12. Neuromuscular physiology / Pharmacology Flashcards
Motor neuron pathway
From ventral horn to NMJ
What are MEPP (miniature end plate potentials)
Created by quanta
1/100 amplitude
Uniformly packed. In the absence of a stimulus
AP - Release of several quanta (200 of 5000 molecules each)
Ca function
Enters and produces depolarization release of ACh
Recovers AP with K
Ca 2x vs quanta 16x
Inhibition of Ach release by
HypoCa HyperMg
Downregulation. causes, effects on NMBA
Organophosphates. pyridostigmine. (decrease ACh esterases)
MG decreases ACh receptors
Effects. Increase sensitivity to Non-D. Decrease resistance to Scoline
Effect of burns in NMBA
Decrease sensitivity in non-D
Duration of duration of ACh
1 ms
Eaton Lambert D
Disease of voltage P Ca channels
Scoline degradation
In plasma
Botulinium MoA
Prevents release of ACh from presynaptic vesicles
Mg on NMBA
Amplifies muscle relaxation
Ach R location
In the upper part of the folds
Receptors in adults
Alpha 1 alpha 1 beta lambda Epsilon
Reason for post tetanic potentiation after NMDR
Accumulation of calcium release from the presynaptic