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AA Pharm: Sympathomimetic RX

AB
cardiovascular effects of EPIpositive chrono/ino trope, inc heart O2 consum & work, arrythmogenic, dose dep bp fxn
anaphylaxis effects of EPIrelieve bronchospsm, dec mucus memb congest & edema
meds given with EPI for anaphylaxisglucocorticoids, antihistamines
effects of NORvasoconstriction, cardiac stim; stims heart (not bronchi or peripheral bv)
don't use NOR with ? patientsdehydrated
why must you give NOR in a large vein?extravasation
effects of isoproterenolchrono/inotrope, inc CO, beta 2 effects: vd-> sk mus, nesentary, pulm
adverse of isoproterenolarrythmias, flushing, hypotension(profound), vertigo insomnia, heartburn, cough, dyspnea, sweating
treatment of extravisationphentolamine
low dose dopamine causes ?dopaminergic effects: vd of mesentary & renal aa, inc urine output
medium dose dopamine causes ?beta effects: cardiac stim (ino&chrono), inc bp(bcs CO inc)
hi dose dopamine causes ?alpha effects: inc bp (bcs vc)
effects of dobutaminecatdiac stim, inc inotropy, inc CO, inc coronary bf(good post MI)
example of pure alpha agonistphenylephrine
effects of phenylephrinelong DOA, mydriatic, decongestant, inc bp(not used for this purpose)
effects of methoxamineinc bp (by vc), long DOA, bradycardia, dec bp(last line)
acts primarily trhough the rls of stored catecholaminesephedrine
effects of ephedrinenasal decongest, vasopressor, inc excr by acidify urine
ephedrine enantiomer (OTC med)pseudoephedrine
effects of amphetamineenters CNS, affects: mood, alertness, appetite
meds used for attention deficit hyperactivity disordermethylphenidate, pemoline
med given to attention deficit hyper disorder or help get pts off narcoticsclonidine
side effects of clonidinedrowsiness, dec bp
meds used to suppress premature labor (beta 2 agonist)ritodrine, terbutaline


Suzanne M. Clous

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