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Drugs
156
Biology
Undergraduate 4
02/24/2012

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Term
Cholinometics
Definition
Mimic ACH
Term
fooled by cholinometics
Definition
receptors not achetcholinesterase
Term
Cholingeric usage
Definition
Post ganglionic sympathetic site (M receptors)
Term
Muscarinic or Nicotinic Receptor?
Definition
Muscarinic > nicotinic
Term
Muscarinic (cholinometics)
Definition
Glaucoma (ciliary muscles
Urinary retention
Xenostomia (dry mouth bc lack of salivation, parasymapthetic)
Term
Xenostomia
Definition
Parasymapthetic. Lack of saliva.
Stimulates the M1 receptors to make more saliva.
Term
Nicotinic (cholinometics)
Definition
Stop Smoking. Peripheral not central effect.
Term
Pilocaprine (isopoto-Carpine)
Definition
N and M receptors. Used for Glaucoma.
Term
DUVOID
Definition
M receptors. Urinary retention.
M-1 --> dutrusser to contract
M-2 --> spincter to relax.
*Allows you to urinate.
Term
Nicotine
Definition
N stimulator. Bisphasic nature.
Low dosage it stimulates N-1, High dosages it inhibits N-1.
Term
Nicorette
Definition
Gum, nicotine
Term
Nicoderm
Definition
is a patch, nicotine
Term
Curare (dtc) (TUBADIL)
Definition
non-depolarizing blocker.
N-2 blocker.
Term
N-2 Blockers
Definition
muscular relaxation, used during surgery
Term
Nicotine
Definition
it can inhibit N-1 at high dosages, and activate N-1 at low dosages.
Term
Pre-Op
Definition
medication: opens and dries airways
Inhibits secretion in the GI track and respiratory track.
M-Blocker
Block M-1 or M-3, blocking the parasympathetic response.
Term
Eye Exams
Definition
Eye drops w/ muscarinic blocker. Allows light on eye without pupil constriction.
M-1 blocker (circular muscle)
Term
Bladder instability
Definition
Block muscarinic receptor (b/c they make the detrussor muscle contract and sphincter relax). More stable bladder.
If you block the M receptor this causes you NOT to urinate.
Term
Motion Sickness
Definition
central effect in the brain.
M-Blocker
Term
Irritable Bowl
Definition
Too much GI activity. Slows down perisalsis.
Blocks M receptors on gut to slow down motility.
Blocks M-1 and M-3.
Term
Bronchiospasms
Definition
asthma (bronchi contract which is parasymapthetic). This inhibits the contraction.
Blocks M-1 or M-3.
*Asthma medications could block M-1 and M-2 or also stimulate Beta-2.
Term
Atropine (Bella Donna)
Definition
Naturally occurring in plants. Pupils dilate. Controls the radial muscle of the eye (contracts).
Blocks the constriction of the pupil so the pupil dilates.
Blocks M-1.
Term
BENTYL
Definition
used of irritable bowel syndrome. Decrease GI motility.
Blocks M-1 and M-3
Term
DETROL
Definition
bladder instability.
Blocks M-1 (contracts the detrsusser) and M-2 (relax sphincter).
Term
MYDRIACYL
Definition
commonly used in eye exam.
Blocks M-1 or M-3. Eyes dilate.
Term
ATROVENT
Definition
Not a receptor blocker. Anticholinergic - ACH can still bind, but interferes with the message. Treats asthma.
Shuts down secondary messenger system.
Term
Anticholinesterases
Definition
Prolong the life of ACH (same uses as cholinomimetics)
Term
Myasthenia Gravis
Definition
autoimmune. Attacks N-2 receptors on skeletal muscle. ACH cannot bind. Leaves ACH longer in the synapse. ACH is able to continually to stimulate.
Term
Urinary retention (postoperative)
Definition
people who are post surgical. Gets bladder going after anaesthesia.
Anticholinesterases.
Term
Glaucoma
Definition
used as an anticholinesterase.
Term
Insecticide
Definition
organophosphate are anticholinesterases.
Appropriate treatment for these would be atropin.
Term
War Gases (sartin)
Definition
Prolonged parasymapthetic response.
Bronchi --> constrict
muscous --> increase
GI --> increase
*vomit and suffocate
**Anticholinesterases
Term
Physostigmine (ESERINE)
Definition
Anticholinesterases
Term
MESTINON
Definition
not a drug, it is an inseciticide.
Anticholinesterases
Term
Organophashate (inseciticide)
Definition
PARATHION
DIEAZNION
MALATHION
*All are Anticholinesterases
Term
SARTIN
Definition
Ingredient in war gases
Anticholinesterases
Term
DEMSER
Definition
blocks adrenergic neurotransmitter synthesis (tyrosine hydroxylase). Inhibits nor-epipnephrine synthesis (inhibits sympathetic stimulation.
Anti-Hypertensive
Term
ALDOMET (methyldopa)
Definition
Makes a false neurotransmitter.
Methyldopa instead of DOPA in making neurotrasmitter. You do NOT make norepinpherine you make alpha methyl-norepinpherine.
Does not excite receptor.
Term
Alpha methyl-norepipnephrine
Definition
Does NOT activate post ganglionic structure, but it will bind to Alpha-2 receptor. This will shut off adrengeric neurons. Anti-Hypertensive
Term
ISMELIN
Definition
Blocks release of Neurotransmitter during action potential.
Anti-Hypertensive
Term
Amphetamines
Give two examples as well.
Definition
displacement of neurotrasmitters, even during action potential.
Ie. DEXADRINE & EPHEDRINE
Term
DEXADRINE
Definition
A type of Amphetamines.
Used for weight control, also helps with narcolepsy (helps people stay awake).
Term
EPHEDRINE
Definition
A type of Amphetamines.
Anti-Hypertensive
Spinal anesthesia
Term
SERPASIL
Definition
Originally a anti-hypertensive.
Inhibits nor-epipnerprine into storage granules.
More venerable to MAO.
Term
Alpha 1 Agonist Uses
Definition
effect on smooth muscle and arterioles is effected.
Treats shock. (ie. cardiovascular shock).
Anti-hypertensive
nasal decongestants (not directly)
Adjust local Anestheia (Lipocane, keeps it there longer)
Term
Phenylephrine (NEOSYNEPHRINE)
Definition
Alpha-1 Agonist.
Nasal spray.
Term
Alpha-2 Agonist Uses
Definition
Anti-hypertensive (central)
Alpha-2 inhibitory response
Term
Clonodine (CATAPRES)
Definition
Alpha-2 Agonist
Anti-hypertensive
Term
Epinephrine
Definition
Alpha 1 and alpha 2 agonist
Term
Beta Agonist (1 and 2)
Definition
Beta 1 agonist --> treatment for heart
Beta 2 agonist --> treatment for asthma
Term
Beta 1 on Heart
Definition
Increase Cardiac Output, increase force of contraction.
Good for people with cardiac-arrest and cardiogentic shock.
Term
Beta 2 on Bronchi
Definition
Beta 2 cause them to dilate and dry out.
Term
Beta 2 Agonist Labor
Definition
Delay Labor for premature babies.
Term
Isoproterenol (ISUPREL)
Definition
Beta 1 and Beta 2 agonist.
Treats shock and affects the bronchi (dilate and dry)
Term
DOBUTREX
Definition
Beta 1 agonist
Treats cardiac failure
Term
PROVENTIL (MAXAIR)
Definition
beta 2 agonist
Used for asthma
Term
YUPOTAR
Definition
Beta 2 agonist
Delay Labor
Term
Antagonist
Definition
Blockers
Term
Alpha Antagonist
Definition
Used in arterioles (vasodilation).
Generalized: Anti-hypertensive, pheochromocytoma, benign prostate hyperplasia.
Term
pheochromocytoma
Definition
adrenyal medulla has benign tumors that cause a production of too much epipneprine and nore epipnepherine. This gives them hypertension (high BP).
Alpha blockers help with this
Term
Benign Prostate Hyperplasia
Definition
older men get a bigger prostate (located by the urethra at the bladder). Difficult to urinate.
Alpha blockers help with this.
Term
Phentolamine (REGITINE)
Definition
Alpha 1 and Alpha 2 antagonist (pheochromocytoma)
Term
HYRINE
Definition
Alpha 1 antagonist. Anti-hypertensive
Term
MINIPRESS
Definition
Alpha 1 antagonist. Anti-hypertensive
Term
CARDURA
Definition
Alpha 1 antagonist. Anti-hypertensive
Term
FLOWMAX
Definition
Alpha 1 Antagonist
Treats Beta prostate hyperplasia
Term
Beta Blockers (Antognist)
Definition
Anti-hypertensive
Inhibits Beta 1 Angina on heart (slows down HR, doesn't a lot of oxygen)
Dysrthythmias
Migraine
Glaucoma (block Beta 2)
Term
Propranolol (INDERAL)
Definition
beta 1 and beat 2 blockers
Anti-hypertensive (generalized)
Term
TIMPOPTIC
Definition
Beta 1 and Beta 2 blocker
Treats Glaucoma
Term
Problems with Beta Blockers
Definition
Patient has hypertension and asthma. You want to use a beta blocker. If you give INDERAL for example, would this be a problem? Yes! This is a Anti-hypertensive but it makes asthma worse.
Term
LOPRESSOR
TENORMIN
TOPROL-XL
Definition
Beta 1 blockers
Anti-hypertensive
Term
COREG
Definition
Alpha and Beta Blocker (combination)
Alpha 1, Beta 1 and Beta 2 Blocker.
Alpha 1 --> Vasculatur dilates
Beta Blockers --> works on the heart
Term
Eye
Pupil Size
Definition
Two sets of muscle. Circular muscle that surrounds the iris. When it contracts, so does the pupil. The second muscle connects at the margins and pulls back on iris, causing dilation. Both Excitatory.
Term
Eye (Pupil)
Sympathetic
Receptor?
Definition
Alpha-1
Dilate (radial muscle)
Term
Eye (pupil)
Parasympathetic
Receptor?
Definition
M-1
Pupil constricts (circular muscle)
If inhibited, it will cause the pupil to dilate
Term
Eye (accommodation of Lens)
Muscles?
Definition
Ciliary Muscle.
Flat --> able to see far
Bulge --> able to see close
Term
Eye (accommodation of Lens)
Parasymapthetic
Definition
Causes the lens to curve
M-1 receptors
Term
Eye (accommodation of Lens)
Sympathetic
Definition
Relax the lens (flat)
Beta -2 receptor
Term
Presbyopia "elder eyes"
Definition
lens doesn't bend anymore.
Nothing wrong with ciliary muscle.
Can't see close objects
Term
Glaucoma
Definition
need to curve lens in order to drain aqueous humor.
Need to stimulate ciliary muscle
Stimulate M-1 or inhibit Beta-2
Term
Heart
Definition
Sympathetic and Parasympathetic
Term
Heart
Sympathetic
Definition
First 4 thoracic nerves
Increase HR
Increase force of contraction
Beta-1 receptors
*Overall, increase cardiac output
Term
Heart
Parasympathetic
Definition
Decrease HR (by the left vagus, which innervates the AV node and atrial musculature)
M-2 receptor
Does not effect force too much
Term
Arterioles
Definition
Between the capillaries and major blood vessels
Regulare blood flow
ONLY Sympathetic innervation
Term
Arteriole
Receptors
Definition
Alpha-1 > Beta-2 (mostly)
Alpha-1 --> smooth muscle contract (vasoconstriction)
Beta-2 --> smooth muscle relax (vasodilation)
Term
Arterioles
Exception
Definition
Arterioles supplying skeletal muscle and the heart.
More Beta-2 than alpha-1
Term
Arterioles
Sympathetic
Definition
Constriction blood vessels (not all of them)
*Does not include the exceptions
Term
Arterioles
Parasympathetic
Definition
NONE
Term
Arterioles
M-Receptors
Definition
Contain M-2 receptors that cause vasodilation.
Is not innervated by parasympathetic stimulation, turned on pharmologically
Term
Arterioles
Parasympathetic (exception)
Definition
Erectile tissue
Vasodilation
M-3 innervation
Causes a release of NO.
Term
Arterioles
Exception (skeletal muscle)
Definition
Long preganglionic sympathetic fiber that innervates M-2 receptors directly.
Vasodilation (Only works pharmologically)
Term
Lungs
Sympathetic
Definition
Bronchi Dilate, glads stop secreting mucus
Beta-2 receptors
Term
Lungs
Parasympathetic
Definition
Bronchi constrict, glands secrete mucus
M1 and M3 receptors
Term
Lung
Parasympathetic (uses)
Definition
War Gases
Asthma medication
Stimulate B-2 and inhibit M1 and M3
Term
Lacrimal and Nasopharyngeal
Definition
Lacrimal --> Tears
Nasopharyngeal --> make mucus
Term
Lacrimal and Nasopharyngeal
Sympathetic
Definition
NONE
Term
Lacrimal and Nasopharyngeal
Parasympathetic
Definition
M-1 receptors (tear and mucus secreting)
Alpha-1 inhibit these by constricting nasopharyngeal glands
Term
Neosynephrine (Pseudoephedrine)
Definition
Alpha-1 Stimulator
Cold remedy
Alpha-1 causes vasoconstriction, which reduces blood to nasopharyngeal glands and mucus secretion.
Term
Urinary Bladder
Sympathetic
Definition
Inhibits urination
Detrussor muscle relax and sphincter contract
Term
Urinary Bladder
Parasympathetic
Definition
Favors Urination
Detrussor muscle contract (M1) and sphincter relax (M2)
Term
DUVOID
Definition
M Stimulator
For people who have trouble urinating
Public urination --> sympathetic stronger
Term
Pancreas
Exocrine
Sympathetic
Definition
inhibits secretion of digestive enzyme
Term
Pancreas
Exocrine
Parasympathetic
Definition
stimulates secretion of digestive enzyme
Term
Pancreas
Endocrine
Sympathetic
Definition
inhibits insulin release
Term
Pancreas
Endocrine
Parasympathetic
Definition
Simulates insulin secretion
Term
Gastrointestinal Tract
Parasympathetic
Definition
increase motility
cause sphincters to relax
increase secretion
M1 or M3 receptors
Term
Gastrointestinal Tract
Sympathetic
Definition
inhibit motility
sphincter to contract
inhibits secretion
Term
Salivary Gland
Parasympathetic
Definition
Copios secretion
M1 and M3
Term
Salivary Gland
Sympathetic
Definition
thick secretion (minimal)
High in digestive enzymes
Term
Piloerector
Definition
cause hair to stand up (dogs)
Humans --> goose bumps or "horripilate"
Term
Piloerector
Sympathetic
Definition
Causes the hair to stand up
Helps with thermal regulation
M1 or M3
Term
Piloerector
Parasympathetic
Definition
NONE
Term
Eccrine Sweat Glands
Sympathetic
Definition
M1 receptors
allows secretion of sweat
Still sympahtetic even though they arise from T1-L3
Short pre and long post ganglionic fiber
Term
Eccrine Sweat Glands
Parasympathetic
Definition
NONE
Term
Eccrine Sweat Glands
Location
Definition
soles of feet and hands
Adrenergic receptors
Used for Thermoregulation
Term
Apocrine Sweat Glands
Location
Definition
Under arms, pigmented region of the breast, and in pubic region
Active during puberty
Not used for thermoregulation
Term
Apocrine Sweat Glands
Sympathetic
Definition
these are from the underarm
Alpha-1
Term
Apocrine Sweat Gland
Parasympathetic
Definition
NONE
Term
Penis
Sympathetic
Definition
Ejaculation
Term
Penis
Parasympathetic
Definition
erection
Term
Kidney
Definition
B-1 receptors
makes more renin
Renin increase BP (vasoconstriction)
Term
Fat
Definition
sympathetic stimulation of B receptors
increase lipolysis
Term
Nor-Epipneperine
LEVOPHED
Definition
Alpha 1 and Alpha 2 agonist
Term
Tachycardia
Definition
Rapid HR
Normal rhythm
Caused by a weaken heart
Term
Bradycardia
Definition
Slow HR
Caused: carotid atherosclerosis which stimulate baroreceptors.
Term
1st Degree Heart Block
Definition
P-R interval too long
Term
2nd degree Heart Block
Definition
too many P
All QRS have P, but not all P have QRS
Term
3rs Degree heart Block
Definition
Complete heart block
Term
Stokes-Adams Syndrome
Definition
atrioventricle block comes and goes
Ventricle has to catch up
Can cause fainting
Term
Wolf-Parkinson-White Syndrome
Definition
short circuit around the AV node and bundle
Ventricle contract prematurely
Term
Circus Movements
re-Entry
Definition
depolarize a part that was just polarized
caused by enlarged heart, damage to the conduction system
Term
Fibrillation
re-Entry
Definition
mutilate circus movements
Term
Ventrcilar Fib
Definition
fill passively
not controlled by SA node
Use paddles to pick up rhythms of SA node
Term
Atrial Fib
Definition
ventricles fill 70% w/o atria
blood doesn't leave atria and may cause clots
Term
Ectopic Foci
Definition
other areas in the heart become more depolarized than the SA node.
Numerous depolarizations prematurely.
Term
PACs
Definition
premature atrial contraction
Caused by ectopic foci
Term
PVCs
Definition
premature ventricular contractions
Ectopic Foci
caused by stress, coffee, and lack of sleep.
Term
NITROSTAT
Definition
donates NO, causes vasodilation
Decreased preload and afterload
Decrease work on heart
Orally but not swallowed
Term
NITRO-DUR
Definition
donates NO, causes vasodilation
Decreased preload and afterload
Decrease work on heart
Patch
Term
ISOPTIN
Definition
Ca channel blocker
relieves angina
decrease HR, decrease force on contraction, lessens the amount of 02 needed
Term
PROCARDIA
Definition
Ca channel blocker
relieves angina
decrease HR, decrease force on contraction, lessens the amount of 02 needed
Term
CARDIZEM
Definition
Ca channel blocker
relieves angina
decrease HR, decrease force on contraction, lessens the amount of 02 needed
Term
NORVASC
Definition
Ca channel blocker
relieves angina
decrease HR, decrease force on contraction, lessens the amount of 02 needed
Term
Antidiuretic Hormone
ADH
Definition
kidney reabsorbs water back into the blood.
increase osmolarity of blood and angiotensin II
Term
VASOTECH
Definition
ACE inhibitor
inhibits angiotensin II
Inhibits vasocontrcition
Term
ZESTRIL
Definition
ACE inhibitor
inhibits angiotensin II
Inhibits vasocontrcition
Term
ALTASE
Definition
ACE inhibitor
inhibits angiotensin II
Inhibits vasocontrcition
Term
COZAAR
Definition
angiotensin II receptor blocker
Inhibits vasocontrcition
Term
DIOVAN
Definition
angiotensin II receptor blocker
Inhibits vasocontrcition
Term
DEXTRAN
Definition
Increase pressure, by pulling fluid into the capillary from interstitial fluid.
It is a large inert molecule that can not pass through capillary wall
Term
Succinylcholine
ANECTINE
Definition
Polarizing blocker.
N-2 Blocker
Term
Trimethaphan
ARFONAD
Definition
N-1 Blocker
Term
EPIPEN
Definition
Alpha-1 agonist
Term
ALPHAGAN
Definition
Alpha-2 Agonist
decrease aqueous humor production
Term
Digoxin
LONOXIN
Definition
Inhibit transport of Ca out of the cardiac cell into the interstitial fluid
Helps with Congestive Heart Failure
Term
Duretics
Definition
reduct ECF
Helps with Congestive Heart Failure
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