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Autonomic Pharmacology | Adrenergic Agonists

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  • Опубліковано 17 сер 2024
  • Official Ninja Nerd Website: ninjanerd.org
    You can find the NOTES and ILLUSTRATIONS for this lecture on our website at:
    www.ninjanerd....
    Ninja Nerds!
    In this lecture Professor Zach Murphy will be presenting on Adrenergic Agonists within our short series on Autonomic Pharmacology. We hope you enjoy this lecture and be sure to support us below!
    Table of Contents:
    0:00 Lab
    0:07 Adrenergic Agonists Introduction
    1:06 Adrenergic Neurons and Receptors
    19:32 Adrenergic Target Organ Effects
    30:34 Alpha 1 Agonists
    39:38 Alpha 2 Agonists
    47:48 Beta 1 Agonists
    51:42 Beta 1 + 2 Agonists
    56:19 Beta 2 Agonists
    1:02:47 Beta 3 Agonists
    1:04:07 Alpha + Beta Agonists
    1:13:17 Epinephrine + Dopamine
    1:22:30 Norepinephrine Graphical Representation
    1:29:48 Epinephrine Graphical Representation
    1:34:49 Isoproterenol Graphical Representation
    1:39:11 Adrenergic Agonists Practice Problems
    1:45:20 Comment, Like, SUBSCRIBE!
    Supplemental Lecture: Neurology | Adrenergic Receptors -- • Neurology | Adrenergic...
    Pharmacology Source:
    Whalen, Karen. Lippincott Illustrated Reviews: Pharmacology (Lippincott Illustrated Reviews Series). Wolters Kluwer Health. Kindle Edition.
    Join this channel to get access to perks:
    / @ninjanerdofficial
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    #ninjanerd #pharmacology #AdrenergicAgonists

КОМЕНТАРІ • 189

  • @irfaansaib4846
    @irfaansaib4846 Рік тому +40

    Why did i pay for expensive medschool lectures when this guy explains 100 times better!!

  • @lajeona
    @lajeona Рік тому +151

    In my university, the lecturer explains all of this in a difficult way that only if you have studied everything you will know what he's talking about . Even though we study pharmacology for the first time this year . Nobody gets to the roots of subjects like you do . Thank you ❤️

    • @moqaftaofficial5588
      @moqaftaofficial5588 Рік тому

      Same here buddy 😂😂😂

    • @lajeona
      @lajeona Рік тому +1

      @@moqaftaofficial5588 I guess they think they're lecturing post graduated students 😂

    • @marcosrua7223
      @marcosrua7223 Рік тому +3

      Maybe they lack deep level understanding and deliberately confuses you

    • @Emmanuel_Ekes
      @Emmanuel_Ekes 3 місяці тому

      It's same everywhere lol. It's actually with my N. Nerd

    • @doskevin4882
      @doskevin4882 Місяць тому

      That’s because they just read slides and don’t really understand it themselves. Every university is this way

  • @salvadorhirth2919
    @salvadorhirth2919 Рік тому +25

    I click on the " like button " even before watching because all of your videos are great!

  • @toms7782
    @toms7782 14 днів тому

    Not only are you extremely effective at simplifying and making this content digestible, but you also share an incredible amount of enthusiasm when presenting your main points. I believe this is one of the reasons why people praise your work in every single video I watch. Thank you for that.

  • @yoelinramos1859
    @yoelinramos1859 Рік тому +5

    Thank you so much for all you explain. Many universities don’t have professors with the capacity to explain things the way you do, a way we all understand. drawing is the best source to remember things. Thank you thank you.

  • @giorgosvlachopoulos1615
    @giorgosvlachopoulos1615 Рік тому +72

    Thank you for this great lecture! I appreciate much your work. There is one little mistake at 12:00. The adrenal gland's average secretion is 80% epi and 20% NE

    • @ekkenaab1310
      @ekkenaab1310 Рік тому +2

      Endocrinology | Adrenal Medulla | Catecholamines lecture at 8:24: 80% EPi and 20% NE

  • @blackyrocky7438
    @blackyrocky7438 Рік тому +24

    Little bit correction- around 80% epinephrine secreted by chromoffin cells of adrenal medulla and around 20% norepinephrine by adrenal medulla.

  • @pppie8509
    @pppie8509 29 днів тому

    This channel is a gift that keeps on giving, year after year!

  • @btsismybias8332
    @btsismybias8332 Рік тому +3

    Thank you for uploading. I have exam in a month , thank you for saving my life.

  • @prasannapriya2185
    @prasannapriya2185 5 місяців тому +1

    The way you explain every detail of these topics helped me to clear my doubts & understand well, Thank you team Ninja Nerd.

  • @ayshasumeer6215
    @ayshasumeer6215 5 місяців тому

    I saw those graphs about adrenergic agonists in first aid .. I couldn't understand anything from those pictures . .. after watching this lecture when I go back to first aid.. I wondered how easy was that.. this is his magic.. full of concepts..thank you

  • @sujyotsharma
    @sujyotsharma Рік тому +4

    12:40 yea basically norepinephrine means No-R-epinephrine which is the absence of R or Alkyl group in it. I read about this on reddit.

  • @rebeccabrown7244
    @rebeccabrown7244 Рік тому

    Honestly, I'm in a class that has NO lecture on pharmacology whatsoever. It's a "read the book and take the quizzes" kind of class. Thank you so much, I would send you my tuition money if I could.

  • @doskevin4882
    @doskevin4882 Місяць тому

    I bought the member package because you deserve it. It’s been helpful as well to study the lectures you have

  • @biybimaryamjoldasbaeva506
    @biybimaryamjoldasbaeva506 8 місяців тому +2

    Thank you so much! You are making pharma so easy to understand and fun! Keep uploading sir

  • @stephaniewilkinson3637
    @stephaniewilkinson3637 Рік тому +2

    Your love of biological sciences really shines through and reminds me of how much I love it too! Thanks for the excellent review.

  • @user-nv1qm5tl5l
    @user-nv1qm5tl5l 6 місяців тому

    I had a patient in the ICU who experienced intense reflex bradycardia from norepi! BP would increase significantly and then HR dropped into the 40's and occassionally patient would convert into a junctional rhythm! Very interesting to put two and two together!

  • @seeyou5606
    @seeyou5606 Рік тому +6

    Wish this was uploaded few months back...i had this in my previous sem but thank you sir 🙏

  • @Schmittywerben
    @Schmittywerben 6 місяців тому +1

    An alpha 2 agonist I’d also add that we use quite frequently in the ICU is dexmetetomidine. We run it as a drip for sedation. Works great for patients who we need sedated but still need a respiratory drive. Definitely see the effect on heart rate and blood pressure at times.

    • @BarrelCollective
      @BarrelCollective 3 місяці тому

      It sedates via the locus cereleus on the spine but what’s its mechanism of action on bradycardia? Is it baroreceptor/vagus response?

    • @Schmittywerben
      @Schmittywerben 3 місяці тому +2

      @@BarrelCollective It’s a direct alpha 2 agonist, which inhibits the release of catecholamines from neurons which leads to bradycardia/hypotension. Sometimes quite profound.

  • @kalenced8575
    @kalenced8575 Рік тому +4

    Right on time! Im struggling on my uni with pharmacology cause lectures are bad and there is not enough study material. Thank you ninja nerd for teaching us everything

  • @manalemad1589
    @manalemad1589 Рік тому +4

    thanks a lot for all the hard work that the ninja nerd team is providing ❤❤❤

  • @nonyabidness4103
    @nonyabidness4103 Рік тому +7

    This is very interesting to someone who has high blood pressure. I found out last year that drinking alcohol reduces my pressure significantly. Couldn't figure out why that is, but watching this video made me think it has something to do with the alpha 2 receptors. Is that right? Does whiskey act like Clonidine?

    • @wanahmadamsyarzafrie8080
      @wanahmadamsyarzafrie8080 Рік тому

      That's kinda tricky, there are many variables and unknowns

    • @LukaTrenbolon
      @LukaTrenbolon Рік тому

      Alcohol is a ligand of GABA receptor (much stronger ligand than GABA itself) so it reduces the action potential of the cell, better said it calms you down. I guess the effect comes from that overall sedative effect it has on your CNS and all other subsystems being downregulated. That's my guess.

  • @dman5909
    @dman5909 Рік тому +3

    Funny thing I just got prescribed guanfacine (a2 agonist) for ADHD. Explanation was superb

  • @liz-qt6xq
    @liz-qt6xq Рік тому +13

    Thank you so much for this video! Helped me get through my Pharmacology exams! Would really appreciate another lecture with you about NSAIDS and DMARDS :>

  • @lucyberger7625
    @lucyberger7625 Рік тому

    I am actually blown away by your brain and how it can remember all of this info. I am watching your videos in hope they can teach me what my pharmacology lecturer cannot.....however its still way over my head. )-:

  • @sallysherwood2201
    @sallysherwood2201 7 місяців тому +2

    Your videos are the best. Thank you!

  • @r.0401
    @r.0401 6 місяців тому +2

    Hi, I think the Adrenal Medulla, at rest, secretes about 80% of Epinephrine not Norepinephrine. Thanky for the good video though!

  • @jordanchung1399
    @jordanchung1399 8 місяців тому +1

    Bro im convinced you guys are gonna single handedly get me through med school

  • @belfastconor8521
    @belfastconor8521 Рік тому +3

    Take Guanfacine for Autonomic Dysfunction. Used to take Clonidine but was changed to avoid rebound hypertension. Autonomic Dysfunction due to removal of bilateral carotid body tumors and resultant vagus nerve damage.

  • @EntEmpireTV
    @EntEmpireTV Місяць тому

    Thanks man , please don’t stop and keep making great videos, appreciate it❤

  • @PravinChandran1983
    @PravinChandran1983 Рік тому +1

    Alpha -2 agonist are indeed like symphato lytic reducing blood pressure like clonidine being used for hypertensive urgency

  • @markjojamietan3016
    @markjojamietan3016 3 місяці тому

    Damn the rationale is so good after all these years, these videos are still very useful thank you

  • @8bppantheryt
    @8bppantheryt Рік тому +2

    Thank you man, my wish is to this on my Language, this is amazing a wanna be Bosnian Ninja Nerd

  • @BarrelCollective
    @BarrelCollective 3 місяці тому

    I wish you would’ve touched on dexmetotomidine while you were talking about Alpha 2 agonists. I think it’s sedative nature and adverse affects are confused in most people outside of those prescribing it

  • @bilqisnjama1387
    @bilqisnjama1387 Рік тому

    Medicine can be pleasurable with your support
    You ROCK sir!

  • @makemoneyonline_888
    @makemoneyonline_888 2 місяці тому

    God sent!!! Thank you so much ! ❤❤❤❤ Please make videos on Local Hormones

  • @humaakhan7589
    @humaakhan7589 Рік тому +3

    As your video lectures are very very informative Please make video lecture on Oncology topics like Breast Cancer colorectal Cancer Leukaemia lymphomas … highly requested

  • @AD-hs9su
    @AD-hs9su Рік тому +2

    thank you so much ..,...PLEASE make video on CNS PHARMACOLGY sedatives, alcohol, AUTOCOIDS PHARMACOLOGY

  • @sedooamase6423
    @sedooamase6423 Рік тому

    Thank you really explains everything, thank you for adding the quiz part at the end of the class, really helps with understanding the whole concept.

  • @ekkenaab1310
    @ekkenaab1310 7 місяців тому

    I have question! On the timeline the event that starts at 1:25:39: Systolic blood pressure going up it's for two effects: alpha-1 receptors on arteries and veins, alpha-1 receptors that are present on veins that's going to increase venous return, increase preload, INCREASE CARDIAC OUTPUT! The other thing is that there's beta-1 receptors and there is little bit of beta-1 receptor effect and you can increase contractility and INCREASE CARDIAC OUTPUT!! How the hack could be at 1:27:40 that CARDIAC OUTPUT HAPPENS TO BE NEUTRAL???? 1:27:56 now we have alpha-1 receptors ONLY on arteries (not on veins anymore?) that increases afterload and if we increase afterload, we DROP CARDIAC OUTPUT???? How could that be?

  • @rumaisashahid
    @rumaisashahid 7 місяців тому

    Thanks a lot for this video! Great explanation! Please continue making more videos on pharmacology.

  • @rifatahmed760
    @rifatahmed760 6 місяців тому

    May Allah bless you.
    Im in awe to have you.

  • @juanmartinvillamea378
    @juanmartinvillamea378 Місяць тому

    goat of medicine nerdd

  • @osamaaljassem4256
    @osamaaljassem4256 Рік тому +2

    One mistake professor is that the adrenal medulla secretes 80% Epinephrine and 20% Norepinephrine

  • @thomaschezik9769
    @thomaschezik9769 Рік тому

    Love the videos, keep producing this incredible KNOWLEDGEABLE content! I'll be signing up with the ninjas to help support the channel!

  • @kellykellykelly1850
    @kellykellykelly1850 5 місяців тому

    I don't know whether to thank you or cry...thank you

  • @gNa_0000
    @gNa_0000 2 місяці тому

    This might be the only lecture that I've left feeling confused about. In the beginning, you noted that norepi caused decreased HR, decreased contractility, decreased CO@ and also decreased SVR and BP, but then in the comparisons it was not the same. Was this ONLY for higher doses of norepi??

  • @alsharabyalsharaby1483
    @alsharabyalsharaby1483 Рік тому +1

    Ninja is the best, Thanks

  • @makemoneyonline_888
    @makemoneyonline_888 2 місяці тому

    God sent!!! Thank you so much ! ❤❤❤❤

  • @abdalhamedhanona6829
    @abdalhamedhanona6829 6 місяців тому

    افضل دكتور يشرح فارما

  • @SayBehnam
    @SayBehnam 6 місяців тому

    One of the best 🔝👌🏻

  • @favourchidiebube3967
    @favourchidiebube3967 Рік тому +1

    Nerd at it again ☺️☺️

  • @grumpyowl3166
    @grumpyowl3166 9 місяців тому

    If dopamine doesn't have much of a beta-2 activity, how does it cause the decrease in blood pressure in lower doses (alongside with epinephrine)?

  • @albertagunggozali2569
    @albertagunggozali2569 2 місяці тому

    I still don't understand why A1R and B2R contradict with the give of NE/E on the blood vessels. like, if there are 2 receptors in blood vessels will it constrict or relax?
    -thx

  • @hafsatahir3115
    @hafsatahir3115 Рік тому

    What would i do without these videos

  • @ujjwalrohilla7951
    @ujjwalrohilla7951 2 місяці тому

    These videos helps a lot

  • @jamalabdi303
    @jamalabdi303 Рік тому +3

    Please feed us more pharmacology lecture !

  • @brittneyrobinson6358
    @brittneyrobinson6358 5 місяців тому

    Ok but if stimulation of alpha 2 and beta 2 causes antiadrenergic effect such as no secretions why does stimulation of beta two cause release of glucose shouldn't it prevent release of glucose?

  • @talemwarecheal1132
    @talemwarecheal1132 Рік тому

    Thanks so much gor the video it has really helped me i couldn't understand in class

  • @cornflakes3851
    @cornflakes3851 Рік тому +1

    I request you to upload videos about Drugs for respiratory disorder and git disorders ,autacoids and related drugs .
    I'm completely dependent upon you🥺

  • @mohamedamr7817
    @mohamedamr7817 Рік тому +1

    Good evening I hope you are doing well
    Sorry for bothering I wanted to know how many lectures left in pharmacology,thank you for all your hard work

  • @brightalpha9293
    @brightalpha9293 Рік тому

    I appreciate your effort very much. But what I am asking is to let us take full picture of your note please leave board fully visible after lecture. Thank you

  • @deepakrtr4840
    @deepakrtr4840 Рік тому +1

    Extremely useful lecture bro❤❤❤

  • @m_m786
    @m_m786 Рік тому +1

    Thanks 👍💝

  • @ekkenaab1310
    @ekkenaab1310 7 місяців тому

    if systolic blood pressure depends from cardiac output and systolic blood pressure increases with Norepinephrine then the cardiac output must increase as well!

  • @marconeyou
    @marconeyou 4 місяці тому

    Amazing class! Thank you so much!!!

  • @samimsamimy9470
    @samimsamimy9470 Рік тому

    Thanks alot dr ninja i am from afghanistan me and my all friend watch your vedio
    Don't forget us we are also your fans

  • @Mayavee617
    @Mayavee617 Рік тому

    🙏 I’m so grateful to meet you sir!!

  • @sepsepful
    @sepsepful 8 місяців тому

    Adrenal medulla recieves pre-ganglionic fibers from sympathetic chain ,in the video is indicated they recieve post -ganglionic fiber

  • @mohammedfawzy4763
    @mohammedfawzy4763 Місяць тому

    hollow, its written in lippincott the adrenal medulla release 80% epinephrine and 20% of norepinephrine.

  • @denisa.mesacruz7358
    @denisa.mesacruz7358 Рік тому +1

    Perfect video, amazing breakdown of content. I love your videos. Keep it up please. Thank you for everything you and your team are doing to make our studying more amenable.

  • @stephendurling
    @stephendurling 4 місяці тому

    Awesome content as always!

  • @parisafarahani7456
    @parisafarahani7456 Рік тому +2

    Thanks. You are awesome 😎

  • @ABDURRAHIMRABIU-lg5lq
    @ABDURRAHIMRABIU-lg5lq Місяць тому

    Amazing thank you

  • @jbstepke3
    @jbstepke3 Рік тому +2

    How do you do it? I am in awe! Thanks again for another awesome lecture!

    • @Derwinlol
      @Derwinlol 6 місяців тому

      Ur the best.

  • @Agoraphobia07
    @Agoraphobia07 Рік тому +1

    Any videos on Chemo Induced N/V or the Chemo Trigger Zone specifically? ☺️

  • @user-sm5zq7cp7n
    @user-sm5zq7cp7n Рік тому +1

    Amazing

  • @brucedressel8873
    @brucedressel8873 Рік тому

    Pharmacy comes freom the Greek word pharmakeia which comes from the Hwbrew word kashaph which translates to nsorcery.

  • @hasnaahassan4562
    @hasnaahassan4562 3 місяці тому

    thank you very much you are amazing ❤❤

  • @mwansakayula34
    @mwansakayula34 Рік тому +1

    Hi Zac, what book do you recommend me to use for this?

  • @rayeneboutabba2048
    @rayeneboutabba2048 Рік тому

    Thunk u very much for making this easier 😊

  • @nadiahassan7250
    @nadiahassan7250 Рік тому

    You are such an angel to me..

  • @yuvalabergel8201
    @yuvalabergel8201 Місяць тому

    amazing!!!! thanks

  • @saradelrusso7790
    @saradelrusso7790 3 місяці тому

    Actually, ephedrine and cocaine are still in use. I am training for anesthesia, and we give ephedrine all the time. ENT surgeons will use cocaine to keep bleeding at bay while providing an analgesic effect,

  • @doctortobe7345
    @doctortobe7345 Рік тому +1

    How do you do it😍💜 i wish one day i can be like u
    God bless you😊

  • @bunny8352
    @bunny8352 Рік тому

    Excellent work, I'm in very impressed

  • @user-yh6gy5kd7l
    @user-yh6gy5kd7l 5 місяців тому

    hey there ninja nerd ... i wish u great ! can i use the questions for perparing Qs for my colleagues ?

  • @mutee6136
    @mutee6136 4 години тому

    beautiful

  • @leilaesmailzadeh6998
    @leilaesmailzadeh6998 10 місяців тому

    I love these lectures thank you

  • @KT-mi8sg
    @KT-mi8sg Рік тому +3

    Hi,
    Can you please go over Postural Orthostatic Tachycardia Syndrome (POTS)?
    Thank you!

  • @NabiShah
    @NabiShah Рік тому

    Great description

  • @directionerforever1238
    @directionerforever1238 7 місяців тому

    THANK YOU

  • @Chaotic_hijabi
    @Chaotic_hijabi Рік тому

    Thank for explanation 👍🏻👍🏻

  • @karmagaming7112
    @karmagaming7112 Рік тому

    Love u 3000 ❤️
    We are Ninja Nerds 🥷

  • @sarahaljefry8149
    @sarahaljefry8149 6 місяців тому

    Love it💜

  • @akifgunay6650
    @akifgunay6650 9 місяців тому

    thats great video

  • @leahkaylor3612
    @leahkaylor3612 10 місяців тому

    thank you for these awesome videos!!!

  • @stephaniegabriel8044
    @stephaniegabriel8044 5 місяців тому

    thank you as always!

  • @mostafamohsenidvm
    @mostafamohsenidvm 10 місяців тому

    excellent

  • @hassanirfan8678
    @hassanirfan8678 6 місяців тому +1

    Ninja nerd❤❤boomm