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28 Cards in this Set

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  • Back
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epinephrine
alpha1>alpha2>beta1>beta2
low dose is selective for beta 1
anaphylaxis, glaucoma, asthma, hypotension
NE
alpha1&2>beta 1
hypotension
isoproterenol
beta selectivity
AV block
dopamine
d1&2>bet>alpha; inotropic and chronotropic
shock and heart failure
dobutamine
beta1>beta2; only inotropic
heart failure, cardiac stress testing
phenylephrine
alpha1>alpha2
pupillary dilation, vasoconstriction, nasal decongestant
metaproterenol
selective beta2 agonist
acute asthma
albuterol
selective beta2 agonist
acute asthma
salmeterol
selective beta2 agonist
long term treatment for asthma
tertbutaline
selective beta2 agonist
reduce premature contractions
amphetamine
indirect general agonist, releases stored catecholamines
narcolepsy, obesity, ADD
ephedrine
indirect general agonist, releases stored catecholamines
nasal decongestion, urinary incontinence, hypotension
cocaine
indirect general agonist, uptake inhibitor
causes vasoconstriction and local anesthesia
clonidine
centrally acting alpha 2 agonist, decreases central adrenergic outflow
hypertension, especially with renal dz (does not decrease blood flow to kidneys)
alpha-methyldopa
centrally acting alpha 2 agonist, decreases central adrenergic outflow
hypertension, especially with renal dz (does not decrease blood flow to kidneys)
Phenoxybenzamine
irreversible alpha blocker
Use: Pheochromocytoma before surgery

Toxicity: orthostatic hypotension, reflex tachycardia
phentolamine
reversible alpha blocker
Use: Pheochromocytoma before surgery

Toxicity: orthostatic hypotension, reflex tachycardia
prazosin, terazosin, doxazosin
selective alpha 1 blocker
Use: hypertension, urinary retention in BPH

Toxicity: 1st dose orthostatic hypotension, dizziness, H/A
mirtazapine
selective alpha 2 blocker
Use: depression

Toxicity: sedation, increase serum cholesterol, increase appetite
acebutolol
beta 1 selective blocker, partial agonist
Use:
HTN: decrease CO and renin secretion
Angina: decrease HR and contractility
MI: decrease mortality
CHF: slow progession

Toxicity: Impotence, exacerbation of asthma, bradycardia, AV block, CHF; sedation, sleep alterations; use cautiously with diabetics
betaxolol
beta 1 selective blocker
Use:
HTN: decrease CO and renin secretion
Angina: decrease HR and contractility
MI: decrease mortality
CHF: slow progession

Toxicity: Impotence, exacerbation of asthma, bradycardia, AV block, CHF; sedation, sleep alterations; use cautiously with diabetics
esmolol
beta 1 selective blocker, short acting
Use:
HTN: decrease CO and renin secretion
Angina: decrease HR and contractility
MI: decrease mortality
CHF: slow progession
SVT: decrease AV conduction velocity (class II)

Toxicity: Impotence, exacerbation of asthma, bradycardia, AV block, CHF; sedation, sleep alterations; use cautiously with diabetics
metoprolol
beta 1 selective blocker
Use:
HTN: decrease CO and renin secretion
Angina: decrease HR and contractility
MI: decrease mortality
CHF: slow progession

Toxicity: Impotence, exacerbation of asthma, bradycardia, AV block, CHF; sedation, sleep alterations; use cautiously with diabetics
propanolol
non-selective beta blocker
Use:
HTN: decrease CO and renin secretion
Angina: decrease HR and contractility
MI: decrease mortality
CHF: slow progession
SVT: decrease AV conduction velocity (class II)

Toxicity: Impotence, exacerbation of asthma, bradycardia, AV block, CHF; sedation, sleep alterations; use cautiously with diabetics
timolol
non-selective beta blocker
Use:
HTN: decrease CO and renin secretion
Angina: decrease HR and contractility
MI: decrease mortality
CHF: slow progession
Glaucoma: decrease production of aqueous humor

Toxicity: Impotence, exacerbation of asthma, bradycardia, AV block, CHF; sedation, sleep alterations; use cautiously with diabetics
pindolol
non-selective beta blocker, partial agonist
Use:
HTN: decrease CO and renin secretion
Angina: decrease HR and contractility
MI: decrease mortality
CHF: slow progession

Toxicity: Impotence, exacerbation of asthma, bradycardia, AV block, CHF; sedation, sleep alterations; use cautiously with diabetics
labetalol
non-selective beta and alpha blocker
(carvedilol)
Use:
HTN: decrease CO and renin secretion
Angina: decrease HR and contractility
MI: decrease mortality
CHF: slow progession

Toxicity: Impotence, exacerbation of asthma, bradycardia, AV block, CHF; sedation, sleep alterations; use cautiously with diabetics
atenolol
selective beta 1 blocker
Use:
HTN: decrease CO and renin secretion
Angina: decrease HR and contractility
MI: decrease mortality
CHF: slow progession

Toxicity: Impotence, exacerbation of asthma, bradycardia, AV block, CHF; sedation, sleep alterations; use cautiously with diabetics