Action Potentials Flashcards
ARU MEDICINE PRINCIPLES - ACTION POTENTIALS
Define action potentials.
- Change in membrane potential associated with propagation down a neuron
How are action potentials triggered in pressure-responsive perpheral neurons?
- Pressure sensitive ion channels open
- Influx of sodium ions
- Interior of cells becomes more positive - depolarisation
- Once threshold potential met, action potential generated
What occurs upon meeting threshold potential?
- Opening of voltage gated sodium channels
- Further influx of sodium ions
- Membrane potential becomes positive relative to outside
- Further activation of voltage-gated sodium channels - allows action potential to propagate
How does lidocaine work?
**- Block voltage gated sodium channels
- Prevents propagation of action potentials in pain sensing fibres
Describe repolarisation.
- Voltage gated sodium channels remain open until membrane potential of +40 mV reached
- Voltage gated sodium channels close into a voltage insensitive state
- Opening of voltage gated potassium channels - efflux of potassium
- Membrane potential becomes progressively more negative
Why does the undershoot occur?
- Voltage-gated potassium channels stay open longer than required
- Close and voltage gated sodium channels become voltage sensitive
Describe the absolute refractory period.
- Sodium channels are in a refractory state
- Potassium channels open
- Further action potentials not generated, regardless of level of depolarisation
Describe relative refractory period.
- Occurs during hyperpolarisation
- Potassium channels close/sodium channels become voltage-sensitive
- Action potential can be triggered - requires greater level of depolarisation than normal
Describe how the refractory period allows monodirectional propagation of action potentials?
- Voltage gated sodium channels will open - influx of sodium - triggers further channel opening
- Once further channels opened, preceding channel enteres refractory state
- If not, action potential would stimulate opening of preceding channels. Action potential propagates back up axon.
Using the Goldman-Hodgkin-Katz equation, what hapens in patients with hyperkalaemia?
- Decrease in resting membrane potential - brought closer to threshold potential
- Spontaenous propagation of action potentials
- Effect on cardiomyocytes - greater susceptiblity to fluctuations in potassium
Describe saltatory conduction. PART 1
- Voltage-gated sodium channels exist at nodes of Ranvier
- Arrival of depolarising signal causes membrane depolarisation at node
Describe saltatory conduction. PART 2
- Sodium diffuses down axon until reaches next node
- Cycle repeats
What does the axon contain?
- AXOPLASM - containing mitochondria, microtubules and vesicles
How does axon diameter influence velocity? PART 1
- SMALL DIAMETER - axoplasmic organelles are non-conductive. Occupy larger amount of space relative to axon size. Greater resistance to propagation
How does axon diameter influence velocity? PART 2
- LARGE DIAMETER - space around axoplasmic organelles to conduct ions. Greater number of voltage-gated sodium channels - greater sodium conductance