Autonomic Nervous System Flashcards

0
Q

autonomic system

A

involuntary system that controls smooth muscle, cardiac muscle, and gland function

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1
Q

somatic system

A

voluntary control (i.e. skeletal muscles)

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2
Q

ANS branches (x2): sympathetic

A

mobilises body during extreme situtations

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3
Q

ANS branches (x2): parasympathetic

A

allows the body to unwind and conserve energy

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4
Q

neurotransmitter

A

allows an impulse to pass across the gap or synapse from the neuron to the effector cell receptor

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5
Q

ANS neurotransmitters (x2): noradrenaline

A

binds to adrenergic receptors

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6
Q

ANS neurotransmitters (x2): acetylcholine (ACh)

A

binds to choline rigid receptors

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7
Q

sympathetic (adrenergic)

A

‘flight or fight’ system; stressed either physically or emotionally; suppresses non-vital bodily functions; promotes self-preservation; adrenergic receptors (alpha and beta receptors)

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8
Q

alpha 1 receptors

A

smooth muscle; peripheral blood vessels; urinary sphincter

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9
Q

alpha 2 receptors

A

‘controllers’ of neurotransmitter release; stimulation reduces the release of neurotransmitters

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10
Q

beta 1 receptors

A

located primarily in cardiac muscle and fatty tissue; stimulation increases heart rate and force of contraction

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11
Q

beta 2 receptors

A

located primarily in the bronchial smooth muscle; stimulation results in bronchodilation

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12
Q

adrenergic stimulation (‘flight or fight’)

A

allows the body to increase the rate and force of contraction of the heart; increase the ability of the respiratory tract to function; shunt blood to the major organs of the body; increase the formation of energy sources in the body

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13
Q

sympathomimetic medications

A

stimulate the sympathetic nervous system

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14
Q

sympatholytic medications

A

decrease the sympathetic response

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15
Q

agonist

A

medication capable of binding to receptors to initiate medication actions

16
Q

antagonist

A

agent that blocks receptors stopping normal response

17
Q

adrenergic agonists

A

mimic the action of the sympathetic nervous system neurotransmitters noradrenaline, adrenaline, and dopamine; these are called catecholamines

18
Q

adrenergic agonists (alpha 1 receptors)

A

located primarily in smooth muscle tissue of the peripheral blood vessels; when stimulated (either by a neurotransmitter or medication), the smooth muscle contracts; increases blood pressure constriction

19
Q

adrenergic agonists (beta 2 agonists)

A

produce bronchodilation when stimulated by adrenergic agents; known as bronchodilators; used in the treatment of asthma (e.g. salbutamol)

20
Q

adrenergic agonists: geriatric considerations

A

more sensitive to the effects of adrenergic agonist medications; need close monitoring for excessive cardiac and CNS stimulation

21
Q

sympatholytic medications

A

block or inhibit the responses of adrenergic neurotransmitters at alpha and beta receptor sites

22
Q

alpha adrenergic blockers (alpha blockers)

A

inhibit the response at alpha receptors

23
Q

beta adrenergic blockers (beta blockers)

A

compete with noradrenaline at available beta receptor sites

24
Q

alpha blockers

A

cause vasodilation which decreases blood pressure; used to treat migraine headaches, hypertension, and peripheral vascular disease; prazosin [Minipress]

25
Q

beta blockers

A

block the receptor sites in the heart; decreased pulse rate during both rest and exercise; lower BP and cause bronchoconstriction; treat hypertension, cardiac dysrhythmias, and angina

26
Q

cholinergic pharmacology

A

medications that act on receptors that the neurotransmitter ACh binds to; ACh receptors are nicotine (sympathetic, parasympathetic, and somatic) and muscarinic (parasympathetic)

27
Q

parasympathetic medications

A

parasympathetic action is generally directed at conserving energy, digestion, and elimination; major uses of muscarinic cholinergics are for diseases of the eyes, GI, and urinary systems

28
Q

parasympathetic medications (anticholinergics)

A

act by blocking muscarinic receptors in the PNS; cause relaxation of smooth muscle in the bronchi resulting in bronchodilation; effective in the treatment of asthma and COPD; used for treatment of incontinence by increasing constriction of urinary sphincter; used for Parkinson’s by decreasing muscle rigidity and tremors

29
Q

anticholinergics: side effects

A

blurred vision; dry mouth; constipation; urinary retention; tachycardia