Shared Flashcard Set

Details

USMLE1 Autonomic Pharm
N/A
50
Medical
Graduate
04/11/2011

Additional Medical Flashcards

 


 

Cards

Term
Bethanechol
Mech?
Use?
Definition
Direct cholinomimetic
activate bowels/bladder post surg
Cholinesterase resistant
Term
Carbachol Mech? Use?
Definition

Direct cholinomimetic (= ACh)

Glaucoma

Cholinesterase sensitive!

(only one besides ACh)

Term
Pilocarbine Mech? Use?
Definition

Direct cholinomimetic

Glaucoma

Stimulates sweat, saliva, tears (PILE on the fluids)

Cholinesterase resistant

Term
Methacholine
Mech?
Use?
Definition
Direct cholinomimetic
Challenge test for asthma
Cholinesterase resistant
Term
Neostigmine
Mech?
Use?
Definition
Anticholinesterase
Postop/neurogenic ileus, myasthenia gravis, NMJ block reversal
No CNS penetration
Term
Pyridostigmine
Mech?
Use?
Definition
Anticholinesterase
Myasthenia gravis, long acting
No CNS penetration
Term
Edrophonium
Mech?
Use?
Definition
Anticholinesterase
Myasthenia gravis Dx, very short acting
Term
Physostigmine Mech? Use?
Definition

Acetylcholinesterase inhibitor

Glaucoma, atropine overdose CNS entry

(phys for eyes - the one with CSF entry)

Term
Echothiophate
Mech?
Use?
Definition
Anticholinesterase
Glaucoma
Term

Parathion

Mech?

Use?

Antidote?

Definition
Irreversible AChE inhibitor (organophosphate) pesticide, toxin Antidote: atropine + pralidoxime
Term
Parathion
Mech?
Use?
Definition
Irreversible AChE inhibitor (organophosphate)
pesticide, toxin
Antidote: atropine + pralidoxime
Term
Atropine
Mech?
Use?
Definition
Muscarinic antagonist
causes mydriasis, cycloplegia
Term
Homatropine
Mech?
Use?
Definition
Muscarinic antagonist (= atropine)
causes mydriasis, cycloplegia
Term
Tropicamide Mech? Use?
Definition

Muscarinic antagonist (= atropine) causes mydriasis, cycloplegia

"trop"icamide, a"trop"ine

Term
Benztropine
Mech?
Use?
Definition
Muscarinic antagonist
*Parkinson's disease
Term
Scopolamine
Mech?
Use?
Definition
Muscarinic antagonist
motion sickness (patch)
Term
Ipratropium
Mech?
Use?
Definition
Muscarinic antagonist
Asthma, COPD
Term
Oxybutynin
Mech?
Use?
Definition
Muscarinic antagonist
Reduce urgency, bladder spasm
Term
Glycopyrrolate
Mech?
Use?
Definition
Muscarinic antagonist
Reduce urgency, bladder spasm
Term
Methscopolamine
Mech?
Use?
Definition
Muscarinic antagonist
Peptic ulcers
Term
Propantheline
Mech?
Use?
Definition
Muscarinic antagonist
peptic ulcers
Term
Hexamethonium
Mech?
Use?
Definition
Nicotinic antagonist
ganglionic blocker - prevents vagal reflexes
causes orthostatic hypotension, blurred vision, constipation
Term
Epinephrine
Mech?
Use?
Definition
Direct sympathomimetic
a1, a2, b1, b2 - low doses ~b1 selective
anaphylaxis, open angle glaucoma, asthma, hypoTN
Term
Norepinephrine
Mech?
Use?
Definition
Direct sypathomimetic
a1, a2, ~b1
hypoTN
causes decreased renal perfusion (less renin effect)
Term
Isoproterenol
Mech?
Use?
Definition
Direct sympathomimetic
b1, b2
AV block (rarely used)
Term
Dopamine
Mech?
Use?
Definition
Direct sympathomimetic
D1, D2, > b, > a, inotropic and chronotropic
increases renal perfusion, shock, CHF
Term
Dobutamine
Mech?
Use?
Definition
Direct sympathomimetic
b1 > b2, inotropic (NOT chronotropic)
CHF, cardiac stress test
Term
Phenylephrine
Mech?
Use?
Definition
Direct sympathomimetic
a1 > a2
pupillary dilation, vasoconstriction, nasal decongestion
Term
Metaproterenol
Mech?
Use?
Definition
Direct sympathomimetic
b2 selective (~b1)
Acute asthma
Term
Albuterol
Mech?
Use?
Definition
Direct sympathomimetic
b2 selective (~b1)
acute asthma
Term
Salmeterol Mech? Use?
Definition

Direct sympathomimetic b2 selective (~b1) long-term asthma tx

MAST

metaproterenol, albuterol, salmeterol, terbutline

Term
Terbutaline Mech? Use?
Definition

Direct sympathomimetic b2 selective (~some b1) tocolytic

("but" like al"but"erol)

Term
Ritodrine Mech? Use?
Definition

Direct sympathomimetic b2 selective (~b1)

tocolytic

(rito-DREAM, back to sleep for baby)

Term
Amphetamine
Mech?
Use?
Definition
Indirect sympathetic agonist, releases stored catecholamines
Narcolepsy, obesity, ADD
Term
Ephedrine
Mech?
Use?
Definition
Indirect sympathetic agonist, releases stored catecholamines
Nasal decongestion, urinary incontinence, hypotension
Term
Cocaine
Mech?
Use?
Definition
Indirect sympathetic agonist, uptake inhibitor
Vasoconstriction & local anesthesia
Term
Clonidine
Mech?
Use?
Definition
Indirect sympathetic antagonist
a2 agonist -> low central adrenergic outflow
Hypertension, especially with renal disease (no decrease in renal blood flow)
Term
alpha-Methyldopa
Mech?
Use?
Definition
Indirect sympathetic antagonist
a2 agonist -> low central adrenergic outflow
Hypertension, especially with renal disease (no decrease in renal blood flow)
Term
Phenoxybenzamine
Mech?
Use?
Definition
non-selective alpha-blocker, irreversible
pheochromocytomas
Term
Phentolamine
Mech?
Use?
Definition
non-selective alpha-blocker, reversible
pheochromocytoma
Term
Prazosin
Mech?
Use?
Definition
alpha-1 selective blocker
HTN, urinary retention in BPH
Term
Terazosin
Mech?
Use?
Definition
alpha-1 selective blocker
HTN, urinary retention in BPH
Term
Doxazosin
Mech?
Use?
Definition
alpha-1 selective blocker
HTN, urinary retention in BPH
Term
Mirtazapine
Mech?
Use?
Definition
alpha-2 selective alpha-blocker
Depression (TCA)
Term
"-olols"
Mech?
Use?
Toxicity
Definition
Beta-blockers
HTN (reduce CO, reduce renin secretion), Angina, MI, SVT (reduce AV conduction velocity), CHF, Glaucoma
Asthma/COPD exacerbation, bardycardia/AV block, impotence, sleep effects, decreased insulin release (caution in DM)
Term
Propranolol, timolol, nadolol, pindolol
Definition
Non-selective beta blockers
Term
acebutalol, betaxolol, esmolol, atenolol, metoprolol
Definition

beta-1 selective beta blockers (good for comorbid asthma/COPD)

A BEAM of beta-1 selective blockers

 

ace-but = 1-b

Term
carvedilol, labetalol
Definition
non-selective alpha- and beta-blockers
Term
pindolol, acebutolol
Definition
partial beta-agonists
Term
Tamsulosin
Mech
Use
Definition
Selective alpha-1 blocker
HTN, urinary retention in BPH
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