Reseptor Adrenergik

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    Reseptor Adrenergik

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    The adrenergic receptors(or adrenoceptors)are a class of G protein-coupled receptorsthat

    are targets of the catecholamines, especially

    norepinephrine(noradrenaline) and epinephrine

    (adrenaline).

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    http://en.wikipedia.org/wiki/G_protein-coupled_receptorhttp://en.wikipedia.org/wiki/Catecholaminehttp://en.wikipedia.org/wiki/Norepinephrinehttp://en.wikipedia.org/wiki/Epinephrinehttp://en.wikipedia.org/wiki/Epinephrinehttp://en.wikipedia.org/wiki/Norepinephrinehttp://en.wikipedia.org/wiki/Catecholaminehttp://en.wikipedia.org/wiki/G_protein-coupled_receptor
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    Reseptor adrenergik

    Alfa 1 !asoconstrikto "ncreased

    peripheralresutance

    "ncreased

    #lood pressure $idriasis

    "ncreasedclosure of

    internal

    spinchter of

    the #ladder

    Alfa % "nhi#ition of

    &' release "nhi#iton of

    insulin

    release

    eta 1

    Takikardi

    "ncreasedlipolysis

    "nreased

    miocard

    conractolity

    eta% !asodilatasi ecreased

    perpheral resist ronchoconstric

    tion "ncreased

    muuscle * li+er

    gluconeogynesi

    s "ncreased

    release of

    glucagon Relaed uterine

    smooth muscle

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    CLONIDIN

    entrally acting selecti+e partail 2 adrenergic

    agonist Clinical uses :

    Antihypertensive drug by virtue f its ability to decrease

    SNS output from the CNS ( 0,20,! mg daily p"o #Anaesthetic ad$uvant in spinal or epidural anesthesia

    1 mcgkg

    %ive analgesia effect &ithin spinal cord modulate

    pain path&ay at dorsal horn such as ma$or site fortransmission and modulation pain ( by mimic'ing

    activation pf descending Noradrenergi' path&ay and

    inhibiting release of substance #

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    /reanesthetic medication ( 0 mcgkg p.o #lunt

    refle tachycardi ) a,decrease intraoperati+e

    la#ility /-R, decrease plasma cathecolamine

    concentartion )

    /rolong the effect of RA ( 20-103 mcg )

    /rotection against perioperati+e myocardischemia ( 3,% mg p.o or transder,al patch )

    iagnosis of pheocromocytomareflect a#ility

    clonidin to suppress the endogenous release of

    cathecolamine #ut not diffusion of ecess

    catecholamine into circulation from a

    pheocromocytoma ( 3,4 mg p.o )

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    Treatment of opioid and alcohol withdrawl syndr

    Treatment shi+ering ( 20 mcg "! )

    /erioperati+e myocardial ischemia

    5ide effect 6

    5edation and erostomia

    Re#ound y7ertension 8 hr - 49 hr after last dose

    ( : 1,% mg daily )

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    Muscle Relaxan

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    Obat

    RenalExcretion

    (%

    Uncanged!

    "iliar#Excretion

    (%

    Uncanged!

    $epaticDegradatio

    n (%!

    Eliination

    Dependent

    on Renal&unction

    Eliination

    Dependent

    on $epatic&unction

    Eliination $al')ie (in!

    &ormal ;idneyfailure

    epaticfailure

    /ancuroniu

    m

    83 0-13 13

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