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80 Cards in this Set

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alpha 1 receptors SNS locations
alpha 1 receptors are always smooth, they are found in the veins, nasal, bladder, urethra, prostate, and eyes
alpha 1 agonist receptor effects
vasoconstriction of the veins resulting in a reflex lowering of the HR,
increases resistance to urinary outflow due to radial muscle contractions.
how the alpha 1 agonist works
alpha 1 agonist will contract the smooth muscle by releasing Ca from the sarcoplasmic reticulum,
alpha 1 agonist, effects on the nasal passage, prostate, and bladder.
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.
alpha 1 agonist contraindications
advise against use if person has high BP, or has BPH.
uses of alpha 1 agonist
used to help with acute shock and to reduce the congestion of nasal passages. the reflex of this constriction will lower HR
alpha 1 agonist drugs
midodrine,
phenylephrine neosynephrine
pheudephedrine sudafed
oxymetazoline afrin
alpha 1 agonist drug uses
increase BP, possible from shock, - midodrine
used as a decongestant, both phenylephrine (neosynephrine), pseudoephedrine (sudafed) and
oxymetazoline (afrin).
alpha 1 agonist are mostly known for being decongestants
keeping in mind contraindications, any decongestants will increase blood pressure.
alpha 1 receptors antagonist, (ants) effects
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.
alpha 1 ants contraindications
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.
alpha 1 ant uses
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
alpha 1 ant names
all alpha 1 ant names end in -zosin,
there is prazosin, terazosin, doxazosin, and alfuzosin... and of course tamsulosin.
prazosin
terazosin or hytrin
doxazosin or cardura
alfuzosin or uroxatral
alpha 1 ants, specilated for treating hypertension, and BPH
tamsulosin or flomax
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
labetalol and carvedilol or coreg
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?
alpha 2 receptor locations
alpha 2 receptors are found in the CNS, at the endings of the SNS, and in the eyes
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.
alpha 2 agonist negative effects
because of their positive influence on the SNS they have cause sever xerostoma.
alpha 2 agonist affect on SNS activity
by lowering SNS activity the CNS dumbs down and sedation, analgesia, as well as reduce withdrawal symptoms appear. good for treating ADHD :)
uses of alpha 2 agonist
reduce hypertension, sedation, analgesia, ADHD, assistance with detox, and lessoning glaucoma.
alpha 2 agonist drugs.
clonidine, or catapres, methyldopa, guanabenz, guanfacine or tenex, dexmedetomidine, primonidine or alphagan, and aprachonidine.
clonidine or catapres, and guanfacine
these are alpha 2 ants, they are very similar antihypertensive drugs, that are also used on kids with ADHD.
what is special about methyldopa
methyldopa is an alpha 2 agonist pro drug, once in the brain it becomes converted to alpha methly NE. remember pro drugs?
guanabenz, and dexmedetomidine
didnt talk about much... :(
brimonidine or alphagan, and apraclonidie
both have been developed into eye drops for local administration.
alpha 2 ants
will increase everything... only good in bed

..yohimbine
alpha ants
alpha 1 and alpha 2 receptors
phentolamine
and phenoxybenzylamine (irreversible covalent bonds)
uses of alpha ants
used before surgery when an adrenal medulla tumor is present because it will block the epin. sites
alpha ants , 1 and 2 effects on the HR
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.
beta 1 receptor locations
remember that you only have 1 heart, beta 1 receptors are in the heart, and a few in the kidneys.
beta 1 agonist effects
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.
contraindications of beta 1 agonist.
should be avoided when patient already has high BP.
beta 1 agonist uses.
good class to use when treating bradycardia, heart block, cardiac arrest, atrial fibrillation... use beta 1 agonist in emergences
beta 1 agonist drug.
the only beta 1 agonist is dobutamine.
dobutamine
has greater inotropic effects than chronotropic effects. meaning it will increase the strength of hearts contraction more than it increases the heart rate.
quick thoughts about Beta 1 agonist,
think dobutamine, intropic effects
beta 1 ants effects
will cause a decrease in everything from the sinus rate to the release or renin
beta 1 ants contraindications.
renin decrease will cause vaso dialation, heat will be stimulated less, and BP will be lowered.
beta 1 ants uses
to lower BP, assist with angina, and reduce ectopic beats where where depolarization is less controlled.
type of beta 1 ants drugs
acebutolol or sectral, atenolol, betaxolol, bisprolol, metoprolol, and esmolol
acebutolol or sectral
a partial beta 1 agonist, but used for its antagonist effects.
esmolol or brevibloc
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.
quick thoughts about Beta 1 ants
think atenolol, lower BP, -olol
beta 2 receptor locations.
bronchial smooth, uterine, and vascular muscle, with glucose production in skeletal, liver, and aqueous humor in the eyes
beta 2 agonist effects.
relaxation, with dilation in everything smooth, with production everywhere else.
beta 2 agonist uses,
main for the treatment of asthma, and as a baby pauser
types of beta 2 agonist drugs
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
what are the majority of beta 2 agonist used for
asthma beta 2 agonist are manly used locally for the relaxation of bronchial smooth muscle
compare albuterol to terbutaline
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.
what is the medication ritodrine used for
ritodrine is a beta 2 agonist, it is one of the few beta agonist given IV as a baby pauser. relaxes uterus
isoproterenol
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.
beta 2 ants therapeutic uses,
a reduction in aqueous humor, be careful because of asthma and hight BP
side effects of beat 2 ants
include boncho constriction, as well as decreases in glucose production, these medications would be bad for a diabetic, hypoglycemic asthmatic
non selective beta ants
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.
type of beta ants
these drugs commonly end in -olol
propanolol or (inderal)
nadolol
pindolol
sotalol
timolol
levobutanolol
beta ants quick thoughts
think -olol, as well as broncho constriction.
albuterol
beta 2 agonist
bitolterol or tornalate
beta 2 agonist
formoterol or foradil
beta 2 agonist
isoetharine
beta 2 agonist
levabuterol or xopenex
beta 2 agonist
metaproterenol or alupent
beta 2 agonist
pributerol or maxair
beta 2 agonist
salmeterol or servent
beta 2 agonist
terbutaline
beta 2 agonist
ratodrine
beta 2 agonist
midodrine
alpha 1 agonist
oxymetazoline or afrin
alpha 1 agonist
propanolol
non selectiveabeta ants.
nadolol
non selectiveabeta ants.
pindolol
non selectiveabeta ants.
sotalol
non selectiveabeta ants.
timolol
non selectiveabeta ants.
levobutanolol
non selectiveabeta ants.
prazosin
alpha 1 ant
terazosin
alpha 1 ant
doxazosin
alpha 1 ant
alfuzosin
alpha 1 ant
tamulosin
alpha 1 ant