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Pharmacology Block 1
Drug/Miscellaneous
46
Medical
Graduate
01/20/2008

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Cards

Term
norepinephrine
Definition
i.v. administration b/c catecholamine highly metabolized; low amt to CNS
Term
epinephrine
Definition
affects dose dependent; i.v. administration b/c catecholamine highly metabolized; low amt to CNS
Term
isoproterenol
Definition
i.v. administration b/c catecholamine highly metabolized; low amt to CNS
Term
dopamine
Definition
affects dose dependent; i.v. administration b/c catecholamine highly metabolized; gets to CNS
Term
dobutamine
Definition
i.v. administration b/c catecholamine highly metabolized
Term
methyldopa
Definition
oral admin; in CNS produrg metabolized to methyldopamine and methylnorepinephrine
Term
phenylephrine
Definition
i.v. administrations even though non-catecholamine agonist
Term
ritodrine
Definition
i.v. administration initially, oral thereafter
Term
albuterol
Definition
even though inhaled, my have systemic affect of HR increase
Term
terbutaline
Definition
even though inhaled, my have systemic affect of HR increase
Term
cocaine
Definition
some tricyclic anti-depressants do this too
Term
tyramine
Definition
important drug interaction-high levels in certain cheeses, fermented sausages, wines, and beer; if on an MAO inhibitor may have HTN crisis
Term
amphetamine
Definition
potent CNS stimulant; methamphetamine even more potent
Term
ephedrine
Definition
has wide spread adrenergic affects so now use more selective ß2 agonist
Term
pseudoephedrine
Definition
not for asthmatics; OTC - pseudophed
Term
guanethidine
Definition
not cross BBB; SE - diarrhea, orthostatic hypotension, sexual dysfunction; drug interactions with cocaine and tricyclic antidepressants b/c block UPTAKE 1
Term
reserpine
Definition
old Chinese herbal remedy; does cross BBB so major SE - depression and suicidal tendencies b/c interferes with serotonin; also causes diarrhea
Term
phenoxy-benzamine
Definition
SE - tachycardia, salt/water retention, orthostatic hypotension
Term
phentolamine
Definition
SE - tachycardia, salt/water retention, orthostatic hypotension
Term
prazosin
Definition
decreases vascular tone of both arterioles and veins, decreasing both pre- and after-load; no increase in HR or CO b/c a2 not affected so less NE released to act on ß1
Term
propranolol
Definition
4-hydroxypropranolol less active metabolite; SE - bradycardia, hypotension, bronchospasm (not for asthmatics), hypoglycemia (not for DM), low CO (not for CHF)
Term
timolol
Definition
small amount absorbed systemically so use with caution in heart dz pt
Term
metoprolol
Definition
SE - less bronchoconstriction (still not recommended for asthmatics
Term
esmolol
Definition
quickly metabolized by plasma esterases in RBCs
Term
bethanechol
Definition
don't use if obstructed; never i.v. b/c NO release and massive vasodilation; contraindications - asthma, CHF, peptic ulcer
Term
pilocarpine
Definition
never i.v. b/c NO release and massive vasodilation; contraindications - asthma, CHF, peptic ulcer
Term
sarin
Definition
toxicity - remove source of poisoning, maintain patent airway, atropine primary anecdote, pralidoxime anecdote
Term
parathion
Definition
toxicity - remove source of poisoning, maintain patent airway, atropine primary anecdote, pralidoxime anecdote
Term
echothiophate
Definition
toxicity - remove source of poisoning, maintain patent airway, atropine primary anecdote, pralidoxime anecdote
Term
pralidoxime
Definition
does not cross BBB, needs to be administered quickly b/c enzyme is quickly unfolded and degraded
Term
atropine
Definition
SE - no sweating or salivation, cutaneous vasodilation, mydriasis, CNS affects; contraindications - glaucoma, prostatic hypertrophy, tachycardia
Term
scopolamine
Definition
SE - no sweating or salivation, cutaneous vasodilation, mydriasis, CNS affects; contraindications - glaucoma, prostatic hypertrophy, tachycardia
Term
ipratropium
Definition
SE - no sweating or salivation, cutaneous vasodilation, mydriasis, CNS affects; contraindications - glaucoma, prostatic hypertrophy, tachycardia
Term
trimethaphan
Definition
blocks predominant tone (SNS or PNS)
Term
mivacurium
Definition
short duration of action b/c metabolized by pseudocholinesterases in serum, not acetylcholinesterase; slight decrease in BP and increase iin HR d/t small histamine release
Term
atracurium
Definition
medium duration of action; metabolized in liver and excreted by kidney; minimal CV or histamine releasing affects
Term
vecuronium
Definition
medium duration of action; metabolized in liver and excreted by kidney; minimal CV or histamine releasing affects
Term
pancuronium
Definition
long duration of action; slight increase in HR and BP d/t slight histamine release
Term
succinylcholine
Definition
metabolized by pseudocholinesterase so ultra-short duration of action (genetic polymorphisms)
Term
lysergic acid diethylamide
Definition
(LSD)
Term
sumatriptan
Definition
5-HT1D receptor is on cerebral blood vessels; not prevention of headaches; SE - nausea, vomiting, angina, dizziness, flushing
Term
tegaserod
Definition
females only; not safe for males
Term
fluoxetine
Definition
SE - sexual dysfunction, nausea
Term
phenelzine
Definition
SE - HTN crisis b/c also blocks NE metabolism
Term
ondansetron
Definition
i.v. or oral
Term
alosetron
Definition
only as a last resort to non-responders to other Tx; can produce severe GI adverse affects
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