Autonomic Pharmacology Flashcards

(69 cards)

1
Q

resistant to orally administered atropine, but
may be responsive to parenteral administration

A

horses and cattle

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2
Q

sensitive to either oral or parenteral atropine

A

Pigs, dogs and cats

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3
Q

especially resistant to the effects to atropine because of the presence of a high concentration of atropinase

A

goats and rabbits

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4
Q

should not be given to animals
poisoned with OP

A

Phenothiazine tranquilizers and opiates

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5
Q

clinically useful only during the early stages of
poisoning

A

Pralidoxime (2-PAM)

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6
Q

atropine is an antidote of OP which blocks muscarinic effects but not to

A

nicotinic effects

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7
Q

most important antidote to the effects of OP

A

atropine

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8
Q

Some deadly gases of Ops (2)

A

Diisopropyl fluorophosphate (DFP), Triorthocresyl phosphate (TOCP)

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9
Q

irreversible cholinesterase inhibitors

A

organophosphates

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10
Q

hyperglycemia and hyperlipidemia

A

catecholamines

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11
Q

prevent their rapid absorption, to prolong the local action, and to decrease the systematic of local anesthetic

A

vasocontrictors (such as epinephrine)

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12
Q

glycogen phosphorylase

A

converts glycogen back to glucose

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13
Q

2% of the total serotonin in the mammalian body is located within the CNS, especially in

A

pineal gland and hypothalamus

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14
Q

serotonin is chemically known as

A

5- hydroxytryptamine (5-HT)

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15
Q

enterochromaffin cells of the intestine contain % of serotonin

A

90%

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16
Q

hyperglycemia is caused by inhibition of

A

glucose synthase (uses glucose to make glycogen)

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17
Q

drug of choice to relieve the symptoms of an acute hypersensitivity reaction to allergens.

A

Epinephrine

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18
Q

rapidly relieves itching and
urticaria and may save the life of the patient when laryngeal edema threatens suffocation

A

subcutaneous administration (of epinephrine)

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19
Q

Beta adrenergic blockers include:

A
  1. Dichloroisoproterenol
  2. Propanolol
  3. Timolol
  4. Alprenolol
  5. Pindolol
  6. Nadolol
  7. Sotalol
  8. Atenolol
  9. Metoprolol
  10. Butoxamine
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20
Q

responsive to antihistamines, but epinephrine is
necessary in the event of a severe reaction

A

angioedema

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21
Q

adrenal medulla as a modified sympathetic ganglion responds to

A

acetylcholine

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21
Q

adrenal medulla secretes epinephrine in response to administration of

A

nicotine

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22
Q

Clinical uses of beta adrenergic blockers

A
  1. Hypertension in humans
  2. Reversing digitals-induced arrhythmia
  3. Treatment of obstructive cardiomyopathy, a rare disease on dogs and cats
  4. Block the effect of excessive epinephrine in pheochromocytoma
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23
Q

Clinical uses of alpha adrenergic blockers

A
  1. Cardiovascular shock
    2.Overcome the effect of excessive epinephrine in Pheochromocytoma
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24
Alpha adrenergic blockers
1. Ergot alkaloids (ergonovine) 2. Phenothiazine and butyrophenone tranquilizers 3. Tolazoline, Atipamezole and Yohimbine 4. Prazosin
25
Clinical uses of sympathomimetics/ adrenergic
1. Adjunct to local anesthesia 2. Hemostatic - epistaxis in horses 3. Mydriatic – gross dilatation of the pupil 4. Anaphylactic reactions 5. Bronchodilator – expansion of the lumina of the passages of the lungs 6. Local skin allergy 7. Decongestant 8. Cardiac arrest 9. Hypertensive conditions
26
Mixed acting adrenergic drugs include:
1. Amphetamine 2. Methamphetamine 3. Ephedrine 4. Pseudoephedrine ( D-isoephedrine ) 5. Hydroxyamphetamine
27
Muscarinic signs
a. colic b. diarrhea c. dyspnea d. hypotension e. miosis f. excessive secretion
28
nicotinic signs
a. muscle tremors then paralysis b. convulsions c. mania then coma
29
Xylazine, medetomidine
α2 stimulants
30
a1
present in postsynaptic fibers
31
a2
present in both pre and post synaptic fibers
31
dopamine
β1 stimulant
32
Components of nasal decongestants or ophthalmic vasoconstrictors
1. Naphazoline 2. Tetrahydrozoline 3. Phenylpropanolamine
33
beta adrenergic chiefly in heart
B1
34
beta adrenergic present in blood vessels and bronchi
b2
35
Classification of adrenergic receptors
1. alpha adrenergic 2. beta adrenergic 3. dopaminergic
36
Epinephrine (adrenaline) stimulates
both alpha and beta receptors
37
Anticholinergics
atropine, scolopamine, glycopyrrolate
38
Norepinephrine (noradrenaline) is mainly an stimulant of
alpha receptors
39
phenylephrine
alpha stimulant
40
isoproterenol
beta stimulant
41
poisonous substance in certain species of mushrooms
muscarine
42
substance derived from tobacco
nicotine
43
Classification of cholinergic receptors
1. Muscarinic effect 2. Nicotinic effects
44
Ach is not used in clinical therapeutics because of the following reasons
1. Following its administration, it causes too generalized but transient effect. 2. It is so readily hydrolyzed by plasma cholinesterase that it cannot be detected in the plasma following absorption
45
Sympathetic tone maintains
systemic blood pressure
46
Parasympathetic tone maintains
gut motility
47
the major neutransmitter at the postganglionic fibers in the sympathetic division
norepinephrine
48
postganlionic fibers are called
adrenergic fibers
49
transmitter released at the peripheral motor portions of the autonomic nervous system
acetylcholine
50
predominance of one division over the other is called
state of tomus
51
Transmitter of effectors of sympathetic
norepinephrine
52
Ganglionic synapse of parasympathetic
discrete
53
Conservation of energy
parasympathetic
54
Massive discharge of energy
sympathetic
54
Anticholinergics are also called
parasympatholytics
55
ganglionic mediator of both parasympathetic and sympathetic nerves
acetylcholine
56
name 2 amines which derived its name from enterochromaffin cells
serotonin and enteramine
57
hexamethonium
ganglion blockers
58
a. Tubocurarine b. gallamine c. pancuronium d. succinylcholine
neuromuscular blockers
59
hemicholinium
Acetylcholine synthesis inhibitor
60
a. Botulinus toxin b. aminoglycoside antibiotic
acetylcholine release inhibitor
61
Indirect acting cholinergic (cholinesterase inhibitors)
a. Physostigmine b. Neostigmine c. edrophonium d. pyridostigmine e. organophosphates f. carbamates (carbaryl, propoxur)
62
Cholinergic drugs are also called
parasympathomimetics or cholinomimetics
62
Directly acting cholinergic
1. methacholine 2. carbachol 3. bethanechol 4. muscarine 5. pilocarpine 6. arecoline
63
include the action of acetylchloline of the parasympathetic and sympathetic ganglia
nicotinic effects
64
Parasympathetic =
cholinergic
65
Sympathetic =
adrenergic