Autonomic Nervous system Flashcards

1
Q
  • Describe general characteristics of the autonomic nervous system
  • describe and compare the general functions of the sympathetic and parasympathetic systems
A
  • General characteristics of ANS
    • can change visceral function rapidly and intensely
      • Heart rate can be increased to twice normal within 3-5 seconds
      • Arterial pressure can be doubled within 10-15 seconds
      • sweating can begin within seconds
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2
Q

Compare the basic morphological pattern of the sympathetic and parasympathetic systems

A
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3
Q

Be able to trace a typical pathway for a sympathetic neuron, including the three alternatives

A
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4
Q

Describe the thoracic sympathetic chain and the ganglia and splanchnic nerves associated with it

A
  • Lies against neck of ribs and costovertebral junctions.
  • 12 thoracic ganglia pairs:
    • First one often fused with inferior cervical ganglion
    • Referred to as stellate ganglion collectively
  • Cervical ganglia
    • Superior
    • Middle
    • Inferior
  • The preganglionic sympathetic supply to the thoracic viscera are from T1-T5
    • The postganglionics are from:
      • Superior, middle, and inferior cervical ganglia
      • T1-T5 paravertebral ganglia
    • They exit the chain as direct fibers and travel downwards to enter the thorax:
      • As cardiopulmonary splanchnic nerves
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5
Q

Describe characteristics of splanchnic nerves, including origin and site of synapse

A
  • Characteristics:
    • Composed of preganglionic fibers and visceral sensory fibers
    • Supply abdominal viscera
    • Synapse in prevertebral ganglia
  • Greater:
    • T5-T9
    • Synapses in celiac ganglion
  • Lesser:
    • T10-T11
    • Synapses in the superior mesenteric ganglion
  • Least:
    • T12
    • Synapses in aorticorenal ganglion
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6
Q
  • Describe the input and ouputs of the adrenal medullae
  • explain why circulating norepinephrine has a greater effect on raising arterial pressure
A
  • Stimulated by the sympathetic system
  • output
    • Secretes about 80% epinephrine and 20% norepinephrine
  • Circulating norepinephrine:
    • Constricts most of blood vessels of body:
      • Has greater effects on blood vessels in skeletal muscles so has greater effect on raising arterial pressure
    • Increases heart activity
    • Inhibits heart activity
    • Inhibits GI tract
    • Dilates pupils
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7
Q

What is the alarm/stress response and what are the characteristic physiological changes that occur as a result of it

A
  • Occurs when there is a mass discharge of the entire sympathetic system (Fright, Fear, Severe Pain)
    • Increased arterial pressure
    • Rerouting of blood flow to active muscles
    • Increased rates in cellular metabolism
    • Increased blood glucose concentration
    • Increased glycolysis in liver and muslce
    • Increased muscle strength
    • Increased mental activity
    • Increased blood coagulation rate
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8
Q

Where are most preganglionic parasympathetic fibers located

A
  • About 75 percent of all parasympathetic fibers are in the vagus nerve (CN 10)
  • most preganglionci fibers pass all the way to the organ that is to be innervated
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9
Q

Identify the four cranial nerves that carry parasympathetic fibers and what they innervate

A
  • Occulomotor (III)
  • Facial (VII)
  • Glossopharyngeal (IX)
  • Vagus (X)
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10
Q
  • Identify structures innervated by the vagus nerve
  • identify the branches of the vagus nerve
A
  • Motor suppply to muscles of the fourth and fifth pharyngeal arches and is important in swallowing and speaking
  • Parasympathetic function:
    • Major parasympathetic supply to thoracic and abdominal organs
    • Preganglionic:
      • From dorsal motor nucleus
    • Postganglionic:
      • Myenteric plexus of wall of gut tube all the way to the left colic flexure
  • Branches:
    • Cardiac branches to cardiac plexus
    • Pulmonary branches to pulmonary plexus
    • Esophageal branches to esophageal plexus
    • Left recurrent layngeal nerve from left vagus:
      • Hooks around arc of aorta to left of ligamentum arteriosum
    • Right recurrent laryngeal nerve from right vagus:
      • Arises in neck, not thorax
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11
Q

Describe the synthetic pathways for acetylcholine and norepinephrine

A

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12
Q

Describe the inactivation/removal of acetylcholine and norepinephrine

A
  • Reuptake
  • Diffusion
  • Destruction by monamine oxidase
    • Found in nerve endings
  • Destruction by catechol-O-Methyl transferase (COMT)
    • Present in all tissues
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13
Q

Describe the acetycholine receptors and state where they are found

A
  • Muscarinic:
    • Muscarine is a poison from toadstools
    • Receptors are found on all effector cells stimulated by postganglionic cholinergic neurons
  • Nicotinic:
    • Found in autoimmune ganglia at synapse between preganglionic and postganglionic neurons
    • Present in neuromuscular junctions in skeletal muscles
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14
Q

List the adrenergic receptors and state where they are found

A
  • Alpha (alpha1 and alpha2)
  • Beta (Beta1, Beta2, and Beta3)
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15
Q

List the adrenergic receptors and list what they are associated with

A
  • Alpha receptors are associated with:
    • Vasoconstriction
    • iris dilation
    • Intestinal relaxation
    • Intestinal sphincter contraction
    • Pilomotor contraction
    • Bladder sphincter contraction
    • Inhibition of neurotransmitter release (alpha2)
  • Beta1
    • Cardioacceleration
    • Increased myocardial strength
    • lipolysis
  • Beta2
    • ​Vasodilation
    • Intestinal relaxation
    • Uterus relaxation
    • Bronchodilation
    • Calorigenesis
    • Glycogenolysis
    • Bladder wall relaxation
  • Beta3
    • ​Thermogenesis
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16
Q

Identify sympathomimetic drugs

A
  • Sympathomimetic Drugs
    • Norepinephrine
    • Epinephrine
    • Methoxamine
    • Phenylephrine (alpha receptors)
    • Isoproterenol (beta receptors)
    • Albuterol (beta2 receptors)
17
Q

List effects of sympathetic and parasympathetic stimulation on various organs and systems

A
18
Q

drugs that cause the release of norepinephrine

A
  • Ephedrine
  • Tyramine
  • Amphetamine
19
Q

Drugs that Block Adrenergic Activity

A
  • Reserpine
    • Blocks synthesis and storage of norepinephrine
  • Guanethidine
    • blocks release of norepinephrine
  • Phenoxybenzamine/phentolamine
    • Block sympathetic alpha receptors
  • Propranolol
    • Blocks sympathetic beta1 and beta2 receptors
  • Metoprolol
    • Blocks mostly sympathetic beta1 receptors
  • Hexamethonium
    • Blocks transmission through autonomic ganglia
20
Q

Drugs that Act on Cholinergic Effector Organs

A
  • Parasympathomimetic drugs
    • Not rapidly destroyed by cholinesterase
    • Include pilocarpine and methacholine
    • Act directly on muscarinic receptors
  • Drugs that inhibit acetylcholinesterase:
    • Neostigmine
    • Pyridostigmine
    • Ambenonium
  • Drugs that block cholinergic activity
    • Atropine
    • Homatropine
    • Scopolamine