Adrenergic agonist part 2 (pharmacological action on – kidney , lung , liver , lipids - ,,, uses ,,, sid effect epinephrine )







Adrenergic agonist part 2 (pharmacological action on – kidney , lung , liver , lipids - ,,,  uses ,,, sid effect )

Pharmacological action of kidney

it is found in the kidney renin enzyme involved as catalyst  vasoconstriction from angiotensin ll at high doses just , act directly on beta 1 receptor  to reduce out put of renal .

 pharmacological action on lung 

 it act directly on beta 2 receptors that found in bronchial and bronchiole in the lung for patient at emergency cases , causes potent bronchodilator . such   as gives dose amoxicillin for patient has penicillin allergy .  

 this is leading to enhance release histamine from immune cells (mast cell and basophile ), it triggers an immune response that cause sever bronchospasm and asthma .

the epinephrine is inhibits histamine release and other allergy mediator from parent cells .

 pharmacological action on liver :

it is act directly on beta 2 and alfa 2 , it is a major reason for the hyperglycemic in glycogenolysis process in the liver , reduce release of insulin and increase glycogen (form of glucose there are release from pancreas to liver ) this is aslo rise hyperglycemia .

  pharmacological action on lipids :

it act on beta 1 , beta 2 and beta 3 by process oxidation for glucose and convert the triglycerides to fatty acid by hormone lipase  .

USES:

uses non selective drug on lung : treat bronchospasm in emergency cases and anaphylactic shock .

uses on heart : its treat cardiac arrest in early stag of cardio cerebral resuscitation . stimulatory effect to heart muscle .

used in general as anesthetics  as block for ending nerve for example in dental surgery .

 

SID EFFECT :

Sleeping disturbance , insomnia , continued expansion of the airway , tachycardia , headache , anxiety , hyperglysemia (rare ) , arrithmia .

 

 

 

 

 

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