Shared Flashcard Set

Details

Pharmacology
General 2 Adrenergic Agonist Antagonist
45
Other
Not Applicable
10/19/2007

Additional Other Flashcards

 


 

Cards

Term
What is the difference between phentolamine and phenoxybenzamine?
Definition
Phentolamine is competitive and phenoxybenzamine is noncompetitive and irreversible.
Term

What direct acting andrenergic agonist acts on alpha 1, alpha 2, beta 1, and beta 2 receptors?

Definition
epinephrine
Term
What direct acting andrenergic antagonist is used in treating asthma, POAG, anaphylactic shock, and local anaesthesia?
Definition
epinephrine
Term
What direct acting adrenergic antagonist acts on alpha 1, alpha 2, and beta 1 receptors?
Definition
norepinephrine
Term
What direct acting adrenergic antagonist is useful in the treatment of shock?
Definition

norepinphrine

Term
What two direct acting adrenergic antagonist act on the alpha 1 receptor?
Definition
phenylephrine and methoxamine
Term
What two direct acting adrenergic antagonists increase supraventricular tachycardia via vasoconstriction, is a nasal decongestant and induces mydriasis?
Definition
phenylephrine and methoxamine
Term
What direct acting andreneric agonist is alpha 2 specific and acts as a vasodilator and decreases blood pressure in hypertension?  It is a nonspecific way of treating hypertension.  It reduces sympathetic outflow from the brain so the overa
Definition
clonidine
Term
What direct acting andrenergic agonist acts specifically on Beta 1 and Beta 2 receptors causes bronchioles to dilate in asthmatics and can stimulate the heart in cardiac arrest?
Definition
isoproterenol
Term
What two adrenergic agonists are the drug of choice in the treatment of congestive heart failure, shock, and increase cardiac output in congestive heart failure?  They act at Beta 1 receptors.
Definition
dopamine
dobutamine
Term
What direct acting andrenergic agonist is used as a bronchodilator in the treatment of asthma and inhibits premature labor?  It acts on Beta 2 receptors.  It is used in inhalers (1 to 2 times a day)
Definition
Tertbutaline

Albuterol is also a good bronchodilator
Term
What direct acting andrenergic agonist acts at the beta 2 receptor more than the Beta 1 receptor and relieves bronchospasm?
Definition
metaproterenol
Term
What is the ability of the heart to contract stronger and cause an increase cardiac output and an increase stroke volume?
Definition
positive ionotropic effect
Term
What is an increase in heart rate or pulse?
Definition
a positive chronotropic effect
Term
What type of adrenoceptor causes vasocontriction, increased peripheral resistance, increased blood pressure, mydriasis, and increased closure of the internal sphincter of the bladder?
Definition
Alpha 1 receptor
Term
What type of adrenoceptor causes inhibition of norepinephrine release and inhibition of insulin release?
Definition
alpha 2
Term
What type of adrenoreceptor causes tachycardia, increased lipolysis, increased myocardial contractility, and increased release of renin?
Definition
Beta 1
Term
What type of adrenoceptor causes vasodilation, slightly decreased peripheral resistance, bronchodilation, increased muscle and liver glycogenolysis, increased release of glucagon, and relaxed uterine smooth muscle?
Definition
Beta 2
Term
What indirect acting adrenergic agonist is used in the treatment of depression, hyperactive children, and narcolepsy?
Definition
amphetamine
Term
What mixed action adrenergic agonist is used in the prophylactic Tx of asthama, and increased contractility in myasthenia gravis?
Definition
Ephedrine
Term
What do epinephrine norephinephrine, isoproterenol, and dopamine have in common?
Definition
They're catecholamines
Term
What do ephedrine, amphetamine, and phenyleprine have in common?
Definition
They're not catecholamines
Term

What is tyramine and what is its use?

Definition
Tyramine is a indirect acting andrenergic agonist.  It has no therapeutic use.
Term
If you apply an amphetamine to a patient with Horner's syndrome and the patient shows a reaction, what order neuron is the lesion?  What if he does not show a reaction?
Definition

It must be a second order neuron lesion because the axon terminal of the iris is the 3rd order neuron and it responds.  If the patient does not show a response, the lesion is of the 3rd order neuron.

Term
If a patient were to develop cysts as a side effect to echothiophate or isofluorophate, what adrenergic agonist could you treat him with?
Definition

phenylephrine

Term
What is the rapid desensitization to a pharmacologically or physiologically active substance, produced by inoculation with a series of small doses?
Definition
tachyphylaxis
Term
What percentage of people are allergic to apraclonidine?
Definition
35%
Term
What are the 3 general effects of alpha 1 antagonist?
Definition
1.  decrease blood pressure
2.  vasodilation
3.  decrease peripheral resistance
Term
How much of a difference in systolic pressure must a patient have between supine and standing positions to be considered to have orthostatic hypotension?  diastolic?
Definition
difference of 30 systolic and 50 diastolic
Term
What adrenergic antagonist is an alpha 1 and alpha 2 blocker, long lasting, and used to treat pheochromocytoma (when the adrenal release tons of catecholamines) norepi and epi receptors in an irreversible noncompetitive blockade?
Definition
phenoxybenzamine
Term
What adrenergic antagonist is an alpha 1 and alpha 2 blocker but is short lived an dused in the diagnosis of pheochromocytoma?
Definition
Phentolamine
Term
What three andrenergic antagonist are specific for alpha 1 receptors, decrease peripheral resistance and blood pressure, have little effect on cardiac output and are used in the treatment of hypertension? 
Definition

prazosin
terazosin
doxazosin

Term
What andrenergic antagonist is selective against alpha 2 receptors and used to treat impotence?
Definition
Yohimbine
Term
Which andrenergic antagonist is a a nonselective Beta 1 and Beta 2 blocker and is used in the treatment of hypertension, glaucoma, angina, myocaridal infarction, migraine, and hyperthyroidism?
Definition
Propanolol
Term
Which andrenergic antagonist is a nonselective Beta 1 and Beta 2 blocker and is ronic open used in the treatment of hypertension and chronic open angle glaucoma?
Definition
timolol
Term
Which adrenergic antagonist is a nonselective Beta 1 and Beta 2 blocker and is used in the treatment of hypertension, anina, migraine, and has a protective effect on the myocardium?
Definition
nadolol
Term
Which 4 andrenergic antagonist is a selective Beta 1 blocker and used in the treatment of hypertension in patients with asthma (or COPD) or with diabetes mellitus and also has some intrinsic agonist activity?
Definition
Acebutolol
Atenolol
Metoprolol
Esmolol

MAAE
Term

What does it mean that pindolol and acebutolol are Beta 1 and Beta 2 adrenergic antagonists with partial agonist activity?

Definition
They inhibit the Beta 1 and Beta 2 receptors but they stimulate the sympathetic nervous system.
Term
What effect does the intrinsic sympathmimetic activity (ISA) have on the Beta 1 and Beta 2 partial agonist?
Definition
There is less of a decrease in heart rate.
Term
What andrenergic Beta 1 and Beta 2 partial agonist is used in treating hypertension with moderate bradycardia, and the treatment of diabetes mellitus?
Definition
pindolol
Term
What andrenergic antagonist blocks alpha 1, alpha 2, and beta 2 receptors, causes vasodilation, decreases blood pressure, treates hypertension especially in African Americans and pregnancy induced hypertension?
Definition
Labetalol
Term

What is special about African American hypertensive patients?

Definition
Beta blockers do not work as well
Term
Which andrenergic antagonist blocks norepinephrine reuptake and acts as a local anaesthetic?
Definition
cocaine
Term
Which andrenerigic antagonist causes a gradual decrease in blood pressure with decreased heart rate and is rarely used now to treat hypertension?
Definition
guanethidine
Term
Which andrenergic antagonist effects the neurotransmitter uptake or release, causes a gradual decrease in blood pressure, with a decreased heart rate, and is used in the treatment of hypertension?
Definition
reserpine
Supporting users have an ad free experience!