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Details

sympathomimetics
Epi, Albuterol, Cocain, pseudophedrine
11
Medical
Graduate
01/19/2013

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Cards

Term
Epinephrine
Definition
A) Bronchospasm via B2
B)Cardio resusitation (B1)
C)prolong duration of local anestetics and reduce blood flow (A1)

Toxicity increases arrythmia via K
Increase BP
Avoid tricyclic antidepressants, Cocaine, Beta Blockers
Term
Dopamine
Definition
B1 receptor agonist
Given IV, has a short T1/2

Increases Renal BF (urine)
Increase CO (+ ionotrope)
Increase a1 vascular resistance

side effects arrythima, o2 consumption increase PVR

used for cardiogenic shock, acute HF
force without rate
Term
Dobutamine
Definition
B1 receptor agonist

positive ionotrope
B2 vasodilation of vascular smooth muscle

Increases CO, decreases vasc. resist

Same uses/side effects as dopamine
force without rate
Term
Milrinone
Definition
-PDE agonist (prevents cAMP breakdown)

Increase in Vasodilation
Decrease in PVR

No tolerance developes

used in acute HR

Side effects include thrombcytopenia and arrythmia
Term
Albuterol
Definition
B2 agonist used in treatment of asthma like problems

Also used to stop labor
Term
pseudophedrine
Definition
Cough and cold preparations and nasal decongestants via alpha 1

hypertension, BPH, ischemic heart disease, glaucoma or
hyperthyroidism should not use pseudoephedrine

elevated blood pressure,restlessness and convulsions

Children under four should not receive this drug
Children under 12 should not be given the 12 hr sustained release
preparation.
MAO-inhibitors, tricyclic
antidepressants, amphetamine or amphetamine-like
Term
Cocaine, Amphetamine, Amphetamine-like drugs and Tricyclic antidepressants
Definition
These drugs can block the synaptic transporters for norepinephrine (NET).

To varying degrees, they can also block dopamine (DAT) and serotonin (SERT)
transporters

Amphetamine and amphetamine-like drugs can also promote the release of
endogenous neurotransmitters
Term
amitriptyline
Definition
tricyclic antidepressants
Term
Cocaine as a theraputic
Definition
It does have limited use as a local anesthetic and vasoconstrictor in specialized surgical

extremely cardiotoxic
procedures of the oral, laryngeal and nasal cavities.

This local anesthetic action is due to its ability to block Na-channels and not to effects on
monoamine transporters

euphoria is thought to be due to a blockade of
dopamine uptake (blockade of the DAT).
Term
Adderall, Methylphenidate, Focalin (potent isomer of methyphnidate)
Definition
appetite suppression
narcolepsy
ADHD
Term
a/b receptor types
Definition
b1 = equal iso/epi, low ne (heart,kidney,fat)
b2 = equal iso epi, high ne
(airways)


a1 = bv vasoconstriction
higher all esp isoproteneol
a2 = autoregultion stop release ne

little b = relax via b2, alot in constrict via alpha1
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