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Cholinergic Antagonists
BCM Pharmacology 2011
14
Pharmacology
Graduate
01/25/2011

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Cards

Term
Atropine
Definition
Muscarinic antagonist
used preoperatively to reduce secretions
antidote to treat excess acetylcholine
Term
Scopalamine
Definition
Muscarinic antagonist
used preoperatively to reduce secretions
as a patch, used to prevent motion sickness
acts mainly in the CNS
Term
Glycopyrollate
Definition
Muscarinic antagonist
used preoperatively to reduce secretions
Term
Ipratropium
Definition
Muscarinic antagonist used to produce bronchial dilation in COPD esp in older people bc B2 receptors (albuterol's) decreased in older people.  Albuterol preferable usually because it works faster
Term
Effects of antimuscarinics on eye and respiratory
Definition
mydriasis AND cycloplegia (inability to focus bc inhibition of accommodation)
bronchodilation and decreased secretions
Term
Theophylline
Definition
Class is Xanthines which Bronchodilate via inhibition of a Phosphodiesterase. This keeps cAMP up and smooth muscle relaxed
Term
How to treat atropine overdose?
Definition
1) Treat symptomatically 2) Provide cholinesterase inhibitor, e.g., physostigmine, in small doses 3) Blankets and diazepam for seizure control
Term
mecamylamine
Definition
Ganglionic blocker-interferes with the postsynaptic action of ACh at the nicotinic receptor of all autonomic ganglia
Limited clinical use-treat hypertension during surgery
Term
trimethaphan
Definition
Ganglionic blocker-interferes with the postsynaptic action of ACh at the nicotinic receptor of all autonomic ganglia.
Limited clinical use-treat hypertension during surgery
Term
Succinylcholine
Definition
reversible
depolarizing NMJ blocker
used to relax muscles during surgery
Terminate effects by supporting patient and waiting
Half life under 1 min
Term
d-tubocurarine
pancuronium
atracurium
Definition
Nondepolarizing NMJ blocker (competitive antagonist)
produces skeletal muscle relaxation for surgery
Caution-Respiratory paralysis. If mechanical ventilation is not provided, the patient will asphyxiate
Bring patient off these by using ACh esterase inhibitor+muscarinic antagonist (to avoid lowering HR)
Term
gallamine
Definition
Nondepolarizing NMJ blocker (competitive antagonist)
produces skeletal muscle relaxation for surgery
Caution-Respiratory paralysis. If mechanical ventilation is not provided, the patient will asphyxiate
Bring patient off these by using ACh esterase inhibitor+muscarinic antagonist (to avoid lowering HR)
Term
Dantrolene
Definition
Treats malignant hyperthermia (blocks Ca++ release from sarcoplasmic retic, preventing heat-generating contractions in response to inhalational anesthetics like halothane
Term
botulinum toxin
Definition
Prevents release of acetylcholine
treats cervical dystonia, neck pain, focal dystonia, cosmetic
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