Autonomic Nervous System Part II: Adrenergic Antagonists Flashcards

1
Q

What are the two main categories of adrenergic antagonists

A

alpha blockers and beta blockers

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2
Q

which receptors does phenoxybenzamine block

A

alpha 1 and alpha 2 receptors

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3
Q

what kind of cardiovascular effects does phenoxybenzamine have

A

decreased peripheral resistance, increased cardiac output

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4
Q

when is phenoxybenzamne used

A

if tumor present called pheochromcytom

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5
Q

What is an adverse effect of phenoxybenzamine

A

hypotension , nasal stiffness, inhibition of ejaculaition

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6
Q

describe what phentolamine blocks

A

alpha 1 and alpha 2

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7
Q

when is phentolamine given

A

used for short term management of pheochtmocytoma and treatment of hypertensive crisis

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8
Q

t/f phentolamine is a competivite inhibitor

A

true

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9
Q

what kind of receptor does prazosin target

A

selctive competitive blocker of alpha 1 receptors

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10
Q

why is prazosin used

A
  1. hypertension

2. benign prostatic hyperplasia

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11
Q

what are adverse effects of prazosin

A

dizziness , nasal congestion, orthostatic hypotension

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12
Q

What receptors does propranol block

A

beta 1 and beta 1

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13
Q

what is a special consideration that must be made for diabetic patients taking propranolol

A

it caues decreased glycogenolysis and glucagon secretion, therefore blood glucose must be carefully monitered

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14
Q

whats the general rule can be used for beta blockers

A
A-M = Block beta 1 
M-Z = Block Beta and Beta 2
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15
Q

What are 5 uses for propranolol

A
  1. hypertension
  2. hypertension
  3. migranine
  4. hyperthyroidism
    5 angina
    6.MI
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16
Q

what are the contraindications for propranolol

A

it is contraindicated for patients with COPD or asthma due to bronochoconstriction

17
Q

what are 4 adverse effects of propranolol

A

bronchoconstricotn
arrythmia
sexual impairment
depression

18
Q

what is one possible drug interaction with propranolol

A

metabolized by cyt p450

19
Q

what does atenolol select for

A

selective for beta 1 antagonist

20
Q

what are the clinical uses for atenolol

A

useful in hypertensive patients especially with diabetes