Pharmacology of Agonist Drugs
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Questions and Answers

What are the primary indications for using Norepinephrine?

  • Hypotensive shock (correct)
  • Hypertension
  • Anaphylaxis
  • Cardiac Arrest (correct)
  • Which of the following medications is a direct-acting non-selective agonist?

  • Clonidine
  • Epinephrine (correct)
  • Norepinephrine
  • Pseudoephedrine
  • What is a contraindication for using Epinephrine?

  • Anaphylaxis
  • Decongestion
  • Hypotensive shock
  • Hypertension (correct)
  • What are the common side effects associated with Dopamine?

    <p>Arrhythmias</p> Signup and view all the answers

    Which mechanism of action is associated with Clonidine?

    <p>Activation of α2 receptors leading to decreased NE release</p> Signup and view all the answers

    The primary action of Phenylephrine is vasoconstriction. What is one of its main side effects?

    <p>Chest pain</p> Signup and view all the answers

    Which of the following best describes the indications for using Pseudoephedrine?

    <p>Decongestant</p> Signup and view all the answers

    What is a potential side effect for patients taking Clonidine?

    <p>Hypotension</p> Signup and view all the answers

    Study Notes

    Agonist Drugs

    • Direct-Acting:

      • Epinephrine (Epi): MOA: Vasoconstriction, ↑ HR, ↑ BP, ↑ force, ↑ AV conduction, MI. Side effects: Arrhythmias, anxiety, headache, anaphylaxis. Indications: Arrhythmias, cardiac arrest, MI. Contraindications: Glaucoma, halothane anesthetic.
      • Norepinephrine: MOA: Vasoconstriction, ↑ HR, ↑ BP, ↑ force, ↑ AV conduction, MI. Side effects: Arrhythmias, cardiac arrest, hypertension, angina pectoris, hypotension. Indications: Hypertension, cardiac arrest. Contraindications: Hypotensive shock, pheochromocytoma.
    • Mixed-Acting:

      • Dopamine: MOA: D1, B1. Side effects: Arrhythmias, hypertension, angina, acute HF. Indications: Hypotensive shock, acute HF, angina. Contraindications: Acidosis.
    • Mixed-Acting (continued):

      • Ephedrine: MOA: ↑ NE & E, ↑ HR, ↑ BP. Side effects: Arrhythmias, ↑ BP, anxiety. Indications: Bronchodilation, nasal decongestion. Contraindications: Not mentioned.
      • Pseudoephedrine: MOA: ↑ NE, ↑ HR, ↑ BP. Side effects: ↑ BP, bradycardia, anxiety, vomiting, chest pain. Indications: Nasal decongestion. Contraindications: Not mentioned.
    • Selective Agonists:

      • Phenylephrine: MOA: α1 receptor activation, ↑ BP. Side effects: Hypertension, bradycardia, anxiety. Indications: Decongestant. Contraindications: Overactive thyroid, hypersensitivity.
      • Oxymetazoline: MOA: α1 activation, ↑ BP. Side effects: Hypertensive shock, arrhythmias. Indications: Nasal decongestion. Contraindications: Not mentioned.

    α2-Agonists

    • Clonidine: MOA: ↓ NE release, ↓ HR, ↓ BP. Side effects: Hypotension, bradycardia, insomnia. Indications: Hypertension. Contraindications: Pregnancy, heart attack, eye issues.

    • Methyldopa: MOA: ↓ NE release, ↓ HR, ↓ BP. Side effects: Hypotension, fatigue. Indications: Hypertension. Contraindications: Not widely used due to side effects.

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    Description

    This quiz covers important details about direct and mixed-acting agonist drugs, including their mechanisms of action, side effects, indications, and contraindications. Test your knowledge on drugs like Epinephrine, Norepinephrine, Dopamine, and more to deepen your understanding of pharmacological principles.

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