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32 Cards in this Set

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  • Back
Cholinergic drugs work on the ______ Nervous system
parasympathetic
______ (__) is the presynaptic and postsynaptic neurotransmitter in the Parasympathetic Nervous system
Acetylcholine (Ach)
Acetylcholine (Ach) is an ______ neurotransmitter that ____ HR
excitatory

increases
Acetylcholine (Ach) is released in response to an _____ ____, diffuses across the synaptic cleft, and binds to _____ receptors on the target organs or tissues
action potential

cholinergic
Activation of nicotonic receptors in the _____ _____ results in the release of epinephrine
adrenal medulla
Stimulation of nicotonic receptors results in ____ muscle contraction
skeletal
Direct acting muscarinic agonist prototype drug is?
*pilocarpine*
What is the antidote to pilocarpine?
*atropine*
Stimulation of the Muscarinic receptors results in the pharmacologic response of ______ resulting in ___ blood pressure
vasodilation

decreased
What are the 3 groups of cholinergic agonists?
D.A. muscarinic agonists
D.A. nicotinic agonists
I.A. cholinergic agonists
The therapeutic uses of parasympathetic drugs are related to providing extra cholinergic _____ or _____ normal ANS functioning
stimulation

blocking
The two significant classes of nicotinic stimulants are the ____ stimulants and the _____ nicotinic stimulants.
ganglionic

neuromuscular
Direct-Acting Nicotinic Agonists prototype drug is...
Nicotine
Therapeutic value of Nicotine
Used as an ADJUNCT to smoking cessation programs
Nicotine most common adverse effects
erythema, pruritus, burning, headache, insomnia
Nicotine most serious adverse effects
vasculitis
Therapeutic value of Pilocarpine
Used for simple and acute glaucoma, preop and postop intraocular tension, mydriasis, and xerostoma
Pilocarpine most common adverse effects
blurred vision, myopia
Pilocarpine most serious adverse effects
cholinergic crisis, bronchospasm
Monotherapy use of nicotine replacement is the preferred treatment for smoking cessation. True or False?
False, nicotine replacement is considered an adjunct to smoking cessation
Cholinergic antagonists are drugs that antagonize, or block, _____ or _____ receptors directly
muscarinic

nicotinic
Clinical importance of Cholinergic antagonists is?
*Increasing the Heart *
Cholinergic antagonists prototype drug
*atropine*
What is the therapeutic use for atropine?
Cardiac arrhythmias
atropine is a strong ____ of cholinergic receptors
inhibitor
Most common adverse effects of atropine
*blurred vision, dry mouth, constipation, and urinary retention*
Most serious adverse effects of atropine
*cardiac arrhythmias*
The PSNS stimulates the __ system and decreases ___ and ___ and ___ function to preserve energy
GI

metabolism, cardiovascular, respiratory
In the PSNS, the transmitter is ___, and the receptors may be ____ or _____
acetylcholine

muscarinic or nicotinic
Acetylcholine is inactivated by ________
Acetylcholinesterase
A prototype I.A. cholinergic receptor stimulant is ____, which is used to control the symptoms of ____ _____.
neostigmine

myasthenia gravis
Atropine is most commonly used...
preop to dry post op secretions