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Sympathomimetics
Sympathomimetics
30
Medical
Graduate
07/18/2015

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Cards

Term
what is the basic structure of a catechoalmine
Definition
it is a aromatic phenylethylamine with two hydroxyl groups
Term
primary mechanism for clearing catecholamines from synapse is
Definition
diffusion away. Then reuptake and metabolism
Term
COMT is found the in cytoplasm or plasma
Definition
PLASMA
Term
do MAO or COMT methylate NE and EPI
Definition
COMT methylates. While MAO deaminates
Term
the principal end metabolite of EPI and NE is
Definition
3 methoxy - 4- hydroxmandelic acid AKA VMA or vanillymandelic acid
Term
Describe the steps of tyrosine to NE
Definition
Tyrosine broken down by hydroxylase to DOPA
DOPA broken down by L aromatic acid decarboxylase to dopamine

Dopamine broken down in the vesicle by Beta hydroxylase to NE
Term
Are alpha 2 on the presynapse positive or negative feedback
Definition
NEGATIVE feedback
Term
Which receptor Alpha 1,2 or beta 1,2 is responsible for hyperpolarization of membranes in CNS and platelet aggregation
Definition
ALPHA 2
Term
why is profound rebound hypotension associated with chronic clonidine use
Definition
chronic alpha 2 agonism causes dilation which is countered by the body producing more renin and angiotensin. When you remove the drug like clonidine then you shift the balance.
Term
presence of ____ converts NE to EPI
Definition
PNMT
Term
does dopamine or dobutamine have more arrythmias associated with it
Definition
dobutamine more than dopamine
Term
treat bronchospasms with what type of receptor drug
Definition
beta 2 agonist
Term
how does milirinone work
Definition
works by inhibiting phosphodiesterase. That enzyme is normally used to break down cAMP. So if we inhibit this enzyme then there is MORE cAMP. Which means more adrenergic effect.
Term
milirinone acts on what receptors
Definition
stimulates B1 and Beta 2.
Term
SNS nerves come from what parts of spine
Definition
T1-L2
Term
the vagus nerve is responsible for what % of all parasympathetic activity
Definition
75% of all PNS is from vagus nerve
Term
what are the two types of nicotinic recpetors and what are the difference between them
Definition
Nn: found at all autonomic ganglia
Nm: found at the neurmusclar junciton
Term
Muscarininc receptors found a neural tissue are this subtype
Definition
M1
Term
AcH is in what chemistry class
Definition
ESTER
Term
Breakdown of AcH results in what two products
Definition
1. alcohol
2. choline
Term
mneumonic for lots of AcH
Definition
SLUDGE
Term
NE changed into EPI by
Definition
N-methyltranstferase
Term
dopamine cahnged to NE by
Definition
beta hydroxylase
Term
insulin secretion is pns or sns
Definition
BOTH
Term
piloerection is SNS or PNS
Definition
SNS
Term
peeing is SNS or PNS
Definition
PNS
Term
the uterus is contracted or relaxed by the SNS
Definition
relaxed. HENCE WHY beta 2 agonist are TOCOLYTIC
Term
Sweat glands are serviced by SNS or PNS? Why neurotransmiter is used
Definition
by SNS but acetylcholine is released!
Term
Liver stimulus by SNS vs PNS results in
Definition
SNS: glycogenolysis
PNS: glycogen synthesis
Term
does PNS or SNS release insulin
Definition
PNS
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