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Notes in
Didactic Term 1::Pharm 1::Exam 1::Intro&ANS
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Published
02/11/2025
The autonomic nervous system is under {{c1::involuntary}} control
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02/11/2025
Where do the actions of ANS and its neurotransmitters take place?
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02/11/2025
Where are the central parts of the ANS located?
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{{c1::Sensory afferent nerves}} refers to any nerve that carries sensory information from the body towards the central nervous system (CNS)
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02/11/2025
{{c1::Afferent autonomic nerves}} are sensory nerves within the autonomic nervous system which monitors visceral function and transmits that informati…
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02/11/2025
Provide Two examples of afferent autonomic nerves. What type of sensory information does afferent autonomic nerves provide to the CNS ? (4 specific ex…
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02/11/2025
Where are the baroreceptors that detect changes in mean arterial pressure (MAP) located?
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02/11/2025
Vasomotor reflex: Detection of a decrease or low MAP by baroreceptors causes:
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Vasomotor reflex: Detection of a increased or high MAP by baroreceptors causes:
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02/11/2025
CNS efferent preganglionic autonomic nerve fibers exit from brain stem or spinal cord and terminate {{c1::in autonomic ganglia}}
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Preganglionic fibers of the parasympathetic NS leave through {{c1::cranial and sacral nerves.}}
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Preganglionic fibers of the sympathetic NS leave through paravertebral chains along the {{c1::thoracolumbar region of spinal cord.}}
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Which branch of the ANS has a more diffuse network of nerves? Why?
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02/11/2025
What is the primary neurotransmitter of the PSYMP nervous system and which receptors does it act on?
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02/11/2025
How is Ach synthesized, secreted and metabolized?
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02/11/2025
Which peripheral ANS fibers synthesize and release acetylcholine e.g. which are cholinergic fibers?
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02/11/2025
Which sympathetic postganglionic fibers are also cholinergic?
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02/11/2025
NE is synthesized from tyrosine
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02/11/2025
Where are M1 receptors found?
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Where are M2 receptors found?
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Where are M3 receptors found?
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Activation of M2 receptor causes:
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Activation of M3 receptor causes:
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What are the receptors associated with the SYMP NS?
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02/11/2025
Beta-1 receptors are found in the…
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02/11/2025
Beta-2 receptors are found in the…
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Beta-3 receptors are found in the…
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Stimulation of B-1 receptors causes:
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Stimulation of B-2 receptors causes:
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Stimulation of B-3 receptors causes:
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A-1 receptors are found in….
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Stimulation of A-1 receptors causes:
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02/11/2025
Stimulation of A-2 receptors causes:
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02/11/2025
A-2 receptors are found in the…
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02/11/2025
What are the effects of cholinomimetic drugs?
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02/11/2025
What are the two types of cholinomimetic drugs? Explain the difference between these two types.
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02/11/2025
{{c1::Irreversible acetylcholinesterase inhibitors (AChEI’s)}} are implicated in cholinergic toxicity.
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02/11/2025
What are some examples of common irreversible AChEIs?
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02/11/2025
How is a cholinergic crisis treated?
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02/11/2025
Treatment for acute cholinergic crisis must be initiated within {{c1::36 hours}}
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{{c1::Parasympatholytics or antimuscarinics}} are a class of drugs that block activity at M receptors.
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02/11/2025
Antimuscarinic drugs block M receptors and {{c1::prevent the binding of Ach.}}
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02/11/2025
Which antimuscarinic (class) can cross the BBB? Why?
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02/11/2025
What are the adverse effects (AE) of antimuscarinic agents?
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02/11/2025
Atropine is the prototypal naturally occurring muscarinic agent derived from the {{c1::belladonna plant}}
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02/11/2025
Antimuscarinic medications are contraindicated in which conditions?
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02/11/2025
What are the common causes of antimuscarinic toxicity?
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What is the antidote for antimuscarinic toxicity?
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02/11/2025
Inotropic drugs affect {{c1::force and contractility of cardiac muscle}}
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A drug that is considered a positive inotropic drug will {{c1::increase}} the strength and force of contraction.
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Chronotropic drugs affect {{c1::heart rate}}
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Dromotropic drugs affect the {{c1::velocity of impulse conduction}}
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A positive chronotropic drug would
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A negative chronotropic drug would
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A negative dromotropic drug would
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A negative dromotropic drugs would
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{{c1::Epinephrine}} is released from the adrenal medulla by the stimulation of nicotinic preganglionic fibers
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02/11/2025
Describe epinephrine’s potency on alpha and beta receptors?
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Effects of epinephrine on:HR: BP: SV:CO:Respiratory tract: Common indications:Possible AEs:
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02/11/2025
Norepinephrine has a great effect primarily on alpha receptors
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02/11/2025
Effects of norepinephrine on:BP: PVR:HR:CO:Common use:
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02/11/2025
Dopamine works on vascular dopamine receptors and is a {{c1::B-1}} receptor agonist
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02/11/2025
Dopamine has a(n) ____ effectChronotropic Ionotropic Dromotropic
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02/11/2025
Effect of dopamine at low doses
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Effect of dopamine at high doses
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02/11/2025
Define the term beta agonist
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02/11/2025
Define selective and nonselective beta agonist
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02/11/2025
Define beta antagonist
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Nonselective beta antagonists block beta receptor(s) ______.
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Possible adverse effects (AE) of cholinomimetic drugs?
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02/11/2025
Define Pharmacology
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Define Clinical Pharmacology
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Define Drug
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What are the 4 ways of Naming a Drug?
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What are Adverse Reactions?
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What are Contraindications? Examples?
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What are the 4 phases of Pharmacokinetics?
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02/11/2025
Define Absorption
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Absorption Factors of a Drug
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List some Routes of Administration of drugs
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Drug formulation solubility from most to least soluble when ingested:
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Where in the body is most of a drug absorbed?
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What organ is involved in the first pass effect?
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02/11/2025
Most common mechanism of passing of drugs over a membrane.
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What is the effect of the first pass effect?
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Define Bioavailability.What is bioavailability expressed as?
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02/11/2025
Which type of drug is more readily absorbed, charged or uncharged?
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Define Pinocytosis
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What is more permeable, BBB or Placenta?
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D in ADME
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Total drug vs Free Drug
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Define Metabolism
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Where does the majority of drug metabolism take place?
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What are Prodrugs?
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What process is a major source of drug interactions?
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02/11/2025
Half Life
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Drug A’s halflife is 6 hours. How long will it take to clear 75% of drug A from a patient’s body?
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How many half lives does it take for a drug to reach a steady state?
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Define Pharmacodynamics
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Efficacy Vs. Potency
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What does the Therapeutic Index measure?
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Primary site of excretion?Other modes of excretion?
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02/11/2025
What kinds of ions are more excretable?
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02/11/2025
Half Life
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02/11/2025
Drug A’s halflife is 6 hours. How long will it take to clear 75% of drug A from a patient’s body?
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02/11/2025
How many half lives does it take for a drug to reach a steady state?
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02/11/2025
Define Pharmacodynamics
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02/11/2025
Efficacy Vs. Potency
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What does the Therapeutic Index measure?
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Examples of drugs with a lower TI.
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What kind of monitoring is done when administering drugs with lower TI?
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A class of drug that binds with a receptor and produces the same response as an endogenous chemical that would normally bind to that receptor.
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A class of drug that combines with a receptor and stimulates the release of an endogenous chemical
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Antagonist
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Irreversible Antagonist
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Hypersensitivity type characterized by inflammation, smooth muscle spasm, anaphylaxis, mediated by IgE antibodies.
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Type III hypersensitivity
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Zero Order drug elimination
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First Order drug elimination
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Muscarinic agonists MOA
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Muscarinic agonists side effects
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02/11/2025
What drug class does pilocarpine belong to? What is it commonly used for?
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02/11/2025
This drug is rarely used for glaucoma; ophthalmic drops have recently been approved for presbyopia
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02/11/2025
What drug class does bethanechol belong to
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02/11/2025
This drug is used for urinary retention or gastricatony after surgery; helps urination post op; tablets or injections
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02/11/2025
What drug class does cevimeline belong to
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02/11/2025
This drug is used for dry mouth sicca conditions
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02/11/2025
Reversible cholinesterase inhibitors MOA
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02/11/2025
Symptoms of cholinergic toxicity
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02/11/2025
What drug class does edrophonium belong to
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02/11/2025
This drug was used to diagnose Myasthenia Gravis but is not available in the USA
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02/11/2025
What drug class does neostigmine belong to?Long or short acting?What is is commonly used for?
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02/11/2025
This drug is used for acute colonic pseudo-obstruction or obstruction after the use of meds (colon motility decreased)
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02/11/2025
What drug class does pyridostigmine belong to
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02/11/2025
This drug is rarely used for anticholinergic overdose treatment
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02/11/2025
What drug class does physostigmine belong to
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02/11/2025
This drug is a treatment option for Myasthenia Gravis symptoms and can occasionally be useful to treat anticholinergic OD
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02/11/2025
What drug class does oral rivastigmine belong to
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02/11/2025
These medications are Alzheimer’s meds
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02/11/2025
What drug class does galantamine (oral and patch) belong to
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02/11/2025
What drug class does donepezil belong to
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02/11/2025
Irreversible cholinesterase inhibitor MOA
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02/11/2025
What drug class does pralidoxime belong to
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02/11/2025
This drug can be combined with atropine to treat overdoses of acetylcholinesterase; toxic organophosphates, sarin and soman nerve gases; must be treat…
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02/11/2025
What drug class does atropine belong to
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02/11/2025
This drug is combined with pralidoxime to treat overdose of acetylcholinesterase; toxic organophosphates, sarin and soman nerve gases; must be treated…
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02/11/2025
Antimuscarinics and atropine MOA
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02/11/2025
Antimuscarinics and atropine side effects
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02/11/2025
What class does ipratropium bromide (atrovent) belong to
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02/11/2025
This drug is used as a bronchodilator in COPD as an inhaler or neb solution
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02/11/2025
What class does homatropine and methylbromide belong to
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02/11/2025
This drug is used for eye procedures to dilate pupils and relax ciliary muscle, applied topically
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02/11/2025
What class does glycopyrrolate belong to
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02/11/2025
This drug inhibits GI motility, is used for hyperhidrosis treatment and decreases airway secretions
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02/11/2025
What class does scopolamine belong to
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02/11/2025
What is the difference between quaternary antimuscarinics and antimuscarinics
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02/11/2025
This drug is used to prevent motion sickness and is a patch that can be put behind the ear for 72 hours
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02/11/2025
What class does tropicamide belong to
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02/11/2025
This drug is used as a mydriatic to dilate the pupil
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02/11/2025
What drug class does benztropine (cogentin) belong to
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02/11/2025
What drug class does trihexyphenidyl (artane) belong to
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02/11/2025
These drugs can be used to treat EP effects with antipsychotics; can also be used to treat Parkinson’s disease
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02/11/2025
What drug class does dicyclomine (bentyl) belong to
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02/11/2025
What drug class does hyoscyamine sulfate (IB stat and levsin) belong to
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02/11/2025
These drugs can be used as an antispasmodic in GI tract for IBS (relieves cramps and pains)
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02/11/2025
What drug class does oxybutynin (ditropan) belong to
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02/11/2025
What drug class does tolterodine (detrol) belong to
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02/11/2025
This drug can be used to treat urinary incontinence from overactive detrusor muscles
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02/11/2025
This drug can have selective effects on bladder for urinary incontinence.Provide:generic name:brand name:class:
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02/11/2025
What drug class does albuterol belong to?
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02/11/2025
Selective B2 agonist side effects
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02/11/2025
Selective B2 agonist used to treat
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02/11/2025
Name the selective B2 agonists
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02/11/2025
What is the additional use for the B2 agonist terbutaline?
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02/11/2025
What are two examples of nonselective Beta agonists?
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02/11/2025
What are selective Beta 3 agonists used for?
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02/11/2025
Mirabegron drug class? What is used to treat?
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02/11/2025
Vibegron drug class? What is it used to treat?
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02/11/2025
Examples of Nonselective Beta 1 and Beta 2 blockers
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Beta 2 agonist side effects
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02/11/2025
What is the MOA of beta blockers?
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02/11/2025
What patients should avoid non selective B1 and B2 blockers?(3 specific patient populations)
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02/11/2025
Why should diabetics avoid Beta blockers?
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What is the most common non selective B1 and B2 blocker?
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02/11/2025
What is timolol used for?
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02/11/2025
What effects do non selective B1 and B2 blockers have on the body?
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02/11/2025
What are the Beta 1 selective beta blockers?
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02/11/2025
What is the advantage of Beta 1 selective beta blockers?
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02/11/2025
What effects do Beta 1 blockers have on the heart?
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02/11/2025
Labetalol and Carvedilol are
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02/11/2025
What are labetalol and carvedilol used for?
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02/11/2025
What Beta blocker is used in pregnancy?
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02/11/2025
Phenylephrine is an {{c1::alpha 1}} agonist
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02/11/2025
What is Phenylephrine used for? MOI?
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02/11/2025
A drug that is a negative inotropic drug will {{c1::decrease}} force and strength of cardiac contraction.
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02/11/2025
What usually activates prodrugs?
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02/11/2025
A drug that binds covalently to the receptor and cannot be displaced by either competing ligands or washing is an {{c1::IRREVERSIBLE ANTA…
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02/11/2025
Drugs bound to proteins are {{c1::INACTIVE}}
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02/11/2025
{{c1::Clearance}} is the rate of drug elimination in relation to its concentration
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02/11/2025
A drug that enhances the rate of p450 expression is called an {{c1::inducer}}
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