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62 Cards in this Set
- Front
- Back
Alpha-1 Receptors
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Post-Synaptic constriction of vascular smooth and dilation of pupil GTP activates PLC causing IP3 and DAG
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Beta-1 Receptors
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Myocardium of heart excites
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Beta-2 Receptors
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Vascular and Bronchial relaxation smooth muscle also some heart
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Beta-3 Receptors
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Adipose tissue breaks down
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Phenoxbenzamine
-Mechanism |
Irreversible Non-Selective Alpha Blockers
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Phenoxybenzamine
-Application |
Pheochromocytoma (use it before removing tumor because high levels of released catecholamines will not be able to overcome blockage)
Non-selective Alpha Blockers |
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Phenoxbenzamine
-Toxcity |
Alpha blocker so causes hypotension and reflex tachycardia
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Phentolamine
-Mechanism |
Reversible Alpha Blockers
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Prazosin, doxasin
-Mechanism |
Alpha-1 Selective Blockers
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Terazosin
-Application |
Hypertension, urinary retention in BPH
alpha 1 antagonist |
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Mirtazapine
-Mechanism |
Alpha-2 blockers
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Mirtazapine
-Application |
Depression
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Carvedilol
-Mechanism |
Nonselective Alpha and Beta antagonist
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Labetalol
-Mechanism |
Nonselective Alpha and Beta antagonist
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Acebutolol
-Mechanism |
Beta-1 selective antagonist (b1>b2)
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Metoprolol
-Mechanism |
Beta-1 selective antagonist (b1>b2)
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Atenolol
-Mechanism |
Beta-1 selective antagonist (b1>b2)
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Esmolol
-Mechanism |
Beta-1 selective antagonist (b1>b2) (short acting)
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Betaxolol
-Mechanism |
Beta-1 selective antagonist (b1>b2)
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Propranolol
-Mechanism |
Nonselective Beta antagonists (b1=b2)
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Mirtazapine
-Mechanism |
Alpha-2 blockers
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Mirtazapine
-Application |
Depression
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Carvedilol
-Mechanism |
Nonselective Alpha and Beta antagonist
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Labetalol
-Mechanism |
Nonselective Alpha and Beta antagonist
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Acebutolol
-Mechanism |
Beta-1 selective antagonist (b1>b2)
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Metoprolol
-Mechanism |
Beta-1 selective antagonist (b1>b2)
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Atenolol
-Mechanism |
Beta-1 selective antagonist (b1>b2)
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Esmolol
-Mechanism |
Beta-1 selective antagonist (b1>b2) (short acting)
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Betaxolol
-Mechanism |
Beta-1 selective antagonist (b1>b2)
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Propranolol
-Mechanism |
Beta non selective antagonist (b1=b2)
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Timolol
-Mechanism |
Nonselective Beta antagonists (b1=b2)
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Nadolol
-Mechanism |
Nonselective Beta antagonists (b1=b2)
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Labetalol
-Mechanism |
Nonselective Beta antagonists (b1=b2)
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Pindolol
-Mechanism |
Nonselective Beta antagonists (b1=b2)
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Beta Blockers
-toxicity (5) |
Watch out in diabetics, impotence, exacerbates Asthma, Cardiovascular effects (bradycardia, CHF, AV block), CNS adverse effects (sedation, sleep alterations)
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Beta-Blockers used in Hypertension because
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Hypertension--> decrease CO and renin secretion
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Beta-blockers used in Angina because...
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Decrease R and contractility resulting in less oxygen consumption
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Beta-blockers used in MI...
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Beta-blockers decrease mortality
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Beta-blockers used in SVT
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Decrease av conduction velocity class II antiarrhythmiac)
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Beta-blockers used in CHF
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slow progression of chronic failure
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Which beta-blocker used in Glaucoma and why?
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Timolol decreases secretion of aqueous humor
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Terbutaline
-Mechanism |
Selective B2 agonists
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Salmeterol
-Mechanism |
Selective b2 agonists
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Albuterol
-Mechanism |
Selective b2 agonists
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Metaproterenol
-Mechanism |
Selective b2 agonists
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Epinephrine
-Mechanism |
Alpha and Beta agonist at low doses selective for Beta-1
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Epinephrine
-Application |
Anaphylaxis, glaucoma (open angle), asthma, hypotension
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Norepinephrine
-Mechanism |
alpha-1, alpha-2>beta-1
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Norepinephrine
-Application |
Hypotension (but decrease renal perfusion)
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Isoproterenol
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Beta1=beta2 agonists
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Dopamine
-Mechanism |
D1=D2>b>alpha inotropic and chronotropic
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Dobutamine
-Mechanism |
B1>b2 Inotropic (weakens force of muscular contraction) but not chronotropic (doesn't change heart rate)
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Phenylepinephrine
-Mechanism |
Alpha-1>alpha-2
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Phenylepinephrine
-Application |
Pupil Dilation, vasoconstriction, nasal congestion
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Terbutaline
-Application |
reduces uterine contraction beta-2 agonist
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Ritodrine
-Application |
Reduces uterine contractions (Beta-2 agonists)
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Clonidine
-Mechanism |
Alpha-2 agonists, decreases central adrenergic outflow
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Clonidine
-Applications |
Hypertension especially with renal disease (no decrease in blood flow to kidney) Alpha-2 Agonist
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Alpha-Methyldopa
-Mechanism |
Alpha-2 agonists, decreases central adrenergic outflow
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Cocaine
-Mechanism |
Indirect general agonists, uptake inhibitor
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Amphetamine
-mechanism |
Indirect general agonist, release stored catecholamines
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Ephedrine
-Mechanism |
Indirect general agonist, release stored catecholamines
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