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D Drugs that block cholinergic activity at effector organs (antimuscarinic drugs) (see Table 7.5)
ОглавлениеThese drugs block the action of ACh on the muscarinic type of cholinergic effector organs, but do not affect the nicotinic action of ACh on the postganglionic neurons or on skeletal muscle (e.g. atropine, glycopyrrolate).
Table 7.4 Cardiovascular effects of adrenergic agonists.
Agent | HR | CO | SVR | VR | MAP | Arrhythmias | RBF | AR | CNS stimulation |
---|---|---|---|---|---|---|---|---|---|
Phenylephrine | − | − | +++ | ++ | +++ | 0 | − | 0 | 0 |
Norepinephrine | − | − | +++ | ++ | +++ | + | − | 0 | 0 |
Epinephrine | ++ | ++ | + | + | + | +++ | − | − | + |
Ephedrine | ++ | ++ | ++ | ++ | ++ | ++ | ± | − | + |
Dopamine | + | ++ | − | +++ | − | + | +++ | 0 | 0 |
Dobutamine | + | +++ | 0 | ± | + | ± | ++ | 0 | 0 |
Isoproterenol | +++ | +++ | − | − | ± | +++ | − | − | + |
HR = heart rate, CO = cardiac output, SVR = systemic vascular resistance, VR = venous return, MAP = mean arterial pressure, RBF = renal blood flow, AR = airway resistance. + = increase, − = decrease, 0 = no change.
Note: Dopamine decreases SVR and MAP in the horse at clinical doses.
Table 7.5 Comparative effects of anticholinergic drugs.
Anticholinergic | Salivary and respiratory secretions | HR | Relax smooth muscle | Mydriasis | ↓ Gastric H+ secretions | GIT tone | Alter fetal HR |
---|---|---|---|---|---|---|---|
Atropine | − | +++ | ++ | + | + | − | + |
Glycopyrrolate | − | +++ | +++ | 0 | + | − | 0 |
Scopolamine | − | + | + | +++ | + | − | + |
HR = heart rate, GIT = gastrointestinal tract.
+ = increase, − = decrease, 0 = no change.