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Pharmacology Intro
Continue Chapter 6
58
Health Care
Undergraduate 2
09/09/2008

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Cards

Term
The adrenergic nerve ending sythesizes and releases ______________?
Definition
norepinephrine (NE)
Term
Released NE stimulates adrenergic receptors located on cardiac and smooth muscle membranes to initiate?
Definition
sympathetic reponses
Term
Monoamine Oxidase (MAO) is?
Definition
a chemical that will break down NE in the nerve end or the synapse.
Term
NE is mostly ________ in to the nerve end.
Definition
reabsorbed (reuptake)
Term
-ase
Definition
are enzymes that break down things
Term
What are the two main types of adrenergic receptors?
Definition
alpha-
beta-
Term
The alpha receptors are found on _____ muscle membranes, and are stimulated by ______ and ______?
Definition
smooth
NE
EPI
Term
stimulation of the alpha-receptors cause __________ of most arteries and veins, mydriasis, and ______ of the smooth muscles sphincters in the urinary and intestinal tracts inhibiting _______ and _______ motility.
Definition
vasoconstriction
contraction
urination
intestinal
Term
vasoconstriction causes an increase in?
Definition
Blood Pressure (BP)
Term
Beta receptors are found on _______ and some ______ muscle membranes.
Definition
cardiac
smooth
Term
What are the two types of Beta receptors?
Definition
Beta-1
Beta-2
Term
Beta-1 is a receptor found in the ____; stimulated by ______ or _____.
Definition
heart
EPI or NE
Term
Beta-1 receptors increase ____, force of ______, and atrioventricular conduction.
Definition
HR
contraction
Term
Beta-2 receptors are found on _________ and stimulated by ____.
Definition
smooth muscle (bronchioles)
EPI
(NE does not stimulate Beta-2 receptors)
Term
stimulation of the Beta-2 receptor causes ____________ of smooth muscle, causes vasodilation and increased ______ flow to coronary and skeletal muscle blood vessels.
Definition
relaxation
blood
Term
adrenergic drugs(agonist) are known as ___________ agents.
Definition
sympathomimetic
Term
sympathomimetic agents
Definition
mimics the sympathetic NS causing a sympathetic (adrenergic) response.
Term
What are the effects of adrenergic drugs
Definition
increase BP
Increase HR
bronchodilation
Term
Adrenergic blocking agents are known as ________ or _____.
Definition
sympatholytic
parasympathomimetic
Term
Sympatholytic
Definition
breaks down sympathetic reponse (blocks it)
Term
Parasympathomimetic
Definition
Stops adrenergic reponse (homeostasis)
Term
Alpha-adrenergic drugs are used clinically to cause __________ of blood vessels.
Definition
vasoconstriction
Term
vasoconstriction
Definition
when blood flow is constricted or slowed
Term
In hypotensive states, drugs such as norpinephrine and metaraminol (Alpha-adrenergic drugs), are given by IV to ____________?
Definition
raise blood pressure
Term
In allergies and colds, drugs such as phenylephrine and tetrahydrozoline (Alpha-adrenergic drugs) are administered as nasal sprays or drops, and oral tablets to __________ nasal and ocular tissues.
Definition
decongest
Term
Side effects to decongestant Alpha-adrenergic drugs are?
Definition
irritation and dryness
Term
Adverse Effects caused by adrenergic drugs are?
Definition
Hypertension,hypertensive crisis,heart palpitations, cerebral hemorrhage, and cardiac arrhythmias
Term
Examples of Alpha-Adrenergic Drugs are?
Definition
ephedrine(derivative of methamphetamine),metaraminol(used for Hypotension),norepinephrine(stress hormone), phenylephrine (sudafed PE)-decongestant,pseudoephedrine(Sudafed)decongestant.
Term
_________ drugs are used clinically to stimulate the heart, bronchodilate respiratory passageways, and relax the uterus during preterm labor.
Definition
Beta-Adrenergic
Term
Selective beta-___ drugs are usually administered by oral inhalation for the control of asthma.
Definition
2
Term
CNS stimulation resulting in tremores, restlessness, and anxiety; over stimulation of the heart are adverse effects caused by____________?
Definition
Beta-Adrenergic Drugs
Term
Epinephrine is an example of a Beta-Adrenergic drug that stimulates _______ and ________ receptors.
Definition
alpha- and beta-
Term
epinephrine can be injected SQ in allergic and cardiac emergencies to stimulate what 3 things?
Definition
the hear (beta-1), promote bronchodilation (beta-2), and maintain blood pressure
Term
Epinephrine is also used in surgical procedures and with local anesthetics to ________ blood flow and bleeding and prolong the action of the anesthetic.
Definition
decrease
Term
isoproterenol is classified as a ___ and ____ drug and acts as a ________ stimulant and _________.
Definition
Beta-1, Beta-2, Cardiac, bronchodilator
Term
Dopamine is used to treat ______. It acts as a _________,but is also a medication.
Definition
shock, neurotransmitter
Term
Dopamine will cause vasodilation and increase _______ blood flow.By stimulating ________ receptors, dopamine ________ cardiac output and myocardial contractility.
Definition
renal, beta-1, increases
Term
If dopamine is administered at a high dose it can stimulate ____ receptors causing stimulation of the heart and _______ blood vessels.
Definition
alpha-, increased
Term
Dobutamine is a drug similar to dopamine. It possesses a greater _____ effect, increasing myocardial contractility.It is used in ________ _______.
Definition
Beta-1, heart failure
Term
Alpha-Adrenergic Blocking drugs are antagonists. They ______ the _______ ________ response.
Definition
block, alpha-receptor
Term
Alpha-Adrenergic blocking drugs prevents _____ from producing a sympathetic response.
Definition
norephinephring (NE)
Term
The effects of Alpha-Adrenergic blocking drugs are decrease in _____ and ___________. They are indicated for patients with ___ and ___.
Definition
BP, vasodilaiton, HTN, BPH
Term
Side Effects to the Alpha-Adrenergic blockin drugs are (3)?
Definition
Constriction of pupils, nasal congestion, and increased GI activity.
Term
The adverse effects of Alpha-Adrenergic blocking drugs include (2)?
Definition
tachycardia, orthostatic hypotension
Term
Beta-blocking drugs bind to ____-_____ receptors and antagonize the beta effects of ___ and ___.
Definition
beta-adrenergic, EPI, NE
Term
Patients with hypertension, angina pectoris, and cardiac arrhythmias often have ______ sypathetic activity, with excessive amounts of ____ and ___ being released. By occupying beta receptors, the beta-blockers ______ EPI and NE from producing beta sympathetic effects.
Definition
increased, EPI, EP, prevent
Term
Use of Beta-Blockers is to ______ the activity of the _____.
Definition
decrease, heart
Term
Blockade of the beta-1 receptors produces a ______ in heart rate, force of contraction, and impulse conduction through the conduction system of the heart.
Definition
decrease
Term
What are the two types of Beta blockers?
Definition
Selective beta-1 blockers (only at high doses may selective beta blockers start blocking beta-2)and Non-selective blocks both beta-1 and beta-2
Term
The effects of Beta Adrenergic Blocking Drugs are vasodilation and _____ in BP. They are used to decrease activity of the _____. (HTN;Angina Pectoris;arrhythmias;MI;CHF;glaucoma)
Definition
Decrease, Heart
Term
Beta-Adrenergic Blocking Drugs should not be used in patients with _______ or other _______ conditions.By blocking beta-2 receptor sites may cause bronchoconstriction.
Definition
asthma, respiratory
Term
Most Beta Blockers have the word ending?
Definition
[-olol]
Term
Adrenergic Neuronal Blocking Drugs ________ the synthesis and release of _________ inside the nerve endings.
Definition
decrease, norepinephrine
Term
Adrenergic Neuronal Blocking Drugs are used to _________ in _________.
Definition
Lower Blood Pressure,
hypertension HTN
Term
Common Adverse effects of Adrenergic Neuronal Blocking Drugs are usually due to excessive lowering of ____ and increased ____ activity.
Definition
BP, GI
Term
Methyldopa is a Adrenergic Neuronal Blocking Drugs that _______ BP.It may also cause liver dysfunction and hemolytic anemia.
Definition
reduces
Term
Reserpine is a Adrenergic Neuronal Blocking Drugs that _________ sympathetic activity, produces vasodilation and lowers BP for hypertensive patients. It can cause sedation and mental depression. This drug is often used in combination with __________. Because, of its sedation effects it can also be used in treating _______.
Definition
Reduces, diuretics, psychosis
Term
Guanethidine (Ismelin) prevents release of ___ and depletes ___ storage resulting in reduction of sympathetic activity. Indication is for severe HTN.
Definition
NE, NE
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