Adrenergic Agonist
sympathomimetic/stimulates effect of
Sympathetic Nerious system
or
Flight/ Fight
·
Alpha Agonist
·
Betaagonist
·
Alpha specific
·
Beta Specific
Recall the effects
Alpha & Beta Agonist
-
DRUGS
-
shock
Dopamine for
· -
heart
Dobutamine for
]
· -
failure
·
Epinephrine -
nasal
decongestant
Phenylephrine
-
·
- OTC cough & cold
preparation
Nursing Responsibily
administration
·
proper close
small error is fatal
·
Aseptic technique
a necrosis
·
Phentolamine
- -onstand b
-
Alpha Specific Adrenergic Anonist
-
- controls hypertension
Clonidine
-
orthostatic
treatment for that does
traditiona
-
mypotension
not respond
to
·
Midrodine treatment
supraventrials
for paroxysmal
Phenyl Ephrine
-
·
tachycardian
local amestresic
-
prolong
treatment for allegia
rhinitis
Interactions
· MAOI
·
TCA
·
Digoxin
Beta Blocker
Antagonist
·
Adrenergic
Nursing Responsibility
discontinue
do not
*clonidine-
abruptly
-
Rebound hypertension
-
Taper the Rose first
# Monitor BloodPressure
Beta Specific Adrenergic Agonist
: Albuterol/Salbutamol
Drugs
Salmeford
Terbutaline
Therapeutic Effect
* Heart rate
↑ Bronchodilation
↑ vasodilation
Indication
-
·
Asthma
· Bronchial spas
·
Instructive Pulmonary
conditions
Nursing Responsibility
·
Monitor Pulse & BP
·
Betc Blocker should
be ready
iso protereno
when
giving
Adrenergic Antagonist
Blocks the effect of
-
sympathetic nervous system
-
prevents norepinephrine
in activating the
receptor.
Non selective Antagonist
cardiac conditions
·
treats
-
for hypertension , for heart failure
-
Reduce Cardiac workload
-
-
Example Drug Phentolamine
:
(Regetine (
-
Prevents cell death
-
Diagnosis of Pheochromocytoma
Selective Alpha , Blocker
-
Treatment
for Benign Prostatic Hyperplasia
-
Improve urine flow
-
Relaxation of Prostate & Bladder
Do combi
not
·
·
prazosin a rum channel
Blocker inhibitors
ACE
·
Tastisclosin ,
Increase Of
effects
·
·
Terazosin
· Doxazosin hypotensive
during
· Monitor BP ,
cardiac output , measadministration
Non-selective Beta Blocker
-
cardiovascular problems
after MI
-
prevents Reinfarction
* Labetalo
* carredita
Selective Beta Blocker ,
-
more advantage.
Betal receptor
they don't block
-
Beter dug of choice for
Patients with asthma
Treatment for hypertension
-
ang:na
~
cardiac arrythmia
Non Selective Beta Blocker
Propranolol for stage fright
-
Nebiplo
-
Hypertension , argina
· Timilo) -
for open angle glaucoma
Nursing
Responsibility
-
Taper of dose after
chronic therapy
-
Monitor BP
-
Educate warning signs
Beta selective Blocker
w/ asthma
-
prefered -patients
-
Drug Examples esmotol
Atenolol , Metoprolol ,
indication : cardiac Arrythmia
Hypertension
Chronic Angina
Oralform
-
decrease ocular pressur
treatment of open angle glaucoma