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A set of fill-in-the-blank flashcards covering parasympathetic/sympathetic pharmacology, drug examples, receptor details, and clinical considerations.
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Parasympathetic = __
Rest and Digest
Sympathetic = __
Fight or Flight
Stimulate parasympathetic activity are known as __.
cholinergic drugs (parasympathomimetics)
An example of a parasympathetic stimulant used to wake up bladder and intestines after surgery is __.
Bethanechol
Block parasympathetic activity = __.
anticholinergics
A drug that speeds up a slow heart and dilates pupils is __.
Atropine
Too much cholinergic drug results in the acronym __.
SLUDGE (Salivation, Lacrimation, Urination, Diaphoresis, GI upset, Emesis)
Adrenergic drugs (sympathomimetics) mimic __.
adrenaline/norepinephrine
A prototype adrenergic agonist used in emergencies is __.
Epinephrine
Epinephrine is used for __, __, and __.
cardiac arrest; asthma; anaphylaxis
Phenylephrine is a nasal decongestant that also raises __.
blood pressure
Dobutamine is a β1 agonist used to boost the __ in heart failure.
heart pump / cardiac output
Albuterol is a β2 agonist that opens __.
airways (bronchioles) in asthma/COPD
Dopamine is used in __ to raise HR and BP.
shock
The prototype α1 blocker used for hypertension and BPH is __.
Doxazosin
A cardioselective β1 blocker example is __.
Atenolol
A nonselective β blocker that can cause bronchoconstriction is __.
Propranolol
α2 receptors are located on and function to norepinephrine release.
nerve terminals; stop/reduce
β1 receptors are located in the and ; stimulation increases HR and triggers __ release.
heart; kidneys; renin
β2 receptors are located in the __ and in smooth muscle; stimulation causes bronchodilation.
lungs
β3 receptors are located in the and ; stimulation causes bladder relaxation and __.
bladder; fat tissue; lipolysis
Main cholinergic receptors for drugs are __ receptors.
muscarinic
Suffix '-terol' indicates a __ (drug class).
β2 agonist
Suffix '-zosin' (or '-osin') indicates an __ blocker.
α1
Suffix '-olol' indicates a __ blocker.
β blocker
Direct-acting cholinergic drugs bind directly to __ receptors.
muscarinic
Indirect-acting cholinergic drugs block the enzyme __.
AChE (acetylcholinesterase)
Pyridostigmine is a __ used for Myasthenia Gravis and nerve gas antidote.
cholinesterase inhibitor (indirect-acting cholinergic)
Atropine is a classic example of a __ blocker that blocks ACh, producing a fight-or-flight–like state.
parasympathetic (anticholinergic)
First-dose orthostatic hypotension is a common side effect of __.
α1 blockers (e.g., Doxazosin, Prazosin)
Atenolol is a cardioselective β1 blocker and Propranolol is a nonselective β blocker; real-world example of nonselective is __.
Propranolol
Nonselective beta blockers can cause bronchoconstriction in patients with __.
asthma/COPD
Adrenergic drug monitoring includes watching for tachycardia, hypertension, dysrhythmias, tremors, dizziness, and __.
headaches
Stopping adrenergic drugs should be __ to avoid rebound effects.
tapered slowly / gradual taper
α1 receptor activation causes vessels to and pupils to .
constrict; dilate
β2 receptor activation in the lungs causes __; in the uterus it causes __.
bronchodilation; relaxation (stop contractions)
Terbutaline is a β2 agonist used to __.
stop preterm contractions
Mirabegron is a β3 agonist used for __.
overactive bladder
The nursing process for adrenergic drugs includes checking allergies, medications, OTCs, and __.
herbal products