Exam 5- THE BIG ONE....AUTONOMICS part 3 Flashcards Preview

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Flashcards in Exam 5- THE BIG ONE....AUTONOMICS part 3 Deck (35):
1

Some popular Adrenergic Agonists..._______ for asthma (I'll give you asthma)

Al-bu-ter-ol (Proventil, Ventolin, ProAir HFA)

2

Some popular Adrenergic Agonists..._______ for asthma (I'll give you asthma)

Al-bu-ter-ol (Proventil, Ventolin, ProAir HFA)

3

Some popular Adrenergic Agonists...________ for ADHD & narcolepsy,

Amphetamines (Ritalin, Cylert) for ADHD and for narcolepsy

4

Some popular Adrenergic Agonists..._______ and alpha-2 agonist for hypertension,

CLON-id-ine (Catapres, Duraclon) - alpha2: txmt of hypertension

5

Some popular Adrenergic Agonists..._______ for treatment of shock and to increase blood flow to kidneys, brain and coronary arteries

Dopamine (treatment of shock and increase blood flow to kidneys, brain and coronary arteries)

6

Some popular Adrenergic Agonists..._______ for colds!

Pseudo-ephedrine (Sudafed)

7

Some popular Adrenergic Agonists..._________ (in Visine eyedrops) – “gets the red out”

Tetra-hydro-zo-line

8

Albuterol is a ______ adrenergic agonist, and therefor it is a potent broncho_______.

beta-2....bronchodilator

9

ANOTHER ONE FOR THE DENTAL OFFICE EMERGENCY KIT!-______ for acute asthma attacks!

al-bu-ter-ol

10

These Adrenergic Agonist side effects are from the shut down of the GI/GU tracts.

Constipation and urinary retention

11

Which andrenergic receptor am I antagonizing?: Block vasoconstriction in skin, Decrease total peripheral resistance, Decrease blood pressure, Reverse dilation of pupils

Alpha receptor Antagonists

12

Adrenergic Agonist side effects- what effect does this have on the heart?

Tachycardia (cardiac arrhythmias)

13

Which andrenergic receptor am I antagonizing? (haha not really a word, more like stimulating): Block vasoconstriction in skin, Decrease total peripheral resistance, Decrease blood pressure, Reverse dilation of pupils

Alpha receptor Antagonists

14

Alpha Antagonisits-Block _________ in skin

vasoconstriction

15

Alpha Antagonists-________ total peripheral resistance

decrease

16

Alpha Antagonists-________ blood pressure

decrease

17

Alpha Antagonists-Reverse _______ of pupils

dilation

18

Second line agents for the treatment of hypertension...

Alpha Antagonists (block vasoconstriction, decrease peripheral resistance, decrease BP)

19

Treatment of peripheral vascular disease (e.g. Raynaud’s syndrome)

Alpha Antagonists (Raynaud's syndrome is coldness in the extremities)

20

What can we use for the diagnosis and treatment of pheochromocytoma (tumor of adrenal medulla that secretes epinephrine)??

An alpha Antagonist!

21

WHAT IS THE MAIN INDICATION for the use of an alpha antagonist?

Treatment of benign prostatic hypertrophy (make it easier for men with this condition to urinate)!!!

22

Beta Antagoinists show most of their effect on which area of the body?

heart and blood vessels

23

Which ones are most used in the US, selective Beta blockers or non-selective?

selective Beta-1 blockers- Greater actions on the heart and blood vessels, FEWER side effects, FEWER drug interactions

24

So a non-selective blocker is also going to block Beta-2 receptors which are found in the ______.

lungs (causing no bronchodilation)

25

Beta Blockers-_____ heart rate; ______ contractility,
cardiac output and conduction velocity

slows..decreases

26

Beta blockers-Decreases cardiac muscle oxygen demand and therefor relieves _______.

angina

27

Beta blockers- Popular drugs for the treatment of _______ (often used with diuretics)

hypertension

28

Beta Blockers can also treat ________ because they stop tremors and heart palpitations caused by
Grave’s disease or thyrotoxicosis

Hyperthyroidism

29

Huh, beta blockers can also help treat _________, because they stop tremors associated with disease.

Parkinson’s disease

30

DID YOU KNOW...Beta Blockers can help treat ______ because they reduce intraocular pressure

Glaucoma

31

What do all Beta-Antagonists end in?

"LOL"-thats not funny

32

What are the two SELECTIVE beta antagonists?

aten-o-lol & met-o-pro-lol

33

What are the 3 non-selective beta antagonists?

pro-pran-o-lol, nad-o-lol, tim-o-lol (eye med)

34

DENTAL DRUG INTERACTION!!! When patients taking ________ beta blockers (e.g. propranolol) and are given epinephrine, they have a 2 to 4 fold increase in the pressor response to epinephrine: to they get ________ and reflex ________.

NON-SELECTIVE...hypertension (increase risk for MI and stroke) and reflex bradycardia

35

DENTAL DRUG INTERACTION!!! When a patient is on a non-selective beta-blocker, we are going to limit the dose of epinephrine in our anesthetic to ____ mg, which is ___ cartridges of anesthetic.

0.04 mg....2 cartridges