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Autonomic Pharmacology | Adrenergic Agonists

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  • เผยแพร่เมื่อ 14 ส.ค. 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

ความคิดเห็น • 188

  • @irfaansaib4846
    @irfaansaib4846 ปีที่แล้ว +40

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

  • @lajeona
    @lajeona ปีที่แล้ว +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 ปีที่แล้ว

      Same here buddy 😂😂😂

    • @lajeona
      @lajeona ปีที่แล้ว +1

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

    • @marcosrua7223
      @marcosrua7223 ปีที่แล้ว +3

      Maybe they lack deep level understanding and deliberately confuses you

    • @Emmanuel_Ekes
      @Emmanuel_Ekes 3 หลายเดือนก่อน

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

    • @doskevin4882
      @doskevin4882 หลายเดือนก่อน

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

  • @toms7782
    @toms7782 11 วันที่ผ่านมา

    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.

  • @salvadorhirth2919
    @salvadorhirth2919 ปีที่แล้ว +25

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

  • @yoelinramos1859
    @yoelinramos1859 ปีที่แล้ว +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 ปีที่แล้ว +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 ปีที่แล้ว +2

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

  • @pppie8509
    @pppie8509 27 วันที่ผ่านมา

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

  • @blackyrocky7438
    @blackyrocky7438 ปีที่แล้ว +24

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

  • @prasannapriya2185
    @prasannapriya2185 5 หลายเดือนก่อน +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 หลายเดือนก่อน

    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

  • @btsismybias8332
    @btsismybias8332 ปีที่แล้ว +3

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

  • @seeyou5606
    @seeyou5606 ปีที่แล้ว +6

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

  • @Schmittywerben
    @Schmittywerben 6 หลายเดือนก่อน +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 หลายเดือนก่อน

      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 หลายเดือนก่อน +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.

  • @biybimaryamjoldasbaeva506
    @biybimaryamjoldasbaeva506 8 หลายเดือนก่อน +2

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

  • @user-nv1qm5tl5l
    @user-nv1qm5tl5l 6 หลายเดือนก่อน

    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!

  • @sallysherwood2201
    @sallysherwood2201 7 หลายเดือนก่อน +2

    Your videos are the best. Thank you!

  • @manalemad1589
    @manalemad1589 ปีที่แล้ว +4

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

  • @dman5909
    @dman5909 ปีที่แล้ว +3

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

  • @rebeccabrown7244
    @rebeccabrown7244 ปีที่แล้ว

    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 หลายเดือนก่อน

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

  • @stephaniewilkinson3637
    @stephaniewilkinson3637 ปีที่แล้ว +2

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

  • @sujyotsharma
    @sujyotsharma ปีที่แล้ว +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.

  • @nonyabidness4103
    @nonyabidness4103 ปีที่แล้ว +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 ปีที่แล้ว

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

    • @LukaTrenbolon
      @LukaTrenbolon ปีที่แล้ว

      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.

  • @liz-qt6xq
    @liz-qt6xq ปีที่แล้ว +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 ปีที่แล้ว

    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. )-:

  • @kalenced8575
    @kalenced8575 ปีที่แล้ว +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

  • @EntEmpireTV
    @EntEmpireTV 28 วันที่ผ่านมา

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

  • @r.0401
    @r.0401 6 หลายเดือนก่อน +2

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

  • @makemoneyonline_888
    @makemoneyonline_888 หลายเดือนก่อน

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

  • @jordanchung1399
    @jordanchung1399 8 หลายเดือนก่อน +1

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

  • @PravinChandran1983
    @PravinChandran1983 ปีที่แล้ว +1

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

  • @markjojamietan3016
    @markjojamietan3016 2 หลายเดือนก่อน

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

  • @humaakhan7589
    @humaakhan7589 ปีที่แล้ว +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

  • @sedooamase6423
    @sedooamase6423 ปีที่แล้ว

    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.

  • @bilqisnjama1387
    @bilqisnjama1387 ปีที่แล้ว

    Medicine can be pleasurable with your support
    You ROCK sir!

  • @AD-hs9su
    @AD-hs9su ปีที่แล้ว +2

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

  • @makemoneyonline_888
    @makemoneyonline_888 หลายเดือนก่อน

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

  • @8bppantheryt
    @8bppantheryt ปีที่แล้ว +2

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

  • @rumaisashahid
    @rumaisashahid 6 หลายเดือนก่อน

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

  • @belfastconor8521
    @belfastconor8521 ปีที่แล้ว +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.

  • @ujjwalrohilla7951
    @ujjwalrohilla7951 2 หลายเดือนก่อน

    These videos helps a lot

  • @juanmartinvillamea378
    @juanmartinvillamea378 หลายเดือนก่อน

    goat of medicine nerdd

  • @SayBehnam
    @SayBehnam 6 หลายเดือนก่อน

    One of the best 🔝👌🏻

  • @rifatahmed760
    @rifatahmed760 6 หลายเดือนก่อน

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

  • @thomaschezik9769
    @thomaschezik9769 ปีที่แล้ว

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

  • @BarrelCollective
    @BarrelCollective 3 หลายเดือนก่อน

    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

  • @jamalabdi303
    @jamalabdi303 ปีที่แล้ว +3

    Please feed us more pharmacology lecture !

  • @m_m786
    @m_m786 ปีที่แล้ว +1

    Thanks 👍💝

  • @alsharabyalsharaby1483
    @alsharabyalsharaby1483 ปีที่แล้ว +1

    Ninja is the best, Thanks

  • @osamaaljassem4256
    @osamaaljassem4256 ปีที่แล้ว +2

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

  • @kellykellykelly1850
    @kellykellykelly1850 5 หลายเดือนก่อน

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

  • @abdalhamedhanona6829
    @abdalhamedhanona6829 6 หลายเดือนก่อน

    افضل دكتور يشرح فارما

  • @ekkenaab1310
    @ekkenaab1310 7 หลายเดือนก่อน

    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?

  • @marconeyou
    @marconeyou 4 หลายเดือนก่อน

    Amazing class! Thank you so much!!!

  • @hafsatahir3115
    @hafsatahir3115 ปีที่แล้ว

    What would i do without these videos

  • @mohamedamr7817
    @mohamedamr7817 ปีที่แล้ว +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

  • @Mayavee617
    @Mayavee617 ปีที่แล้ว

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

  • @talemwarecheal1132
    @talemwarecheal1132 ปีที่แล้ว

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

  • @ABDURRAHIMRABIU-lg5lq
    @ABDURRAHIMRABIU-lg5lq หลายเดือนก่อน

    Amazing thank you

  • @deepakrtr4840
    @deepakrtr4840 ปีที่แล้ว +1

    Extremely useful lecture bro❤❤❤

  • @gNa_0000
    @gNa_0000 2 หลายเดือนก่อน

    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??

  • @yuvalabergel8201
    @yuvalabergel8201 29 วันที่ผ่านมา

    amazing!!!! thanks

  • @albertagunggozali2569
    @albertagunggozali2569 หลายเดือนก่อน

    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

  • @hasnaahassan4562
    @hasnaahassan4562 3 หลายเดือนก่อน

    thank you very much you are amazing ❤❤

  • @favourchidiebube3967
    @favourchidiebube3967 ปีที่แล้ว +1

    Nerd at it again ☺️☺️

  • @cornflakes3851
    @cornflakes3851 ปีที่แล้ว +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🥺

  • @rayeneboutabba2048
    @rayeneboutabba2048 ปีที่แล้ว

    Thunk u very much for making this easier 😊

  • @parisafarahani7456
    @parisafarahani7456 ปีที่แล้ว +2

    Thanks. You are awesome 😎

  • @brightalpha9293
    @brightalpha9293 ปีที่แล้ว

    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

  • @user-sm5zq7cp7n
    @user-sm5zq7cp7n ปีที่แล้ว +1

    Amazing

  • @mohammedfawzy4763
    @mohammedfawzy4763 หลายเดือนก่อน

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

  • @stephendurling
    @stephendurling 4 หลายเดือนก่อน

    Awesome content as always!

  • @jbstepke3
    @jbstepke3 ปีที่แล้ว +2

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

    • @Derwinlol
      @Derwinlol 6 หลายเดือนก่อน

      Ur the best.

  • @brittneyrobinson6358
    @brittneyrobinson6358 5 หลายเดือนก่อน

    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?

  • @mwansakayula34
    @mwansakayula34 ปีที่แล้ว +1

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

  • @leilaesmailzadeh6998
    @leilaesmailzadeh6998 10 หลายเดือนก่อน

    I love these lectures thank you

  • @Agoraphobia07
    @Agoraphobia07 ปีที่แล้ว +1

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

  • @grumpyowl3166
    @grumpyowl3166 9 หลายเดือนก่อน

    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)?

  • @bunny8352
    @bunny8352 ปีที่แล้ว

    Excellent work, I'm in very impressed

  • @directionerforever1238
    @directionerforever1238 7 หลายเดือนก่อน

    THANK YOU

  • @samimsamimy9470
    @samimsamimy9470 ปีที่แล้ว

    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

  • @NabiShah
    @NabiShah ปีที่แล้ว

    Great description

  • @ekkenaab1310
    @ekkenaab1310 7 หลายเดือนก่อน

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

  • @brucedressel8873
    @brucedressel8873 ปีที่แล้ว

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

  • @TheMuslimahh1
    @TheMuslimahh1 ปีที่แล้ว

    Helpful! Thank you

  • @riyanbabar8416
    @riyanbabar8416 ปีที่แล้ว

    Thank you so much for this video.

  • @saradelrusso7790
    @saradelrusso7790 3 หลายเดือนก่อน

    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,

  • @stephaniegabriel8044
    @stephaniegabriel8044 5 หลายเดือนก่อน

    thank you as always!

  • @Chaotic_hijabi
    @Chaotic_hijabi ปีที่แล้ว

    Thank for explanation 👍🏻👍🏻

  • @leahkaylor3612
    @leahkaylor3612 10 หลายเดือนก่อน

    thank you for these awesome videos!!!

  • @mostafamohsenidvm
    @mostafamohsenidvm 9 หลายเดือนก่อน

    excellent

  • @sarahaljefry8149
    @sarahaljefry8149 5 หลายเดือนก่อน

    Love it💜

  • @akifgunay6650
    @akifgunay6650 9 หลายเดือนก่อน

    thats great video

  • @sepsepful
    @sepsepful 8 หลายเดือนก่อน

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

  • @nadiahassan7250
    @nadiahassan7250 ปีที่แล้ว

    You are such an angel to me..

  • @AkshatDave-qb1pe
    @AkshatDave-qb1pe ปีที่แล้ว

    Herrlich und danke!

  • @denisa.mesacruz7358
    @denisa.mesacruz7358 ปีที่แล้ว +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.

  • @reeceyfries8050
    @reeceyfries8050 ปีที่แล้ว

    Amazing! Thank you

  • @user-yh6gy5kd7l
    @user-yh6gy5kd7l 5 หลายเดือนก่อน

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

  • @nadiasosa4211
    @nadiasosa4211 ปีที่แล้ว +1

    isnt it 80% epi and 20%NE?