BMS 450 Lecture Notes - Vascular Smooth Muscle, Vasodilation, Tachycardia

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11 Jul 2014
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Any component of autonomic neutrotransmission is a potential target. Mimic the effect of endogenous sympathetic catecholamine neurotransmitters. Excitation or inhibition of smooth muscle or glandular activity. Interact directly with and receptors to different degrees. Add various substituents = alter activity and selectivity. Complex action: summation of and agonist activity. Cutaneous, visceral, renal blood flow via vasoconstriction ( 1) Skeletal muscle blood flow via dilation ( 2) Can be given iv, im, or subcutaneously (not orally active) Rapid relief of hypersensitivity reactions (e. g. anaphylaxis and asthma) Cardiac arrhythmias, hypertensive crisis, cerebral hemorrhage, restlessness, etc. Differs from epinephrine by lacking a single methyl group. Ne is a direct and receptor agonist (as with epi) Ne and epi have different potencies on and receptors. Ne effects and toxicity similar to epi in most respects. Initiates vagal reflex (baroreceptors) which slows heart rate. Cardiovascular support (maintain bp) during shock via 1 (vasculature) and 1 (heart) effects.

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