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More Pharmacology
More Pharmacology
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Pharmacology
Kindergarten
10/08/2009

Additional Pharmacology Flashcards

 


 

Cards

Term
neonates and conjugation
Definition
impaired glucuronidation
Term
phentolamine
Definition
competitive alpha antagonist
Term
tolazoline
Definition
non-selective alpha antagonist
Term
prazosin
Definition
alpha-1 antagonist
Term
terazosin
Definition
alpha-1 antagonist
Term
doxazosin
Definition
alpha-1 antagonist
Term
are antagonists more effective against exogenous or endogenous agonists?
Definition
exogenous
Term
pheochromocytoma
Definition
alpha antagonism to reduce release of epinephrine
Term
autonomic hyperreflexia
Definition
alpha antagonist to treat
Term
dually innervated part of eye and its control
Definition
spincter muscle (PS) and radial muscle (A-1) control dilation. Muscarinic tone tries to close aperture (nearsightedness)
Term
singly innervated portion of eye
Definition
ciliary muscle (PS) increase agonism for nearsightedness, decrease agonism for farsightedness
Term
paralysis of accomodation cause
Definition
muscarinic antagonism (only)
Term
GI tract innervation
Definition
muscarinic and A-1
Term
kidney receptors and response
Definition
B-1 JGA leads to renin release and hypertension
Term
uterine sympathetic receptors
Definition
B-2, prevents contraction
Term
liver sympathetic receptors, response
Definition
B-2, glyconeogenesis, glycolysis
Term
catecholamine synthetic pathway
Definition
phenylalanine, tyrosine, dihydroxyphenylalanine (DOPA), dopamine, norepinephrine, epinephrine
Term
function of tyrosine hydroxylase
Definition
cleave tyrosine to DOPA
Term
aromatic amino acid decarboxylase function
Definition
cleave DOPA to dopamine
Term
dopamine B-hydroxylase function
Definition
oxidize dopamine to norepinephrine
Term
non adrenergics that prevent aqueous humor formation
Definition
prostaglandins and carbonic anhydrase inhibitors
Term
tertiary amine muscarinic antagonists
Definition
trihexyphenidyl; tropicamide; benztropine
Term
tropicamide
Definition
tertiary amine anticholinergic
Term
benztropine
Definition
tertiary amine anticholinergic
Term
trihexyphenidyl
Definition
tertiary amine anticholinergic
Term
ganglionic blockers
Definition
nicotine, trimethaphan, hexamethonium, mecamylamine
Term
ganglionic blocker use
Definition
emergency BP lowering; dissecting aortic aneurism
Term
polar EChEI
Definition
neostigme, pyridostigme, adrephonium, ambenomium, demecarium
Term
nonpolar AChEI
Definition
physostigme, rivastigme, tacrin, donepezil, edrophonium
Term
uses of AChEI
Definition
MG, paralytic ileum, alzheimers (rivastigme), urinary
Term
AChEI uses
Definition
antidote non-depolarizing NM blockers, terminate paroxysmal superventricular tachycardia, antidote atropine intoxication (physostigmine)
Term
pralixodime; obidoxime
Definition
reactivators of AChE; not effective against carbamylated molecules
Term
pancuronium
Definition
aminosteroid nondepolarizing neuromuscular blocker
Term
vecuronium
Definition
aminosteroid nondepolarizing nueromuscular blocker
Term
rocuronium
Definition
aminosteroid nondepolarizing neuromuscular blocker
Term
metocurine
Definition
benzo nondepolarizing neuromuscular blocker
Term
alcuronium
Definition
benzo nondepolarizing neuromuscular blocker
Term
atracurium
Definition
benzo nondepolarizing neuromuscular blocker
Term
mivacurium
Definition
benzo nondepolarizing neuromuscular blocker
Term
nondepolarizing benzylosiquinolinium neuromuscular blockers
Definition
d-tuburcurarine, mivacurium, metocurine, atracurium, alcuronium
Term
aminosteroid nondepolarizing neuromuscular blockers
Definition
vecuronium, pancuronium, rocuronium
Term
succinyl choline ganglionic blockade?
Definition
no, but histamine release yes
Term
pancuronium and succinylcholine ANS effects
Definition
pancuronium sympathetic stimulation, succinylcholine vagal stimulation
Term
atracurium metabolism
Definition
plasma esterase plus spontaneous degredation
Term
dantrolene
Definition
direct neuromuscular blocker; locks up calcium and prevents neurotransmitter release; interferes with phasic contractions (spasms) only. no effect on tettanic contractions
Term
sympathetic endocrine effects
Definition
modulation of renin secretion, modulation of pancreatic secretions, secretion of anterior pituitary (dopamine)
Term
alpha methyl norepinephrine
Definition
alpha-2 agonist
Term
clonidine
Definition

alpha 2 agonist

 

creates dry mouth as type "b" effect

Term
clonidine-specific therapeutic use
Definition
reduces withdrawal symptoms without opiate effects
Term
sympathomimetic CNS effects
Definition
decreased appetite, increased wakefulness
Term
dobutamine chrontropism
Definition
none, it has an isomer that agonizes beta-2 and alpha-1
Term
dopamine affinities
Definition
DOPAMINE, alpha-1, beta-1
Term
epinephrine low dose
Definition
beta 1 and beta 2 agonism
Term
high dose epinephrine
Definition
increased PR, +inotrop, +chronotrope
Term
apraclonidine
Definition
alpha-2 agonist
Term
dipivephrine
Definition
alpha-2 agonist for glaucoma
Term
dopamine uses
Definition
shock by continuous infusion, increase JGD filtration
Term
dobutamine high dose
Definition
similar to isoproterenol
Term
dobutamine uses
Definition

some types of shock w/oliguria

 

adverse:  10% tachycardia

Term
cardiac inotropism
Definition
isoproterenol > epi, NE
Term
reuptake inhibition and indirect sympathomimetic activity
Definition
no agonistic activity; indirect sympathomimetic must get into the nerve to have an effect
Term
histamine and vagal nerve
Definition
decreases firing/increases heartrate
Term
phentolamine
Definition
alpha antagonist
Term
epinephrine's metabolic effects
Definition
increases lactate in muscle; inhibits insulin release (A-2); promotes glucagon release (B-2); increase cAMP; increase phosphorylase in liver; glycolysis; G-1-P; G-6-P; increase adipose lipase;
Term
noncetecholamine alpha agonists (4)
Definition
phenylephrine, menoxamine, metaraminol, mephentermine
Term
ephedrine
Definition
IAS is its major classification but it has mixed properties as well as CNS effects
Term
methamphetamine
Definition
more CNS acting than amphetamine
Term
alpha-methyl-DOPA
Definition
false transmitter, full agonist on A-2, affinity but no other activity on other receptors
Term
more potent methylated carbon on choline esters
Definition
beta. the carbamate ester of beta methyl choline is bethanacol
Term
phenoxybenzamine uses
Definition
BPH, pheochromocytoma, autonomic hyperreflexia in spinal cord transection
Term
ergot alkaloids
Definition
ergonavine, ergotamine, ergotoxine;
partial agonists
Term
ergonavine uses
Definition
powerful oxytocic; used to treat Prinzmetal's Angina
Term
ergonavine adverse events
Definition
gangarene, ergotism, can lead to infarct due to vasoconstriction,
Term
dihydroergot
Definition
more antagonistic properties: dihidroergotamine; dihidroergotoxin
Term
nonselective beta antagonists (4)
Definition
propranolol, timolol, nadolol, pindolol
Term
selective beta-1 antagonists
Definition
metoproplol, atenolol, acebutolol, esmolol
Term
nadolol
Definition
non selective beta 2 antagonist, not metabolized in vivo; mostly PNS, particularly compared to propranolol; used for heart disease and angina
Term
nadolol
Definition
can mask hypoglycemia; non-specific beta antagonist
Term
metoprolol
Definition
beta-1 selective antagonist; can mask tachycardia due to hypoglycemia
Term
labetolol
Definition
for exam purposes is nonselective beta antagonist
Term
which beta antagonist has the most intrinsic sympathomimetic activity
Definition
pindolol
Term
which beta antagonist has the greatest lipid solubility
Definition
propranolol
Term
which beta antagonist has the greatest membrane stabilizing capacity
Definition
propranolol
Term
which beta antagonists have the longest/shortest half lives
Definition
nadolol 10+ hours; esmolol 0.1 hours
Term
carvedilol specific therapy with cardiac insufficiency
Definition
has some inverse agonistic properties which lead to reverse inotrope and chronotrope benefits
Term
esmolol use
Definition
in tachycardia after cardiac surgery when other beta blockers have worn off; administered by continuous infusion
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