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32 Cards in this Set
- Front
- Back
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Cholinergic drugs work on the ______ Nervous system
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parasympathetic
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______ (__) is the presynaptic and postsynaptic neurotransmitter in the Parasympathetic Nervous system
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Acetylcholine (Ach)
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Acetylcholine (Ach) is an ______ neurotransmitter that ____ HR
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excitatory
increases |
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Acetylcholine (Ach) is released in response to an _____ ____, diffuses across the synaptic cleft, and binds to _____ receptors on the target organs or tissues
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action potential
cholinergic |
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Activation of nicotonic receptors in the _____ _____ results in the release of epinephrine
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adrenal medulla
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Stimulation of nicotonic receptors results in ____ muscle contraction
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skeletal
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Direct acting muscarinic agonist prototype drug is?
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*pilocarpine*
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What is the antidote to pilocarpine?
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*atropine*
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Stimulation of the Muscarinic receptors results in the pharmacologic response of ______ resulting in ___ blood pressure
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vasodilation
decreased |
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What are the 3 groups of cholinergic agonists?
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D.A. muscarinic agonists
D.A. nicotinic agonists I.A. cholinergic agonists |
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The therapeutic uses of parasympathetic drugs are related to providing extra cholinergic _____ or _____ normal ANS functioning
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stimulation
blocking |
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The two significant classes of nicotinic stimulants are the ____ stimulants and the _____ nicotinic stimulants.
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ganglionic
neuromuscular |
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Direct-Acting Nicotinic Agonists prototype drug is...
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Nicotine
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Therapeutic value of Nicotine
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Used as an ADJUNCT to smoking cessation programs
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Nicotine most common adverse effects
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erythema, pruritus, burning, headache, insomnia
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Nicotine most serious adverse effects
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vasculitis
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Therapeutic value of Pilocarpine
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Used for simple and acute glaucoma, preop and postop intraocular tension, mydriasis, and xerostoma
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Pilocarpine most common adverse effects
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blurred vision, myopia
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Pilocarpine most serious adverse effects
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cholinergic crisis, bronchospasm
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Monotherapy use of nicotine replacement is the preferred treatment for smoking cessation. True or False?
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False, nicotine replacement is considered an adjunct to smoking cessation
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Cholinergic antagonists are drugs that antagonize, or block, _____ or _____ receptors directly
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muscarinic
nicotinic |
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Clinical importance of Cholinergic antagonists is?
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*Increasing the Heart *
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Cholinergic antagonists prototype drug
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*atropine*
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What is the therapeutic use for atropine?
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Cardiac arrhythmias
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atropine is a strong ____ of cholinergic receptors
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inhibitor
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Most common adverse effects of atropine
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*blurred vision, dry mouth, constipation, and urinary retention*
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Most serious adverse effects of atropine
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*cardiac arrhythmias*
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The PSNS stimulates the __ system and decreases ___ and ___ and ___ function to preserve energy
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GI
metabolism, cardiovascular, respiratory |
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In the PSNS, the transmitter is ___, and the receptors may be ____ or _____
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acetylcholine
muscarinic or nicotinic |
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Acetylcholine is inactivated by ________
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Acetylcholinesterase
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A prototype I.A. cholinergic receptor stimulant is ____, which is used to control the symptoms of ____ _____.
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neostigmine
myasthenia gravis |
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Atropine is most commonly used...
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preop to dry post op secretions
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