ANS pharm DSA Flashcards

1
Q

Ach

A
  • major neurotransmitter of the parasympathetic ns
  • all preganglionic autonomic fibers
  • all postganglionic parasympathetic fibers
  • (sweat glands) postganglionic sympathetic fibers
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2
Q

Norepi

A
  • major neurotransmitter of sympathetic ns

- vast majority of postganglionic sympathetic fibers

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3
Q

Dopamine

A

Norepi and epi precursor

-acts on CNS and renal vascular smooth m.

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4
Q

Ach (cholinergic) receptor types (2)

A

nAChR (ionotropic)

mAChR (metabotropic)

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5
Q

Which cholinergic and adrenergic receptors use Gq and what is its mechanism of action

A

m1,3,5
a1

Activates PLC; IP3, DAG cascade

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6
Q

Which cholinergic and adrenergic receptors use Gi and what is its mechanism of action

A

M2,4
a2

inactivates adenylyl cyclase

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7
Q

What transports NE, Epi, DA and 5-HT into visicles

A

Vesicular monoamine transporter (VMAT-2)

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8
Q

Which adrenergic receptor is most sensitive to Epi over NE

A

b2

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9
Q

function of a1 receptors

A

stimulate contraction of all smooth muscle
vascular - vasoconstriction

decreased secretion of bronchial glands

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10
Q

function of b2 receptors

A

relax smooth muscle - vasodilation

b2 agonists used as asthma treatment. can relax smooth muscle around bronchioles

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11
Q

function of muscarinic receptors

A

contract smooth m. (different intracell. signal than a1)

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12
Q

what is the effect of b1 receptors in the heart

A

increase:

  • HR
  • contractility
  • automaticity
  • conduction
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13
Q

what is the effect of M2 receptors in the heart

A

decrease:

  • HR
  • contractility
  • conduction
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14
Q

what is the effect of M3 receptors in enothelium

A

activation of NO synthase

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15
Q

what is the effect of b2 receptors in the lungs

A

tracheal and bronchial smooth m. relaxation

increased secretion of bronchial glands

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16
Q

what is the effect of M2 receptors in the lungs

A

tracheal and bronchial smooth m. contraction

bronchial gland stimulation

17
Q

what is the effect of M3 receptors in the lungs

A

bronchial gland stimulation

18
Q

what triggers the release of NE and Epi from the adrenal medulla

A

release of Ach from the preganglionic fibers bind to NnAChR and produce a local depol

release is 80% Epi, 20% NE