clinical pharm set3

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Author:
garrettneville
ID:
196689
Filename:
clinical pharm set3
Updated:
2013-01-30 17:39:19
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clinical pharm
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this is for quiz 4
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  1. Terbutaline is a ___ agonist
    Beta2
  2. Terbutaline is commonly used to prevent what?
    premature parturition
  3. where do calcium blockers occur
    in uterine muscles,  which inhibits uterine contractions
  4. name the two alpha-1 blockers
    • Doxa`zosin (cardura)
    • tamsu`losin (flomax)
  5. alph-1 blockers doxazosin, and tamsulosin are primarily used to treat _____
    • benign prostate hypertrophy (BPH)
    • relaxes prostate muscle allowing urine to flow easier
    • these are alternatives to TURP "roto rooter"
    • FUCK THAT
  6. there are 3 adverse effects of alpha-1 blockers doxazosin, and tamsulosin which are 
    • 1. orthostatic (postural) hypotension taking pill  at bed time helps reduce this side effect
    • 2. nasal congestion
    • 3. inability to ejaculate "that sucks"
  7. doxazosin (cardura) was originally developed to treat what
    hypertension
  8. name the non specific alpha-1 and beta-1,2 blockers
    carvedilol (coreg)
  9. carvedilol (coreg)
    • causes vasodilation and slowing heart rate used in adjunct with CHF, and to prevent atrial fibrillation after surgery 
    • asthmatic patients or ones with respiratory difficulties should not use 
  10. name the nonspecific Beta blockers
    Propranolol
  11. Propranolol (inderal) blocks _____ ____
    Beta-1 and Beta-2 receptors
  12. Propranolol (inderal) Beta-1 effects are
    decreases intensity and rate of heart contraction, which then decreases blood pressure
  13. Propranolol (inderal) Beta-2 blockage effects?
    bronchoconstriction individuals with asthma
  14. name the 6 clinical uses for propranolol
    • 1 hypertension
    • 2 angina
    • 3 cardiac tachycardia
    • 4 prophylactic prevention of migraines
    • 5 prophylactic stage fright
    • 6 reduce tissue damage after MI
  15. Metoprolol (lopressor) is a _____ specific 
    Beta-1
  16. name thetwo most commonly used antihypertensive drugs
    • metoprolol and atenolol
    • Beta-1 specific blockers
  17. what do metoprolol and atenolol do
    • they reduce blood pressure by decreasing the intensity and rate of heart contraction
    • taken with ACE inhibitors to slow down left ventricle hypertrophy
  18. name the five adverse effects of all Beta blockers
    • 1 patients with heart problems have increased risk of heart block
    • 2 prevention of tachycardia, which hides signs of hypoglycemic episodes in diabetics
    • 3 tiredness or lethargy
    • 4 nightmares
    • 5 rebound tachycardia if not stopped
  19. long term use of atenolol increases the risk of 
    • type 2 diabetes
    • no longer first line drug
  20. Nevibolol (bystolic)
    a new Beta blocker causes vasodilation by stimulating nitric oxide release
  21. name the 2 ophthamologicaladrenergicdrugs for treating glaucoma
    • 1 timolol--blocks B-1 and B-2 in eye
    • 2 betalol--acts on B-1
  22. name the 3 anti-adrenergic drugs which act on the CNS
    • 1 reserpine
    • 2 clonidine
    • 3 cyclobenzaprine
  23. Reserpine was one of the first _______ drugs
    anti-hypertensive
  24. Reserpine caused
    major depression
  25. Clonidine blocks ____ in the ___, which inhibits_____ system activity and ______ heart rate
    receptors in the CNS, which inhibits sympathetic nervous system, and decreases HR
  26. Clonidine treats ______ and is the only one available in a _____
    hypertension, patch
  27. what are the 4 adverse effects of clonidine
    • 1 xerostomia (dry mouth)
    • 2 drowsiness and sedation
    • 3 teratogenic
    • 4 rebound hypertension

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