Shared Flashcard Set

Details

Adrenergic Agonists
group 1
27
Pharmacology
Professional
07/21/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
Epinephrine
Definition
potent vasoconstricor and cardiac stimulant. physiological consequences depend on method of administration and dose
Term
Epinephrine
Definition
drug of choice for anaphylactic shock or hypersensitivity
Term
Epinephrine
Definition
can actually make "shock" worse by decreasing blood flow to vital organs
Term
Epinephrine
Definition
give subQ or IV for emergency asthma, but there are more selective agents available
Term
Epinephrine
Definition
tx open angle glaucoma
decreases production increase flow aqueous humor
Term
Epinephrine
Definition
given in emergency cardiac arrest or complete heart block
Term
Epinephrine
Definition
rapidly metabolized by MAO and COMT
action brief IV
Term
Epinephrine
Rapid IV infusion
Definition
blood pressure rapidly peaks (S>D)
B-1 increases rate and force
A-1 increases peripheral R
Term
Epinephrine
small doses
Definition
decrease Diastolic (B2 vasodilates skeletal muscle)
B2= more sensitive than A
Term
Epinephrine
slow infusion/subQ
Definition
heart rate, CO, SV, force all increase
Term
Epinephrine
Definition
released from adrenal medulla during exercise:
increase blood to muscles/lungs, bronchodilate, energy
Term
Epinephrine
Definition
increase blood glucose, lactate levels, glucagon, fatty acids= increased energy
Term
Norepinephrine
Definition
litte effect on B2 therefore no bronchodilation
increase HR, force, BP, R
Term
Norepinephrine
Definition
only use:
increase BP in acute hypotensive state
Term
Isoproterenol
Definition
potent activator of B receptors
little effect on A receptors
increase HR, FC (B1)
decrease peripheral R (B2)
Term
Isoproterenol
Definition
can cause palpitations, sinus tachycardia, serious arrhythmia
Term
Isoproterenol
Definition
resists MAO, but not COMT
once used as bronchodilator
stimulate HR in emergency bradycardia, but pacemaker is preferred
Term
Dopamine
Definition
activates D1 and D2
only given IV
Term
Dopamine
Definition
low doses activate D1:
dilates renal, coronary, mesenteric arteries
increase GFR, renal Q, Na excretion
Term
Dopamine
Definition
low doses at D2
inhibit release endogenous NE
Term
Dopamine
Definition
high doses can activate B1 on HEART
positive inotropic
can also activate a1 increase PR
Term
Dopamine
Definition
tx severe CHF with oliguria and normal peripheral vascular resistance
beneficial in shock
Term
Fenoldopam
Definition
D1 selective
lower BP in severe HTN
short duration
Term
Dobutamine
Definition
synthetic catecholamine
primarily B1 agonist
some alpha agonist and antagonist
Term
Dobutamine
Definition
short term tx cardiac decompensation after surgery, CHF, or acute MI
Term
Dobutamine
Definition
increases CO and SV without much effect on HR
Term
Dobutamine
Definition
increase force of contraction more than rate when compared to isoproterenol
Supporting users have an ad free experience!