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Muscarinic Antagonists/NMJ blkrs
FA 247
21
Pharmacology
Graduate
02/26/2014

Additional Pharmacology Flashcards

 


 

Cards

Term

****

 

Remember that Muscarinic receptors are ACh receptors

 

 

 

 

Definition
Term
What are the actions of Atropine?
Definition

**Remember that Atropine is a muscarnic antagonist

 

 

EYE = increase pupil dilation, cytoplegia (paralysis of ciliary mm in the eye, leads to loss of accomodation)

 

 

AIRWAY = decrease secretions

 

Stomach = decrease acid secretion

 

Gut = decrease gut motility

 

 

Bladder = decrease urgency in cystitis

Term
You have a px with diarrhea, urination, miosis, bronchospasm, bradycardia, excitation, lacrimation, sweating, and salivation.  what drug do you give them?
Definition

The px is suffering from cholinesterase inhibitor poisoning (organophosphates)

 

 

Give them Atropine, a muscarinic antagonist that will block receptor activation

Term
What are the side effects of Atropine toxicity?
Definition

-increase body temperature (due to decreased sweating)

 

-dry, flushed skin

 

-cycloplegia (paralysis of ciliary mm, leading to loss of accomodation)

 

-disorentation/delerium

 

-increased heart rate

 

-dry mouth

Term

Benztropine

 

 

-organ system

 

-applications

Definition

Benztropine has CNS effects

 

 

-It is used to treat Parkinsons

Term
What is Benztropine used to treat?
Definition

parkinson's

 

 

Remember that it is a Muscarinic antagonist

Term

Scopolamine?

 

Organ system

 

Application

Definition

Scopolamine has CNS effects

 

 

 

Term

Ipratropium

 

 

Organ system

 

Application

Definition

affects resiratory system

 

 

used to treat COPD and asthma

 

 

"I pray I can breathe soon

Term

Oxybutynin

 

Organ system

 

Application

Definition

Genitourinary

 

Term

Darifenacin

 

Organ system

 

Application

Definition

Genitourinary

 

Reduce bladder spasm

Term

Solifenacin

 

Organ system

 

Application

Definition

Genitourinary

 

 

Reduce bladder spasm

Term
What 3 muscarinic antagonists affect the genitourinary ssytem and are used to reduce bladder spasm?
Definition

Oxybutynin

 

Darifenacin

 

Solifenacin

Term

Glycopyrrolate

 

 

Organ system

 

Application

Definition

Affects the GI and REspiratory systems

 

 

parenteral = preop use to reduce airway secretions

 

oral = reduce redrooling, treat peptic ulcer

 

 

Term

The use of Glycopyrrolate depends on how it is administered. 

 

what is the use for

 

parenteral administration

 

oral administration

Definition

parenteral = preop use to decrease airway secretions

 

 

Term
What muscarinic antagonist is used as a preop agent to reduce airway secretions?
Definition
Glycopyrrolate
Term

Tropacamide

 

Organ system

 

Application

Definition

has effects in EYE

 

Term
What drugs act as Non depolarizing Neuromuscular Blockers?
Definition

-d-Tubocurarine

 

-Pancuronium

 

-vecuronium

 

-Cisatracurium

 

-Rocuronium

 

 

any drug wtih -curarine or -curonium ending

Term
d Tubocurarine
Definition

-non depolarizing neuromuscular blocker

 

 

-causes histamine release which can lead to hypotension and bronchospasm

Term
Cisatracurium
Definition

non depolarizing neuromuscular blocker

 

-least toxic, most commonly used

Term
What is the only Depolarizing neuromuscular blocker?
Definition
Succinylcholine
Term
Succinylcholine
Definition
depolarizing neuromuscular blocker
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