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Z - Pharmacology
First Aid - Pharm 4
| Question | Answer |
|---|---|
| which anticholinesterase is extremely short acting | Edrophonium |
| Cholinesterase inhibitor poisoning;;symps | DUMBBEL ASS.;;Diarrhea, Urination, Miosis, ;Bronchospasm, Bradycardia, Excitation of skeletal ;muscle and CNS, Lacrimation, Abdominal cramping, Sweating, and Salivation |
| Cholinesterase inhibitor poisoning;;Tx | Atropine (muscarinic antagonist) plus pralidoxime |
| chemical antagonist used to regenerate active cholinesterase | pralidoxime |
| pralidoxime;;uses and mech | Cholinesterase inhibitor poisoning;;chemical antagonist used to regenerate active cholinesterase |
| Parathion | organophosphate |
| organophosphate toxicity mech | Irreversible Cholinesterase inhibitor poisoning |
| Atropine, ;;mech | Muscarinic antagonist |
| Benztropine ;;mech | Muscarinic antagonist |
| Scopolamine ;;mech | Muscarinic antagonist |
| Ipratropium ;;mech | Muscarinic antagonist |
| Methscopolamine, ;oxybutin, ;glycopyrrolate ;;mech | Muscarinic antagonist |
| Atropine;;clinical use | Produce mydriasis and cycloplegia |
| Benztropine ;;clinical use | Parkinson’s disease |
| Scopolamine ;;clinical use | Motion sickness |
| Ipratropium ;;clinical use | Asthma, COPD |
| Methscopolamine, ;oxybutin, ;glycopyrrolate ;;clinical use | Reduce urgency in mild cystitis and reduce bladder spasms |
| Glaucoma drugs mech and side effects;;Epinephrine | ↑ outflow of aqueous humor ;;Mydriasis, stinging; do not use;in closed-angle glaucoma |
| Glaucoma drugs mech and side effects;;Brimonidine | ↓ aqueous humor synthesis ;;No pupillary or vision changes |
| Glaucoma drugs mech and side effects;;β-blockers | ↓ aqueous humor secretion ;;No pupillary or vision changes |
| Glaucoma drugs mech and side effects;;Acetazolamide | ↓ aqueous humor secretion due to ;↓ HCO3− (via inhibition of carbonic anhydrase);;No pupillary or vision changes |
| Glaucoma drugs mech and side effects;;Cholinomimetics | ↑ outflow of aqueous humor; contract ciliary muscle and open trabecular meshwork;;;Miosis, cyclospasm |
| Glaucoma drugs mech and side effects;;Latanoprost (PGF2α) | ↑ outflow of aqueous humor;;Darkens color of iris (browning) |
| which glaucoma drug ↑ outflow of aqueous humor | Epinephrine;;Cholinomimetics;;Prostaglandin (Latanoprost ;(PGF2α)) |
| which glaucoma drug ↓ aqueous humor synthesis | Brimonidine |
| which glaucoma drug ↓ aqueous humor secretion | β-blockers: Timolol, betaxolol, ;carteolol;;Diuretics: Acetazolamide |
| which glaucoma drug causes Mydriasis, stinging; do not use;in closed-angle glaucoma | Epinephrine |
| which glaucoma drug causes Miosis, cyclospasm | Cholinomimetics |
| which glaucoma drug causes Darkens color of iris (browning) | Prostaglandin: Latanoprost ;(PGF2α) |
| Atropine effects | dilates pupils and Blocks SLUD: ;↓Salivation;↓Lacrimation;↓Urination;↓Defecation |
| Atropine Toxicity | Hot as a hare;Dry as a bone;Red as a beet;Blind as a bat;Mad as a hatter |
| Can cause acute angle-closure glaucoma in elderly, urinary retention in men with prostatic hypertrophy, and hyperthermia ;in infants. | Atropine |
| Hexamethonium;;Mechanism | Nicotinic ACh receptor antagonist. Ganglionic blocker. |
| Hexamethonium;;Clinical use | Ganglionic blocker. Used in experimental models to prevent vagal reflex responses to ;changes in blood pressure– –e.g., prevents reflex bradycardia caused by NE. |
| prevents reflex bradycardia caused by NE | Hexamethonium |
| Used in experimental models to prevent vagal reflex responses to ;changes in blood pressure | Hexamethonium |
| selectivity for Sympathomimetics;;Epinephrine | α1, α2, β1, β2, low doses selective for β1 |
| selectivity for Sympathomimetics;;NE | α1, α2 >β1 |
| selectivity for Sympathomimetics;;;Isoproterenol | β1 =β2 |
| selectivity for;Sympathomimetics;;Dopamine | D1 = D2 >β >α |
| selectivity for Sympathomimetics;;Dobutamine | β1 >β2 |
| Mechanism for Sympathomimetics;;Amphetamine | Indirect general agonist, releases stored ;catecholamines |
| Mechanism for Sympathomimetics;;Ephedrine | Indirect general agonist, releases stored ;catecholamines |
| Mechanism forSympathomimetics;;Cocaine | Indirect general agonist, uptake inhibitor |
| Mechanism for Sympathomimetics;;Clonidine, α-methyldopa | Centrally acting α-agonist, ↓ central ;adrenergic outflow |