Autonomic Pharmacology | Adrenergic Antagonists

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  • čas přidán 8. 06. 2024
  • Official Ninja Nerd Website: ninjanerd.org
    You can find the NOTES and ILLUSTRATIONS for this lecture on our website at:
    www.ninjanerd.org/lecture/aut...
    Ninja Nerds!
    In this lecture Professor Zach Murphy will be presenting on Adrenergic Antagonists 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 Antagonists Introduction
    1:07 Adrenergic Neurons and Receptors
    12:20 Adrenergic Target Organ Effects
    24:47 Alpha 1 Antagonists
    33:28 Alpha 1 + 2 Antagonists
    49:48 Beta Antagonists
    1:13:08 Beta 1 + 2 Antagonists
    1:28:06 Beta + Alpha Blockers
    1:40:30 Beta Blocker Overdose
    1:47:30 Adrenergic Antagonists Practice Problems
    1:58:54 Comment, Like, SUBSCRIBE!
    Join this channel to get access to perks:
    / @ninjanerdofficial
    Pharmacology Source:
    Whalen, Karen. Lippincott Illustrated Reviews: Pharmacology (Lippincott Illustrated Reviews Series). Wolters Kluwer Health. Kindle Edition.
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    #ninjanerd #pharmacology #AdrenergicAntagonists

Komentáře • 157

  • @jhonklan3794
    @jhonklan3794 Před rokem +122

    You are quite literally the greatest educator that has ever graced the planet earth. You have a PhD+ level of understanding of every topic you cover, yet you know how to communicate it succinctly and simply. You were born to teach.

    • @desleykakoulidisgallaway3382
      @desleykakoulidisgallaway3382 Před rokem +5

      I agree he’s incredible - a genius for sure... not taking anything away - however, Jesus is the greatest teacher On earth ever in fact he is still teaching people worldwide how to live with purpose 🙏🏻

    • @lik_doyaya
      @lik_doyaya Před rokem +20

      ​@@desleykakoulidisgallaway3382 yeah, but Jesus didn't teach me anything about alpha-1 antagonists in the Bible

    • @saurabhtripathi9665
      @saurabhtripathi9665 Před 9 měsíci

      😊😊

  • @jaygala9420
    @jaygala9420 Před 3 měsíci +8

    It was due to your teaching I passed my 1st Year MBBS with 75% and got 2nd Rank in my College. All set to ace 2nd Year with your lectures Dr. Zach. You deserve all the respect and love from all the students all over the world. A big THANK YOU to you!!!!!

  • @perpetualifemazi6287
    @perpetualifemazi6287 Před rokem +41

    Just a lil correction, the adrenal medulla produces or pumps out 80% epinephrine and 20% Norepinephrine (4:1 ratio)
    Thank you for your beautiful work😍

  • @tarunb6914
    @tarunb6914 Před rokem +8

    at 29:13, shouldnt it be urine retention instead of urinary incontinence?

  • @angusmack.2202
    @angusmack.2202 Před rokem +9

    I love how no matter what level of understanding you are at, you can always keep up with the video and clear your concepts. Thanks u Soo much!!!

  • @inazfaisal5051
    @inazfaisal5051 Před rokem +7

    Your videos are literally among the best in the medical field! You made pharma so much easier to understand!

  • @saidafirouzi3417
    @saidafirouzi3417 Před 28 dny

    You are the savior of me and many students out there!

  • @teamdiver8911
    @teamdiver8911 Před rokem +9

    you're my lifesaver. I could not get through my nursing career without you.

  • @Nikosmentis
    @Nikosmentis Před rokem +2

    Best pharmacology lectures on CZcams

  • @blackfoxmp5
    @blackfoxmp5 Před rokem +6

    Great lecture overall, but one mistake at 9:48: the adrenal gland secretes epinephrine and norepinephrine at a 4:1 ratio. Thus, 80% of secretion is epinephrine and 20% secretion is from norepinephrine.

  • @saidafirouzi3417
    @saidafirouzi3417 Před 28 dny

    I cannot express my gratitude and admiration, you are amazing!

  • @sajadphbaaaj4102
    @sajadphbaaaj4102 Před 24 dny

    Thank you so much. I passed my exam today, depending on you. Thank you, professor

  • @lissaizzy4927
    @lissaizzy4927 Před rokem +2

    I always find your videos interesting and I like how you describe things keep up the good work

  • @manalemad1589
    @manalemad1589 Před rokem +5

    u deserve all the best
    I hope this channel hits the 10 million subscribes , lots of effort and time spent while constructing it
    every time I meet my other medical student friends I tell them about this channel so I can help growing up this amazing work ,I hope I could help in more
    THANKS ALOT ❤❤❤

  • @cristinajaramillo3778
    @cristinajaramillo3778 Před 4 měsíci

    I have no words to express my gratitude to you! You are amazing!!!

  • @jyothiuddandravu3835
    @jyothiuddandravu3835 Před rokem +1

    There is no words to say who u are how u are and what you are u r demigod u ur patience your hardwork and your teaching style words cannot describe how I felt like u know everything every topic we r blissed to have u tq so much 🙂👍🤗

  • @pachigalia839
    @pachigalia839 Před rokem +3

    An interesting fact about beta blockers is that they can be used as a doping agent on healthy elite sportsmen. During training beta blockers maintain a reasonable cardiac output and muscle perfusion increasing performance as a conditioning agent. During training under normal conditions an increased cardiac output will increase blood pressure only to a threshold where the ventricles need enough time to fill their chambers with blood. If the heart rates increases beyond the threshold the ventricles will fail to pump the 125 ml per contraction. This will reduce tissue perfusion due to a lower mean BP.
    The beta blockers can keep the heart rate below the threshold effectively during training.
    This is why beta blockers are banned in competitive sports and considered a doping agent by the IOC.

  • @seenaoommen5137
    @seenaoommen5137 Před rokem

    Sir you are amazing. Can't thank you enough for your teaching. Inspiration!

  • @mariakara4848
    @mariakara4848 Před 8 měsíci

    I am guilty in being addicted to ur lectures ,no words can describe how much I am grateful for ur hard work and fab lectures😘

  • @hpinheiroa
    @hpinheiroa Před 6 měsíci

    I already was passionate by phisiology and pharmacology - but u guys u made me head over heels about it. Congrats in everything you do. Helped me see things in such a easier way - even though really detailed

  • @lennonbruney8591
    @lennonbruney8591 Před rokem

    Amazing video! Extremely helpful

  • @tobaccocancer2635
    @tobaccocancer2635 Před 5 měsíci +1

    My understanding level after watching your videos 📈

  • @KathleenSethFarillon
    @KathleenSethFarillon Před 2 měsíci

    You'll be the reason why I'll pass my pharmacology subject. THANK YOU SO MUCH

  • @ubongenoch8841
    @ubongenoch8841 Před rokem +3

    I thank you sir for your spectacular and remarkable lecture I must confess u are a legend

  • @spudman3275
    @spudman3275 Před rokem

    love your content bro, you are a wonderful human being. thank you.

  • @fusionhypnotic
    @fusionhypnotic Před 9 měsíci

    You made this course right when I took pharmacology. You are amazing my friend thank you

  • @lamaaldarwish5095
    @lamaaldarwish5095 Před rokem +2

    Thank you so much without you I would fail every pharmacy exam I've ever had❤️❤️❤️😭😭😭

  • @noornoora688
    @noornoora688 Před rokem

    Thank you so much for this great explanation

  • @user-sp8mf1vx6d
    @user-sp8mf1vx6d Před rokem

    UNBELIEVABLE HELPFUL!!!!! THANKS A LOT IS THE MINIMUM ...CONGRATS

  • @riomacapanas2196
    @riomacapanas2196 Před rokem

    Thank you so much Dr. Zach for your very informative videos,bcoz of your channel I passed the Veterinary Licensure Exam just now🥰u were such a great help to my basic understanding of physiology and pharmacology😊. I will surely share your channel with the future examinees of VLE.THANKS AGAIN AND GOD BLESS😇😇

  • @Cottntale321
    @Cottntale321 Před rokem

    A "lil break"?! LOL You came back with a fresh cut and everything!! Love it !! Great Video!!

  • @slowbro-
    @slowbro- Před rokem

    Marvellous! Absolutely Marvellous!

  • @SadiaZaman-tw7si
    @SadiaZaman-tw7si Před rokem

    Really thank you!! You are the savior ,Sir 😊😊

  • @nachi7066
    @nachi7066 Před rokem +1

    Preparing for prometric exam and very very useful

  • @lourock_
    @lourock_ Před 7 měsíci

    Thanks this helps tremendously

  • @Sunshine-wc7td
    @Sunshine-wc7td Před rokem

    Was of great help. Thanks nerdy

  • @garrylasaga1550
    @garrylasaga1550 Před rokem

    Still the BEST lecturer in CZcams

  • @Muzzamilgola
    @Muzzamilgola Před rokem +1

    You never Disappoint.. keep it up man ❤❤

  • @shohinsadiev177
    @shohinsadiev177 Před 7 měsíci

    fantastic lesson

  • @citytrak
    @citytrak Před rokem +7

    Zach - when you are talking about Alpha1 antagonist drugs on the bladder with BPH (e.g. the -osins), don't you mean the indication is urinary RETENTION (2ndary to BPH) not incontenance? I though the idea was with BPH, we get relaxation by the A1 Antagonists, allowing relaxation at the prostate and internal sphincter, which allows for easier urination...

  • @amine6005
    @amine6005 Před rokem

    splendid we need more pharmacology

  • @SitaraDreams
    @SitaraDreams Před 10 měsíci +1

    Thank you all as always for all of your great work and effort. I have a question, wouldn't alpha blockers be treating urinary retention/obstruction in case of BPH and not incontinence ?.

    • @rajavignesh6749
      @rajavignesh6749 Před 10 měsíci

      Yes ..same doubt ,it should treat urine retention

  • @rouaaabdeldaim1920
    @rouaaabdeldaim1920 Před rokem

    Life saver fr, bless you man

  • @sandiarajpoot2302
    @sandiarajpoot2302 Před rokem

    well explained!🙏

  • @aleyasha3112
    @aleyasha3112 Před 3 měsíci

    Thank U Boss for Everything ❤❤❤

  • @brendaomana8553
    @brendaomana8553 Před 5 měsíci

    Muchas gracias por sus videos ❤

  • @lamachi.i8458
    @lamachi.i8458 Před rokem

    My pharmacology exam is Thursday👀
    Great work keep going 💙

  • @amandabentley9128
    @amandabentley9128 Před 6 měsíci

    Thank you!

  • @samarestephan2485
    @samarestephan2485 Před rokem

    You are intelligent. Thank you ❤

  • @zainab7036
    @zainab7036 Před rokem +1

    🤩🤩🤩thank you so much , i love you Channel . Keep going . May God bless you and your team ❤️

  • @antoniocuestarepice786
    @antoniocuestarepice786 Před rokem +1

    Bro said "had to take a lil break" = returns with different haircut. LOVE THE VIDS, all the way from SPAIN. I watch your vids at 2x to get a quick recap

  • @user-ey4hy3le8h
    @user-ey4hy3le8h Před 5 měsíci

    Hello and thank you for explaining everything so well. I was wondering how NE and E affects the receptors if they ever do overcome their natural affinity?

  • @ahnaf_akif_mbbs_bd_ksa
    @ahnaf_akif_mbbs_bd_ksa Před 2 měsíci

    huge airdrop in my medical base
    May you be rewarded sir 👌🏾🔥

  • @vanish3886
    @vanish3886 Před rokem

    Thank you guys

  • @TundeEszlari
    @TundeEszlari Před rokem

    You are a very good videographer.💯❤

  • @emmanuelmarychinecherem6320

    Awesome!!

  • @layaglynandu.548
    @layaglynandu.548 Před měsícem

    Thanks!

  • @rafaelandrade8586
    @rafaelandrade8586 Před 3 měsíci

    thank you a lot

  • @mahzadarjmandi3585
    @mahzadarjmandi3585 Před rokem

    Very good

  • @Maya-uy6fb
    @Maya-uy6fb Před 8 měsíci

    Thanks

  • @parmidaeelani5719
    @parmidaeelani5719 Před rokem

    You are great ! 🤍👏🏻

  • @shreyagite8225
    @shreyagite8225 Před rokem +2

    @29.03 min you said urinary incontinence..it should be urinary retention due to bph?

    • @j.b.3543
      @j.b.3543 Před 2 měsíci

      He made an honest mistake, and you are right, it helps in urinary retention because it relaxes the internal urethral sphincter and thia causes urination

  • @nelsonomondi5941
    @nelsonomondi5941 Před rokem +1

    Nice one

  • @BigShaz_
    @BigShaz_ Před rokem

    We love you
    Keep it going❤

  • @GISdaily
    @GISdaily Před 5 měsíci

    great sir

  • @doreenm2160
    @doreenm2160 Před 22 dny

    Thankyou Ninja Nerd

  • @Md76iran
    @Md76iran Před 10 měsíci

    You are fantastic

  • @junaidusmany636
    @junaidusmany636 Před rokem

    ninja , you are the best . I wish I could be your direct student.

  • @adrianaquirogavelasquez9452

    Thank you so much! Awesome explanation. Just an observation/question : Are alpha 1 blockers used for incontinence? Aren't they used for retention instead?

    • @calloftruth
      @calloftruth Před rokem

      i think alpha 1 inducers retain the urine other hand alpha 1 blockers blocks or stops the activity to treat retention.

    • @davideserboni
      @davideserboni Před 5 měsíci

      you're right

  • @deepakrtr4840
    @deepakrtr4840 Před rokem

    No words bro❤❤❤

  • @simonleitner7292
    @simonleitner7292 Před rokem

    love it!:))))))))))

  • @rizgarali4609
    @rizgarali4609 Před 5 měsíci

    YOU ARE THE BEST :)

  • @14_usmanarshad32
    @14_usmanarshad32 Před rokem +1

    awesome lecture, 28:21 our cute little sphincter muscle 😂

  • @bushramohammedsiddiquebush6640

    Sir is Harrison principal of internal medicine 19th edition is good for study medicine ? .... I mean I'm unable to buy 20th and 21st edition .... So is it okay to study from edition 19 ? ... Is there any major difference in these editions ?

  • @meimei9057
    @meimei9057 Před rokem

    Hey Thanks dear!Please teach us Biostat also !

  • @charlenemeats7701
    @charlenemeats7701 Před 7 měsíci

    You may be what gets me through school.

  • @joshuafrommohiini4219

    happy teachers man

  • @BarrelCollective
    @BarrelCollective Před měsícem

    Where would you fit demetotomidine and clonidine?

  • @plamenferdinandov5083
    @plamenferdinandov5083 Před 4 měsíci

    having the pathogenesis of pheochormocytoma in mind, why don't we use alpha-1 antagonists and but 1+2?

  • @BarrelCollective
    @BarrelCollective Před měsícem

    Getting me ready for CRNA school interviews over here

  • @karmagaming7112
    @karmagaming7112 Před rokem

    Love u 3000 ❤️
    We are Ninja Nerds 🥷

  • @trishastrickland7881
    @trishastrickland7881 Před rokem

    I'm not even a med student but I love how you explain things 💝 Have you ever done a video on Biotinidase Deficiency or partial due to genetics or meds?

  • @vincentifeanyi6170
    @vincentifeanyi6170 Před rokem

    hello professor! can you please explain the relation why erectile dysfunction will be an adverse effect of b-blockers? first aid stated it and im trying to find the correlation

    • @anifowosesegun9187
      @anifowosesegun9187 Před rokem

      Maybe from vasoconstriction of blood vessels by excess a1 stimulation and b2 blockage on vessels leading to less blood going to penis to cause erection. Maybe maybe.

  • @shafaqsyed4290
    @shafaqsyed4290 Před 10 měsíci

    Thank you, but u didn't cover the B2 blockers in this video. Are u going to prepare another video for this?

  • @myriambelaiche6907
    @myriambelaiche6907 Před rokem

    ur the best!!!!! med-1 student here:)) i literally skipped all my pharmacodynamics classes to follow along with you, and it was the best decision I ever made!

  • @munaed6944
    @munaed6944 Před 11 měsíci

    you are awesome 😎

  • @theresasunkutu9935
    @theresasunkutu9935 Před 4 měsíci

    God bless you for me

  • @RainMist89
    @RainMist89 Před 3 měsíci

    Hello! Love your videos! I think the notes on the website and the written values on the video might include a typo. In lecture and web searching we are given EPI and (80%) produced and NE (20%) in a 4:1 ratio not flipped as shown in the video. Also the notes you give on the website also show NE being produced by the adrenal medulla twice. Not a huge deal but just wanted to give that feedback. There were some other things with other lectures I have noticed (minor details), and if there is a better way to inform about these please let me know!. Great Stuff all in all though!

  • @sumaiyaparna1056
    @sumaiyaparna1056 Před rokem +1

    Can you please 🥺 upload more lecture on pharmacology..

  • @user-sm1hc1gl4n
    @user-sm1hc1gl4n Před 2 měsíci

    We dont prefer alpha 1 blockers forHTN bcz it decreases BP markedly on working at urinary bladder sphincter by micturition is it right concept so we should prescribe it when HTN+ BHP together

  • @sawantiparang6660
    @sawantiparang6660 Před rokem

    life saver,,,,i dnt know how to get your notes......csn you please tell me sir..

  • @CharDavies33
    @CharDavies33 Před rokem

    Im on Labetalol for hypertension as mine spikes above 180/120 regularly, currently on 9 tablets aday and have to take extra when I have a hypertensive crisis, I also have Intracranial hypertension and am on Topiramate. Still being investigated for causes Im only 32 though do have multiple endocrine problems, possible Pheochromocytoma or pituitary tumour.

  • @iamsufyanali
    @iamsufyanali Před rokem +1

    Sir, you made a mistake at 9:41 when you tell that NE is the 80% released by Adrenal Medulla while it is the other way around. It is 80% EPINEPHRINE that is released by ADRENAL MEDULLA.

  • @lobarita
    @lobarita Před rokem +1

    Would you hold an A1 blocker if the patient has BPH but is hypotensive?

  • @sagarkhatri7890
    @sagarkhatri7890 Před rokem

    can you make some on anti-depressant

  • @sawantiparang6660
    @sawantiparang6660 Před rokem

    sir,,why in pharmacology playlist some topic is not there

  • @emmanuellutaaya817
    @emmanuellutaaya817 Před rokem

    Hard🔥🔥

  • @aayushbatra1147
    @aayushbatra1147 Před rokem

    Love❤❤❤❤❤❤

  • @zaynababdulhakeem
    @zaynababdulhakeem Před rokem

    can you teach us more about pathology

  • @agapenanab6873
    @agapenanab6873 Před rokem

    Happy Teachers day 🎉🎉🎉🎉🎉🎂🎂🎈🎉🎉🎉🎂🎂🎉