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Cardio Cholinergics
Just Cholinergic Drugs
23
English
Pre-School
05/11/2009

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Cards

Term
Nicotine: target
Definition
nicotinic cholinergic receptor
Term
Nicotine: Pharmacologic effects
Definition
Autonomic ganglia stimulations: PANS-GI (salivation, diarrhea, cramping), SANS-CV (increased HR, BP); adrenal medulla SANS stimulation (catecholamine release); CNS stimulation (confusion, tremors, seisures); skeletal NMJ stimulation then depolarizing blockade
Term
Nicotine: problems
Definition
lack of specificity, toxicity, addictive
Term
Nicotine: uses
Definition
smoking cessation, dementias?, chronic pain?
Term
Varenicline: target
Definition
neuronal nicotinic receptor
Term
Nicotine: mechanism
Definition
agonist
Term
Varenicline: mechanism
Definition
partial agonist
Term
Varenicline: pharmacologic effects
Definition
1) provides dopaminergic tone to limit craving and withdrawal in the absence of nicotine. 2) attenuates dopaminergic response to nicotine in CNS
Term
Varenicline: adverse effects
Definition
headache, nausea, exacerbation of psychiatric illness
Term
Varenicline: uses
Definition
smoking cessation
Term
Muscarinic agonist: uses
Definition
Glaucoma, Non-obstructive GI ileus, bladder atony, Sjogren's syndrome (dry mouth, dry eyes)
Term
Muscarinic agonist: iris, ciliary, SA, atria, AV, ventricles, veins, arteries, bronchial muscle, bronichial glands, GI motility, GI sphincters, GI secretions, detrusor, sphincter, glands
Definition
contraction, contraction, decreased rate, decrease contractility, decrease conduction, decrease contractile strength, dilation, dilation, contraction, stimulation, increase, relaxation, stimulation, contraction, relaxation, secretion
Term
Muscarinic agonist: adverse effects
Definition
hypotension (CAD), atrial reentry arrhythmias (decreased ERP), bronchoconstriction, increased acid production (peptic acid disease)
Term
Anti-AChE: classes
Definition
Reversible (Edrophonium, Neostigmine), Irreversible (Organophosphates)
Term
Edrophonium: mechanism
Definition
transient AChE anionic site binding
Term
Neostigmine: mechanism
Definition
carbamylates AChE-->stabilization, reversible
Term
Organophosphates: mechanism
Definition
phosphorylated AChE is stabile; irreversible
Term
Anti-AChE: uses
Definition
Nicotinic synapse stimulation (myasthenia gravis, reversal of curare); Muscarinic synapse stimulation (GI, GU, glaucoma)
Term
Anti-AChE: adverse effects
Definition
DUMBBLESS: Diarrhea, urination, miosis, bradycardia, bronchoconstriction, excitation of skeletal muscle/CNS, sweating, salivation,
Term
Pralidoxime: target
Definition
phosphorylated AChE
Term
Pralidoxime: mechanism
Definition
reacts with phosphoryl group, regenerating active enzyme (must be administered before it ages or it stablilizes enzyme)
Term
Pralidoxime: Pharmacokinetics
Definition
does not enter CNS because of + charge
Term
Pralidoxime: uses
Definition
organophosphate poisoning
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