Which of the following catecholamines may have a vasodilator effect on the renal blood vessels and be prescribed for clients in shock who are experiencing renal insufficiency manifestations?

A) Enkephalin
B) Norepinephrine
C) Dopamine
D) Acetylcholine


Ans: C
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The catecholamines, which include norepinephrine, epinephrine, and dopamine, are synthesized in the sympathetic nervous system and are the neurotransmitters for most postganglionic sympathetic neurons. Dopamine, which is an intermediate compound in the synthesis of norepinephrine, also acts as a neurotransmitter. It is the principal inhibitory transmitter of interconnecting neurons in the sympathetic ganglia. It also has vasodilator effects on renal, splanchnic, and coronary blood vessels when given intravenously and is sometimes used in the treatment of shock. Endorphins and enkephalins are involved in pain sensation and perception. Acetylcholine is the transmitter for all preganglionic neurons, for postganglionic parasympathetic neurons, and for selected postganglionic sympathetic neurons.

Health & Biomechanics

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