Podcast
Questions and Answers
What is the main mechanism of action for direct adrenergic agonists?
What is the main mechanism of action for direct adrenergic agonists?
- Inhibition of norepinephrine inactivation
- Promotion of norepinephrine release
- Blockade of norepinephrine re uptake
- Work on receptor binding (correct)
Which of the following is NOT a major catecholamine?
Which of the following is NOT a major catecholamine?
- Norepinephrine
- Isoproterenol
- Ephedrine (correct)
- Dopamine
What property do all catecholamines share due to their chemistry?
What property do all catecholamines share due to their chemistry?
- Ability to act in the central nervous system
- Brief duration of action (correct)
- Oral use availability
- Long duration of action
What is the name of the enzymes that quickly metabolize catecholamines?
What is the name of the enzymes that quickly metabolize catecholamines?
What distinguishes indirect adrenergic agonists from direct ones?
What distinguishes indirect adrenergic agonists from direct ones?
Which class of adrenergic agonists is named after its structural components?
Which class of adrenergic agonists is named after its structural components?
Why can't catecholamines be used orally?
Why can't catecholamines be used orally?
Which enzyme is responsible for the degradation of noncatecholamines and metabolizes them slowly?
Which enzyme is responsible for the degradation of noncatecholamines and metabolizes them slowly?
Why are catecholamine-containing solutions discarded when they turn pink or brown?
Why are catecholamine-containing solutions discarded when they turn pink or brown?
What makes noncatecholamines considerably less polar than catecholamines?
What makes noncatecholamines considerably less polar than catecholamines?
Why are catecholamines ineffective when given orally?
Why are catecholamines ineffective when given orally?
What causes the pink or brown discoloration of catecholamine-containing solutions over time?
What causes the pink or brown discoloration of catecholamine-containing solutions over time?
How do noncatecholamines differ from catecholamines in terms of reaching systemic circulation when given orally?
How do noncatecholamines differ from catecholamines in terms of reaching systemic circulation when given orally?
What allows noncatecholamines to cross the blood brain barrier more easily?
What allows noncatecholamines to cross the blood brain barrier more easily?
What is the receptor specificity of albuterol?
What is the receptor specificity of albuterol?
At what dose does the selectivity of albuterol decline?
At what dose does the selectivity of albuterol decline?
What are the two responses elicited by activation of A1 receptors?
What are the two responses elicited by activation of A1 receptors?
What are the therapeutic applications of activation of A1 receptors?
What are the therapeutic applications of activation of A1 receptors?
What causes the adverse effects of alpha-1 receptor activation?
What causes the adverse effects of alpha-1 receptor activation?
What is the clinical significance of alpha-2 receptor activation in the central nervous system?
What is the clinical significance of alpha-2 receptor activation in the central nervous system?
What is the main therapeutic use of activation of alpha-2 receptors in the central nervous system?
What is the main therapeutic use of activation of alpha-2 receptors in the central nervous system?
What determines the ability of a drug to selectively activate certain receptors?
What determines the ability of a drug to selectively activate certain receptors?
Which effect is associated with the activation of beta-1 receptors in the heart?
Which effect is associated with the activation of beta-1 receptors in the heart?
What is a potential risk for patients with compromised coronary circulation when exposed to beta-1 agonists?
What is a potential risk for patients with compromised coronary circulation when exposed to beta-1 agonists?
Which therapeutic application is associated with B2 receptors in the body?
Which therapeutic application is associated with B2 receptors in the body?
What adverse effect is specifically seen in diabetics due to the activation of B2 receptors?
What adverse effect is specifically seen in diabetics due to the activation of B2 receptors?
What is the main effect of B1 agonists in terms of cardiac O2 demand?
What is the main effect of B1 agonists in terms of cardiac O2 demand?
Which condition is NOT a therapeutic application of B2 receptors?
Which condition is NOT a therapeutic application of B2 receptors?
What is a potential adverse effect of B2 receptor activation in non-diabetic individuals?
What is a potential adverse effect of B2 receptor activation in non-diabetic individuals?
Which effect is associated with the activation of B1 receptors in the kidneys?
Which effect is associated with the activation of B1 receptors in the kidneys?
What is the receptor specificity of dopamine at high doses?
What is the receptor specificity of dopamine at high doses?
Which adrenergic agonist is indicated for the treatment of heart failure?
Which adrenergic agonist is indicated for the treatment of heart failure?
What is the receptor specificity of phenylephrine?
What is the receptor specificity of phenylephrine?
What is the specific therapeutic application of albuterol?
What is the specific therapeutic application of albuterol?
What is the main adverse effect associated with ephedrine's activation of alpha and beta receptors?
What is the main adverse effect associated with ephedrine's activation of alpha and beta receptors?
At what doses does albuterol activate B1 receptors?
At what doses does albuterol activate B1 receptors?
What is the main adverse effect of dobutamine?
What is the main adverse effect of dobutamine?
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What type of drug is phenylephrine?
What type of drug is phenylephrine?
What is the specific therapeutic application of dopamine?
What is the specific therapeutic application of dopamine?
What adverse effect can be caused by albuterol at high doses?
What adverse effect can be caused by albuterol at high doses?
What is the receptor specificity of dopamine?
What is the receptor specificity of dopamine?
What is the main therapeutic use of norepinephrine?
What is the main therapeutic use of norepinephrine?
Which adverse effect is specifically associated with the use of epinephrine?
Which adverse effect is specifically associated with the use of epinephrine?
What is the receptor specificity of isoproterenol?
What is the receptor specificity of isoproterenol?
What are the therapeutic uses of epinephrine?
What are the therapeutic uses of epinephrine?
Which enzyme is responsible for metabolizing epinephrine?
Which enzyme is responsible for metabolizing epinephrine?
What is the adverse effect associated with norepinephrine?
What is the adverse effect associated with norepinephrine?
What is the primary mechanism of action for adrenergic antagonists?
What is the primary mechanism of action for adrenergic antagonists?
How do adrenergic antagonists lower arterial pressure?
How do adrenergic antagonists lower arterial pressure?
In what condition can an alpha adrenergic antagonist be used to prevent injury?
In what condition can an alpha adrenergic antagonist be used to prevent injury?
What is the therapeutic application of alpha blockade in BPH?
What is the therapeutic application of alpha blockade in BPH?
What is the primary effect of overdose with an alpha-adrenergic agonist?
What is the primary effect of overdose with an alpha-adrenergic agonist?
What is the main therapeutic application of reversible competitive blockade?
What is the main therapeutic application of reversible competitive blockade?
What is the specific therapeutic application of alpha blockade in Raynaud Disease?
What is the specific therapeutic application of alpha blockade in Raynaud Disease?
In what condition does an alpha adrenergic antagonist cause the reduction of arterial pressure by indirect process?
In what condition does an alpha adrenergic antagonist cause the reduction of arterial pressure by indirect process?
What is the direct effect of dilation of arterioles caused by adrenergic antagonists?
What is the direct effect of dilation of arterioles caused by adrenergic antagonists?
What is the primary action of adrenergic antagonists when used for reversal of toxicity from alpha agonists?
What is the primary action of adrenergic antagonists when used for reversal of toxicity from alpha agonists?
What differentiates most adrenergic antagonists from adrenergic agonists?
What differentiates most adrenergic antagonists from adrenergic agonists?
What is the primary symptom of Raynaud's disease?
What is the primary symptom of Raynaud's disease?
Why is orthostatic hypotension a significant adverse effect of alpha-1 receptor blockade?
Why is orthostatic hypotension a significant adverse effect of alpha-1 receptor blockade?
Which group of alpha adrenergic blocking agents produces selective A1 blockade?
Which group of alpha adrenergic blocking agents produces selective A1 blockade?
What is the most significant adverse effect associated with alpha-2 receptor blockade?
What is the most significant adverse effect associated with alpha-2 receptor blockade?
Which alpha adrenergic blocking agent can cause abnormal ejaculation and has an increased risk for rhinitis?
Which alpha adrenergic blocking agent can cause abnormal ejaculation and has an increased risk for rhinitis?
What is the primary use of prazosin among the 'zosins' group of drugs?
What is the primary use of prazosin among the 'zosins' group of drugs?
What is the specific reason for giving alpha-1 antagonists prior to surgery for pheochromocytoma?
What is the specific reason for giving alpha-1 antagonists prior to surgery for pheochromocytoma?
Why is impotence reversible once alpha-1 antagonist drug is discontinued?
Why is impotence reversible once alpha-1 antagonist drug is discontinued?
Which peripheral vascular disorder can be suppressed by preventing alpha-mediated base vasoconstriction?
Which peripheral vascular disorder can be suppressed by preventing alpha-mediated base vasoconstriction?
What is the major reason for using alpha-1 antagonists long term if the pheochromocytoma tumor is inoperable?
What is the major reason for using alpha-1 antagonists long term if the pheochromocytoma tumor is inoperable?
What adverse effect results from sodium retention and increased blood volume due to reduced blood pressure caused by alpha-1 blockade?
What adverse effect results from sodium retention and increased blood volume due to reduced blood pressure caused by alpha-1 blockade?
What distinguishes prazosin from alfuzosin among the 'zosins' group of drugs?
What distinguishes prazosin from alfuzosin among the 'zosins' group of drugs?
What is the main therapeutic application of phentolamine?
What is the main therapeutic application of phentolamine?
How do beta adrenergic blockers prevent ischemia and pain?
How do beta adrenergic blockers prevent ischemia and pain?
What is a common long-term effect of beta adrenergic antagonist use on peripheral vascular resistance?
What is a common long-term effect of beta adrenergic antagonist use on peripheral vascular resistance?
What is the main therapeutic application of beta adrenergic blockers in antianginal therapy?
What is the main therapeutic application of beta adrenergic blockers in antianginal therapy?
What is the primary use of beta adrenergic antagonists in treating dysrhythmias?
What is the primary use of beta adrenergic antagonists in treating dysrhythmias?
What is the long-lasting effect of phenoxybenzamine receptor blockade?
What is the long-lasting effect of phenoxybenzamine receptor blockade?
What are the approved applications of phentolamine?
What are the approved applications of phentolamine?
What is the primary effect of beta adrenergic antagonists on cardiac workload?
What is the primary effect of beta adrenergic antagonists on cardiac workload?
What are the adverse effects associated with phentolamine?
What are the adverse effects associated with phentolamine?
What are the approved applications of phenoxybenzamine?
What are the approved applications of phenoxybenzamine?
Which adverse effect can be caused by the activation of B2 receptors in the lung?
Which adverse effect can be caused by the activation of B2 receptors in the lung?
What is the primary therapeutic use of propranolol?
What is the primary therapeutic use of propranolol?
What is the effect of blocking B1 receptors in the heart by propranolol?
What is the effect of blocking B1 receptors in the heart by propranolol?
Which adverse effect is specifically associated with the use of metoprolol?
Which adverse effect is specifically associated with the use of metoprolol?
What is the primary reason for using a B1 selective agent in patients with asthma who need a beta blocker?
What is the primary reason for using a B1 selective agent in patients with asthma who need a beta blocker?
What is the mechanism by which propranolol reduces the force of ventricular contraction?
What is the mechanism by which propranolol reduces the force of ventricular contraction?
What is the primary reason for minimizing the risk of rebound excitation when withdrawing beta blockers?
What is the primary reason for minimizing the risk of rebound excitation when withdrawing beta blockers?
What is the primary effect of metoprolol on heart rate?
What is the primary effect of metoprolol on heart rate?
What is the most significant adverse effect observed with Betaxolol and other beta blockers?
What is the most significant adverse effect observed with Betaxolol and other beta blockers?
What is the primary reason for using a B1 selective agent in patients with diabetes mellitus who need a beta blocker?
What is the primary reason for using a B1 selective agent in patients with diabetes mellitus who need a beta blocker?
How do beta blockers contribute to the treatment of an MI?
How do beta blockers contribute to the treatment of an MI?
What is the mechanism by which beta blockers prevent tachydysrhythmia and angina in hyperthyroidism?
What is the mechanism by which beta blockers prevent tachydysrhythmia and angina in hyperthyroidism?
What is one of the therapeutic applications of beta blockers?
What is one of the therapeutic applications of beta blockers?
What is a potential risk associated with using beta blockers in patients with heart failure or reduced cardiac reserve?
What is a potential risk associated with using beta blockers in patients with heart failure or reduced cardiac reserve?
Why should beta blockers be discontinued in patients with stage D heart failure?
Why should beta blockers be discontinued in patients with stage D heart failure?
What is AV heart block defined as?
What is AV heart block defined as?
What effect do non-selective beta adrenergic blocking agents produce compared to cardioselective beta-adrenergic antagonists?
What effect do non-selective beta adrenergic blocking agents produce compared to cardioselective beta-adrenergic antagonists?
What is a specific therapeutic use of non-selective beta blockade?
What is a specific therapeutic use of non-selective beta blockade?
What is one of the adverse effects of Beta1 blockade?
What is one of the adverse effects of Beta1 blockade?
What adverse effect can beta blockers precipitate in some patients?
What adverse effect can beta blockers precipitate in some patients?
Which beta blockers have high solubility and primarily penetrate the blood-brain barrier?
Which beta blockers have high solubility and primarily penetrate the blood-brain barrier?
What is the only approved indication for esmolol?
What is the only approved indication for esmolol?
Which beta blocker can cause postural hypotension?
Which beta blocker can cause postural hypotension?
Which beta blockers have a black box warning for abrupt discontinuation and increased risk for angina and MI?
Which beta blockers have a black box warning for abrupt discontinuation and increased risk for angina and MI?
Which type of adrenergic blocking drugs are used primarily for hypertension?
Which type of adrenergic blocking drugs are used primarily for hypertension?
What is the main difference between labetalol, carvedilol, and nebivolol from other beta blockers?
What is the main difference between labetalol, carvedilol, and nebivolol from other beta blockers?
What makes sotalol and esmolol unsuitable for treating hypertension?
What makes sotalol and esmolol unsuitable for treating hypertension?
What is the effect of activating A2 receptors located on presynaptic nerve terminals?
What is the effect of activating A2 receptors located on presynaptic nerve terminals?
What is the main adverse effect associated with carvedilol, labetalol, and nebivolol?
What is the main adverse effect associated with carvedilol, labetalol, and nebivolol?
Which receptor activation do the indirect-acting antiadrenergic agents prevent by mechanisms not involving direct interaction with peripheral receptors?
Which receptor activation do the indirect-acting antiadrenergic agents prevent by mechanisms not involving direct interaction with peripheral receptors?
What is the main pharmacological effect of clonidine?
What is the main pharmacological effect of clonidine?
Why is clonidine not recommended during pregnancy?
Why is clonidine not recommended during pregnancy?
What is a common adverse effect of clonidine experienced by 40% of patients?
What is a common adverse effect of clonidine experienced by 40% of patients?
How does clonidine affect sympathetic outflow to the blood vessels and heart?
How does clonidine affect sympathetic outflow to the blood vessels and heart?
What is the route of administration for clonidine in epidural administration?
What is the route of administration for clonidine in epidural administration?
In what area of the central nervous system does clonidine selectively activate A2 receptors?
In what area of the central nervous system does clonidine selectively activate A2 receptors?
What is the primary mechanism of clonidine's action in reducing sympathetic outflow?
What is the primary mechanism of clonidine's action in reducing sympathetic outflow?
Which adverse effect is specifically associated with clonidine withdrawal?
Which adverse effect is specifically associated with clonidine withdrawal?
What is the primary therapeutic use of guanfacine?
What is the primary therapeutic use of guanfacine?
How do guanfacine and clonidine benefit patients with hypertension?
How do guanfacine and clonidine benefit patients with hypertension?
What distinguishes methyldopate from methyldopa?
What distinguishes methyldopate from methyldopa?
What is the only therapeutic use of methyldopa and methyldopate?
What is the only therapeutic use of methyldopa and methyldopate?
Which organization designated methyldopa as one of the preferred drugs for managing hypertension during pregnancy?
Which organization designated methyldopa as one of the preferred drugs for managing hypertension during pregnancy?
What are the adverse effects associated with methyldopa?
What are the adverse effects associated with methyldopa?
What is the primary reason for designating methyldopa as one of the preferred drugs for managing hypertension during pregnancy?
What is the primary reason for designating methyldopa as one of the preferred drugs for managing hypertension during pregnancy?
What are the other two drugs designated by the American College of Obstetricians and Gynecologists for managing hypertension during pregnancy?
What are the other two drugs designated by the American College of Obstetricians and Gynecologists for managing hypertension during pregnancy?