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Pharm Test 1- ANS Drugs
n/a
36
Nursing
Undergraduate 4
02/04/2010

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Cards

Term
SNS "Speeds":
___ Nerves: Dilates pupils, inhibits salivation, increases HR, bronchodilation, inhibits digestion, release glucose

___ Nerves: Secretes epi/norepinephrine, relaxes bladder, inhibits sex organs
Definition
Thoracic; Lumbar
Term
PNS "Peace":
___ Nerves: Constricts pupils, stimulates saliva, bronchoconstriction, lowers HR, increases digestion and gallbladder

___ Nerves: Contracts bladder, stimulates sex organs
Definition
Cranial; Sacral
Term
Adrenaline always has to do with ___.

Cholinergic always has to do with ___.
Definition
SNS

PNS
Term
The primary neurotransmitter of the PNS is ___.

The primary neurotransmitters of the SNS are ___, ___, and ___.
Definition
Acetylcholine

Norepineprhine, Epineprhine, Dopamine
Term
"Can't see, pee, sit, or sh**" refers to ____.
Definition
Anticholinergics (Muscarinic blockers)
Term
Acetycholine is an example of a __1__ neurotransmitter. __2__ destroys Ach.
Definition
1. PNS
2. Acetylcholinesterase
Term
What is an example of an SNS neurotransmitter that comes in 2 forms? What are these forms?
Definition
Norepinephrine; Alpha and beta
Term
What destroys norepinephrine?
Definition
Monoamine Oxidase or COMT
Term
What cholinergic receptor works at the synapse?

What cholinergic receptor works at the target tissue?
Definition
1. Nicotinic
2. Muscarinic
Term
Sympthomimetics:

1. ___ Heart Rate

2. ____ Bronchial Passages

3.Release _____
Definition
1. Increase heart rate
2. Open bronchiole passages
3. Release Glucose
Term
Sympathomimetics can create what 3 problems?
Definition
Shock, asthma, HTN
Term
Name 6 sympathomimetics
Definition
Albuterol
Salmeterol
Dobutamine
Dopamine
Epinephrine
Norepinephrine
Phenylephrine

A Speedy Day Does Not End Peacfully
Term
Albuterol works at the ____ receptor and is used for ____.
Definition
Beta 2
Asthma

*Sympathomimetic
Term
Salmeterol works at the ____ receptor and is used for ____.
Definition
Beta 2
Asthma
Term
Dobutamine works at the _____ receptor and is a ____ ____.
Definition
Beta 1
Cardiac Stimulant

*Sympathomimetic
Term
Dopamine works at the ___ and ___ receptors and is used for ____.
Definition
Alpha 1 and beta 1
Shock

*Sympathomimetic
Term
Epinephrine (Adrenaline) works on the ___ and ___ receptors and is used for ___ and ___.
Definition
Alpha and beta
Cardiac arrest and asthma

*Sympathomimetic
Term
Norepinephrine (Levophed) works on the ___ and ___ receptors and is used for ___.
Definition
Alpha 1 and beta 1
Shock

*Sympathomimetic
Term
Phenylephrine works on the ___ receptors and is used for ___ ___ and ___ ___.
Definition
Alpha
Nasal congestion and acute hypoTN

*Sympathomimetic
Term
Parasympathomimetic are also called ___ ___.
Definition
Muscarinic agonists
Term
4 Side Effects of Parasympathomimetics.
(Stimulate the PNS)

1. Increase ____ and _____

2. ____ gastric motility.

3. ____ bronchial constriction.

4. ____ heart rate.
Definition
1. Rest and digest
2. Increase gastric motility
3. Increase bronchial constriction
4. Decrease HR
Term
Name 4 indirect-acting Parasympathomimetics (Cholinesterase inhibitors). What do they do?
Definition
1. Donezepil (Aracept) helps myasthenia gravis
2. Edrophonium (Tensilon) dx's myasthenia
3. Neostigmine is used for myasthenia
4. Tacrine (Cognex) is used for Alzheimer's
Term
Anticholinergics are also called _____ ____.
Definition
Muscarinic blockers
Term
Anticholinergics:

1. ___ PNS

2. _____ pupils

3. _____ heart rate

4. Dry _____

5. Relax _____
Definition
1. Decrease
2. Dilates
3. Increases
4. Secretions
5. Bronchioles
Term
Name 6 Anticholinergics.
Definition
1. Atropine
2. Benztropine (Cogentin)
3. Dicyclomine (Bentyl)
4. Ipratropium (Atrovent)
5. Tiotropium (Spiriva)
6. Trihexyphenadyl (Artane)
Term
What are these drugs for?

1. Atropine: ___ ___ ___

2. Benztropine(cogentin): ___

3. Dicyclomine (Bentyl): ___

4. Ipratropium (Atrovent): ___

5. Tiotropium (Spiriva): ____

6. Trihexyphenidyl (Artane): ____
Definition
1. Increases HR
2. Parkinson's
3. IBS
4. Asthma
5. Asthma
6. Parkinson's
Term
Adrenergic antagonists are also called ____ ____.

They are either ____ or ____ blockers.
Definition
Sympathetic antagonists
Alpha 1 or Beta
Term
Alpha 1 blockers end in ____.

Beta blockers end in ____.
Definition
-sin

-lol
Term
Alpha 1 blockers __1___ vascular smooth muscle. Thus, they cause _____2___
Definition
1. Relax
2. Vasodilation
Term
Beta blockers have ___-like responses
Definition
PNS
Term
For parasympathomimetic (Muscarinic agonists), you always want ___ and ___ at the bedside.
Definition
Suction and Atropine
Term
How does the MOA of parasympathomimetics work on these?

*MG: Attacks the enzyme that destroys ___

*Alz: ____ Dopamine by increasing Ach

*Retention: Inhibits ____ and allows PNS to increase
Definition
*MG: Attacks the enzyme that destroys Ach

*Alz: Decreases Dopamine by increasing Ach

*Retention: Inhibits cholinesterase and allows PNS to increase
Term
How do anticholinergics helps these?
(Increases SNS)

1. Parkinson's: ___ dopamine by blocking Ach
2. Asthma: Broncho____tion
3. Bradycardia: ___ HR
4. Presurgery: Block ____ nerve impulses and stop spasms/twitching, ___ resp secretions and ___ HR caused by anesthetics
Definition
1. Parkinson's: Increase dopamine by blocking Ach
2. Asthma: Bronchodilation
3. Bradycardia: Increase HR
4. Presurgery: Block cholinergic nerve impulses and stop spasms/twitching, decreases resp secretions and low HR caused by anesthetics
Term
How do adrenergic agonists (sympathomimetics) help these?
(Increase SNS)

1. HTN: Vessels dilate bc ___ blockers relax vessels
2. Dysrhythmias: Reset contractile fibers/__ conduction
3. Angina: Block the increased __/__ and __ demand
Definition
1. HTN: Vessels dilate bc alpha blockers relax vessels
2. Dysrhythmias: Reset contractile fibers/AV conduction
3. Angina: Block the increased RR/HR and O2 demand
Term
Sympathomimetics (Adrenergic Agonists) ___ the SNS

Anticholinergics ___ the PNS, so ___ takes over.

**These both end in ___ SNS effects!**
Definition
Stimulate

Block; SNS

INCREASE SNS!
Term
Parasympathomimetics (Muscarinic/cholinesterase inhibitors) ___ the PNS

Adrenergic Antagonists ___ the SNS, so the ___ takes over.

**Both end in increased ___ effects!
Definition
Stimulate

block; PNS

INCREASED PNS EFFECTS!
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