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S3Final
MINI 1 Drugs
34
Pharmacology
Professional
08/15/2010

Additional Pharmacology Flashcards

 


 

Cards

Term
Epi
Definition
-ALL adrenergic receptors

-Effects: ↑systolic BP(β1), ↓Dia BP (β2),↑HR, ~TPR

Uses: Allergic reaction, Anaphylactic shock, Glaucoma, hypotension
Term
NE
Definition
-Acts on α1, α2, β1

-Effects: ↑Systolic BP(β1), ↑Diastolic BP(NO β2),↓HR, ↑TPR, REFLEX BRADYCARDIA

Uses: Hypotension, septic shock
Term
Phenylephrine
Definition
α1 agonist

Effects: ↑SysBP, ↑DiaBP, ↓HR, ↑TPR, REFLEX BRADYCARDIA)

Uses: Pupillarydilation, nasal decongestant, rebound congestion
Term
Clonidine
Definition
-α2 agonist

-Effects: ↓BP, sedation, analgesia, ↓aqueous humor production

-A/E: hypertensive crisis (upon sudden withdrawal), xerostomia, sexual dysfunction

-Uses: Open angle glaucoma (Apraclonidine), hypertension, DOA withdrawl
Term
Isoproterenol
Definition
-β receptor agonist

-Effects: ↑SysBP (due to ↑contractility), ↓DiaBP, ↑↑HR, ↓TPR, REFLEX TACHYCARDIA

-Uses: AV Block, torsade de pointes
Term
Albuterol/Salmeterol (Longer acting)
Definition
-β2 receptor agonist

-Effects: Bronchodilation, enhanced mucociliary clearance

-Uses: COPD, Asthma, Hyperkalemia, premature labor
Term
Dopamine
Definition
-Acts on:
D1(low doses)
β1(intermediate doses)
α1(high doses)

-Effects: Renal vasodilation, increased Cardiac output

-Uses: Cardiogenic shock w/ poor renal perfusion
Term
Dobutamine
Definition
-β1 receptor agonist

-Effects: ↑Contractility/Conduction of heart

-Uses: Cardiogenic Shock
Term
Phenoxybenzamine
Definition
-Irreversibly Blocks α1 and α2receptors

-Effects: ↓HR, ↓TPR

-Use: Pheochromocytoma (first treatment, then use β‐blockers)
Term
Prazosin
Definition
-α1 blocker

-Effects: Vasodilation,

-Adverse Effect: postural hypotension (first dose syncope), sexual dysfunction

-Uses: Overflow continence (internal sphincter), Raynaud’s dz, BPH (Tamsulosin –relaxes prostatic capsule)
Term
β‐blockers
Definition
General Effects: ↓Contractility/CO, ↓ aqueous humor production, hypoglycemia

A/E: Sexual dysfunction

Contraindications: Diabetes, Asthma, Depression, Elderly,

Uses: hypertension, open‐angle glaucoma (timolol), Migraine/Panic Attack (situational anxiety)
Term
Propanolol
Definition
Non‐Selective BETA BLOCKER
Term
what are the SELECTIVE beta 1 blockers?
Definition
1‐BEAM (Betaxolol, Esmolol, Atenolol, Metoprolol)
Term
Labetalol
Definition
-Partial Agonist at β receptors
-α1 antagonist
-used in Congestive Heart Failure
Term
Carvedilol
Definition
-Antagonist at α1and βreceptors
-used in CHF
Term
Amphetamines
Definition
Releases stored catecholamines
Term
Cocaine
Definition
Prevents NE reuptake
-↑ Sympathetic NS
Term
Ephedrine
Definition
Like Epi, but longer (>2 min) and less potent
*used for nasal drops
Term
Methyldopa
Definition
Converts in methyl‐NEP
–agonist at α2receptors
Term
Tyramine
Definition
-Releases NE in the synapse
-can cause hypertensive crisis when used with MAOi
Term
Metyrosine
Definition
blocks TYROSINE HYDROXYLASE
Term
Bethancol
Definition
CHOLINE ESTER-acts on Nm and Nn (no AChE breakdown)
Use for:

-BLADDER and BOWEL problems (neurogenic bladder, post operative ileus)
-xerostomia

A/E –Nausea and vomiting, bronchospasm, flushing/hypotension
Term
Carbachol
Definition
CHOLINE ESTER-acts on Nm and Nn (no AChE breakdown)
-used for Glaucoma
-A/E –Cyclospasm (impaired far vision)
Term
Pilocarpine
Definition
Natural Alkaloid--> acts on Nm only

-Use in open‐angle glaucoma, xerostomia
-A/E –Salivation , sweating, nausea, bronchospasm, tremors
-C/I in asthma, COPD, and cataracts
Term
Organophosphates
Definition
binds IRREVERSIBLY

-Poisoning cause DUMBBELSS (Diarrhea, Urination, Miosis, Bronchospasm, Bradycardia, SM excitation, Lacrimation, Salivation, Sweating)

-Treat with Atropine and Pralidoxime if NO AGING
Term
Edrophonium
Definition
reversible AChE inhibitor --> short acting
Term
Neostigmine
Definition
-reversible AChE blocking
-NO CNS
-used in MG, postop reversing of NMJ blockade
Term
Physostigmine
Definition
Used for glaucoma and Atropine OD
Term
Atropine
Definition
ANTIMUSCARINIC --> Blockage of Nm

-Uses: Organophosphate Poisoning, CVS disorders, opthalmology

-Poisoning Effects: Hot(Temp),Dry(anhydrosis), Red (flushing), Blind(cycloplegia-->TREAT WITH PHYSOSTIGMINE
Term
Scopalamine
Definition
ANTI-MUSCARINIC
-Used in Motion Sickness
Term
Darifenacin
Definition
ANTI-MUSCARINIC
Used in Urge incontinence (prevents urge)
Term
Benztropine
Definition
ANTI-MUSCARINIC
-Parkinson’s med (‘Park’ my ‘Benz’ )
Term
Ipratropium
Definition
Only anti‐Muscarinic that doesn’t ↓ mucus clearance
-Used for asthma and COPD
Term
Ganglionic Blockers
Definition
GANGLIONIC BLOCKERS
-Baroreceptor reflex block…look out for questions (ex: no reflex bradycardia when given NE)
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