenal medulla tumor is present because it will block the epin. sites
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alpha ants , 1 and 2 effects on the HR
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alpha 1, (vasodilatation, congestion, increased urine,)
alpha 2, (increased SNS, Hr, BP, and peripheral resistance with more NE released) combined, there will be an additive increase in Hr. |
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beta 1 receptor locations
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remember that you only have 1 heart, beta 1 receptors are in the heart, and a few in the kidneys.
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beta 1 agonist effects
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increase in sinus rates throughout the heart, thus increasing HR, as well as the force of contractions.
will also increase production of renin, leading to vasoconstriction. |
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contraindications of beta 1 agonist.
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should be avoided when patient already has high BP.
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beta 1 agonist uses.
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good class to use when treating bradycardia, heart block, cardiac arrest, atrial fibrillation... use beta 1 agonist in emergences
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beta 1 agonist drug.
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the only beta 1 agonist is dobutamine.
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dobutamine
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has greater inotropic effects than chronotropic effects. meaning it will increase the strength of hearts contraction more than it increases the heart rate.
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quick thoughts about Beta 1 agonist,
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think dobutamine, intropic effects
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beta 1 ants effects
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will cause a decrease in everything from the sinus rate to the release or renin
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beta 1 ants contraindications.
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renin decrease will cause vaso dialation, heat will be stimulated less, and BP will be lowered.
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beta 1 ants uses
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to lower BP, assist with angina, and reduce ectopic beats where where depolarization is less controlled.
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type of beta 1 ants drugs
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acebutolol or sectral, atenolol, betaxolol, bisprolol, metoprolol, and esmolol
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acebutolol or sectral
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a partial beta 1 agonist, but used for its antagonist effects.
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esmolol or brevibloc
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this beta 1 agonist is very short acting and only used through IV. it is ability to lower HR, Contraction force, and BP make it great for treating acute arrhythmia's.
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quick thoughts about Beta 1 ants
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think atenolol, lower BP, -olol
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beta 2 receptor locations.
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bronchial smooth, uterine, and vascular muscle, with glucose production in skeletal, liver, and aqueous humor in the eyes
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beta 2 agonist effects.
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relaxation, with dilation in everything smooth, with production everywhere else.
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beta 2 agonist uses,
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main for the treatment of asthma, and as a baby pauser
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types of beta 2 agonist drugs
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drugs commonly end in ol,
like albuterol, bitolterol or tornalate formoterol or foradil isoetharine levalbuterol or xopenex metaproterenol or alupent pirbuterol or maxair salmeterol or serevent terbutaline ratodrine |
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what are the majority of beta 2 agonist used for
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asthma beta 2 agonist are manly used locally for the relaxation of bronchial smooth muscle
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compare albuterol to terbutaline
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renin decrease will cause vaso dialation, heat will be stimulated less, and BP will be lowered. may only be given through IV for life threatening asthma.
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what is the medication ritodrine used for
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ritodrine is a beta 2 agonist, it is one of the few beta agonist given IV as a baby pauser. relaxes uterus
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isoproterenol
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a non selective beta 2 agonist.
similar to dobutamine because they are both non selective beta agonist, but dobutamine is beta 1 and inotropic and isoproterenol is a beta 2 agonist and choronotropic. |
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beta 2 ants therapeutic uses,
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a reduction in aqueous humor, be careful because of asthma and hight BP
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side effects of beat 2 ants
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include boncho constriction, as well as decreases in glucose production, these medications would be bad for a diabetic, hypoglycemic asthmatic
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non selective beta ants
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these drugs will lead to upregualtion of the SA nodes,
beta 1 ants will basically lower everything within relation to the heart, aswell as renin release... dilation beat 2 ants will smooth muscle contraction and reduction in glucose production. |
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type of beta ants
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these drugs commonly end in -olol
propanolol or (inderal) nadolol pindolol sotalol timolol levobutanolol |
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beta ants quick thoughts
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think -olol, as well as broncho constriction.
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albuterol
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beta 2 agonist
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bitolterol or tornalate
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beta 2 agonist
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formoterol or foradil
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beta 2 agonist
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isoetharine
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beta 2 agonist
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levabuterol or xopenex
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beta 2 agonist
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metaproterenol or alupent
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beta 2 agonist
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pributerol or maxair
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beta 2 agonist
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salmeterol or servent
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beta 2 agonist
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terbutaline
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beta 2 agonist
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ratodrine
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beta 2 agonist
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midodrine
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alpha 1 agonist
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oxymetazoline or afrin
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alpha 1 agonist
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propanolol
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non selectiveabeta ants.
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nadolol
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non selectiveabeta ants.
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pindolol
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non selectiveabeta ants.
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sotalol
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non selectiveabeta ants.
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timolol
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non selectiveabeta ants.
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levobutanolol
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non selectiveabeta ants.
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prazosin
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alpha 1 ant
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terazosin
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alpha 1 ant
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doxazosin
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alpha 1 ant
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alfuzosin
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alpha 1 ant
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tamulosin
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alpha 1 ant
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