Organization of the nervous system Flashcards

1
Q

Dopamine affects which receptors?

A

Beta receptors

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2
Q

Norepinephrine affects which receptors?

A

Alpha receptors

Beta 1 receptors

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3
Q

Epinephrine affects which receptors?

A

Nonselective, hits all receptors

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4
Q

Which receptor is the cardiovascular control system in the medulla?

A

Alpha 2

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5
Q

Drug that is best alpha 1 receptor agonist?

A

Phenylephrine

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6
Q

Drug that is best B1 receptor agonist?

A

Isoproterenol

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7
Q

Drug that is best B2 receptor agonist?

A

Isoproterenol

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8
Q

Norepinephrine effect on pulse rate?

A

Decreased

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9
Q

Norepinephrine effect on blood pressure?

A

Increased

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10
Q

Norepinephrine effect on peripheral resistance?

A

Vasoconstriction, increased

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11
Q

Epinephrine effect on pulse rate?

A

Increased

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12
Q

Epinephrine effect on blood pressure?

A

no effect

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13
Q

Epinephrine effect on peripheral resistance?

A

Vasodilation

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14
Q

Isoproterenol effect on pulse rate?

A

Increased

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15
Q

Isoproterenol effect on blood pressure?

A

Decreased slightly

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16
Q

Isoproterenol effect on peripheral resistance?

A

Vasodilation

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17
Q

Uses for Epinephrine?

A

Anaphylaxis

Glaucoma

18
Q

Phenylephrine is a substrate for what?

A

MAO (Monoamineoxidase)

Not COMT

19
Q

Phenylephrine uses?

A

Mydriasis without cycloplegia
glaucoma
Pressor
Nasal decongestant

20
Q

Main functional trait of a1 receptor agonist imidazoline?

A

Basic nature of imidazoline ring causes compounds to exist in ionized form at physiologic pH, not absorbed well so they work locally

21
Q

Where does clonidine bind to receptors?

A

a2 receptors in the nucleus of the solitary tract in the medulla

22
Q

Uses for clonidine?

A

Hypertension

Opiate withdrawal

23
Q

How do a2 adrenergic agonists reduce blood pressure?

A

They reduce sympathetic output from the brain

24
Q

Which a2 receptor agonist has the shortest half life?

25
Guanfacine is used to treat which behavioral disorder?
ADHD
26
a2 receptor agonist we talked about that works as a prodrug?
Methyldopa
27
Tizanidine is used to treat what?
Muscle spasticity
28
Adverse effects of a2 receptor agonist?
Sedation Sodium and water retention Dry mouth Withdrawal syndrome
29
Main function of isoproterenol?
Bronchodilation
30
Albuterol is what kind of agonist?
Beta 2 receptor agonist
31
Albuterol used to treat what?
Asthma | COPD
32
Problem with using Salmeterol for acute asthma symptoms?
It takes 20 minutes to activate
33
+ enantiomer of Dobutamine affects what receptors?
B1 receptor agonist, a1 antagonist
34
- enantiomer of Dobutamine affects what receptors?
a1 agonist, potency of B receptors reduced 10X
35
Use for Dobutamine?
Acute heart failure/shock
36
Amphetamines have what effect on sympathetics?
Reverse the NE transporter
37
Coccaine has what effect on sympathetics?
Blocks the NE transporter
38
Clinical uses for Amphetamines?
ADHD Narcolepsy Anorexiant Nasal Decongestant
39
How does D(-)Ephedrine work?
Direct agonist activity at adrenergic receptors
40
How does L(+)Pseudoephedrine work?
Reduces agonist activity-major mechanism is via reversal of the transporter