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Stack #158869
kilgore lvl1: adrenergic antagonists (blockers)
Question | Answer |
---|---|
effect of a1-blocker on pupil | constriction (Miosis) |
effect of a1-blocker on blood vessels of skin & viscera | vasodilation |
effect of a1-blocker on GI sphincters | relaxation |
effect of a1-blocker on bladder sphincter | relaxation |
effect of a2-blocker on presynaptic nerve terminals | Release of neurotransmitters (results in SNS stimulation effects) |
effect of B1-blocker on Heart | decreased rate (neg. chronotrophic) decreased contractility (neg. inotrophic) decreased AV conduction (neg. dromotrophic) |
Good way to remember dromotrophic is electrical conduction | (singing) "-Dromo- arigato, Mr. Roboto" (Think robots...run on ELECTRICITY) sorry...I am a nerd.... |
effect of B1-blocker on pancreas | increased insulin release (removes blood sugar from system) |
effect of B2-blocker on heart, lung & skeletal muscle blood vessels | vasoconstriction |
effect of B2-blocker on Liver | glycogenesis (transformation of glucose to glycogen) |
effect of B2-blocker on kidney | decreased renin secretion (B/P goes down) |
effect of B2-blocker on GI muscles | increased motility |
effect of B2-blocker on Uterus | contraction (no longer in danger...so have the baby already....) |
effect of B2-blocker on Bronchial muscles | contraction of bronchi |
effect of dopamine-blocker on kidney | constriction of kidney vasculature |
What are some typical side-effects seen with B-adrenergic blockers? | hypotention, bradycardia, fatigue depression, hypoglycemia |
what happens if a-blockers, B-blockers, CCBs and/or diuretics combine? | additive effects resulting in profound hypotension |
key facts on phentolamine (Regitine) | >a-blocker to reduce PVR and hypertension >can treat pheochromocytoma & establish it's diagnosis > |
key facts on prazosin (minipress) | a1-blocker >used for hypertension >used for men w/ BPH to relax & dilate vessles and smooth muscle around prostate >big occurence of orthostatic hypotension >take at bedtime |
what is a cardioselective B-blocker | block B1-receptor stimulation resulting in: >reduced heart rate (neg. chronotrophic) >slowed electrical conduction in heart (neg. dromotrophic) >decreased contractility (neg. inotrophic) |
Why do you need to be careful with non-selective B-blockers? | they block both B1 and B2 receptors, so they will cause bronchi to contract, which would be bad for someone w/ compromised airways/respiration |
key facts on atenolol | cardioselective B1-blocker >used for hypertension, dysrhythmias & angina >possesses intrinsic sympathomimetic activity |
key facts on esmolol | potent short-acting B1-blocker >used for rapid, temp control of ventricular tachydysrhythmias |
key facts on propranolo | non-selective B-blocker >used for migraine headaches as well as cardiac related uses >NEVER use on client w/ bronchial asthma |
key facts on metoprolol | B1-blocker >used post-MI to increase survival rate |