Autonomic Nervous System (Doc Martinez) Flashcards
- Visceral Motor System (new term): provides motor control of the viscera
- Vegetative Nervous System (old term)
- Homeostasis
- Regulatory
- Essentially motor
Autonomic Nervous System
2 means of control in the body
Nervous Control - fasting acting, short duration (eg. baroreceptors in the heart in BP maintenance)
Humeral Control - slower acting, long duration (eg. RAAS in BP maintenance)
FUNCTIONS OF ANS
- Maintain constant internal environment or homeostasis: issue commands that leads to compensatory actions
- Regarded as part of the motor system
- Appropriate coordinated response to external stimuli (e.g. helps regulate pupil size in response to different intensities of ambient light, helping the visual system to operate over large range of light intensities)
• FIGHT OR FLIGHT: response to threatening activities
- Mediates visceral reflexes (e.g. gastrocolic reflex, where stomach distention triggers peristalsis in the intestines) and provides sensory information to the CNS for the state of our viscera.
- Activation of autonomic receptors evoke sensory experiences (e.g. pain, hunger, thirst, nausea and sense of visceral distention)
Maintain constant internal environment or homeostasis: issue commands that leads to compensatory actions
- Effectors: smooth muscles, cardiac muscles and glands
- Autonomic fibers in peripheral nerves are accompanied by visceral after end fibers originating from visceral sensory receptors in the viscera.
- Receptors triggers reflexes and evokes sensory experiences such as pain, hunger, thirst, nausea and sense of visceral distention.
Regarded as part of the motor system
PNS
SOMATIC NS
AUTONOMIC NS
12 Cranial Nerves
- OLFACTORY
- OPTIC
- OCULOMOTOR
- TROCHLEAR
- TRIGEMINAL
- ABDUCENS
- FACIAL
- ACOUSTIC
- GLOSSOPHARYNGEAL
- VAGUS
- SPINAL ACCESSORY
- HYPOGLOSSAL
Cranial Nerves involved in ANS
- OCCULOMOTOR
- FACIAL
- GLOSSOPHARYNGEAL
- VAGUS
SPINAL NERVES
Cervical
Thoracic
Lumbar
Sacral
Reflex Arc
Afferent
Integrating
-
REFLEX ARC
- Sensory Receptors (+)-AP
- AFFERENT Nerve
- CENTER
- EFFERENT Nerve
- EFFECTOR Cell
-
Somatic Nerve
Cell body within the CNS
First Neuron
Pre-ganglionic neuron
Cell body is located outside in CNS (Autonomic)
Second neuron
Post ganglionic neuron
ANS junction
Neuroeffector Junction
Nerve Fibers
Somatic (conscious/ voluntary) motor
Autonomic (subconscious/ involuntary) homeostasis
Somatic Nerve
SOMATIC AFF - Sensory
Somatic eff - effectorcell
Visceral Aff-
Visceral Eff- effe
Cerebral coortex
SNS center
ANS Center
Hypothalamus,
Central Components of ANS
- Hypothalamus
2. Limbic System
It release hormone and regulates body temperature
Hypothalamus
It is involved with the emotion and visceral behaviors like feeding, drinking, thermoregulation, reproduction, defense and aggression
Limbic System:
SNS
ONE WAY Acetylcholine (Receptors: N1 and MEP) Center, NMJ Interruption: Complete paralysis - atrophy Excitation (contraction) Neurons: ALPHA-MOTOR NEURONS (myelinated rapid) SKELETAL MUSCLE SYNTHESIS: axon terminal
ANS
TWO NEURON PATHWAY Norepinephrine and Ach Sites of inhibition: Center, peripheral ganglion, NEJ Automaticity Response: Excitatory/ inhibitory Pregangiolonic - myelinated B Post ganglionic - MYELINATED C Effector: Visceral Beads of varicosities
ANS Classification based on:
Anatomic Differences
Functional
Biochemical
Pharmacologic
ANATOMIC DIFFERENCES
Sympatheic
Parasympathetic
Enteric NS (Intramural NervePlexus of GIT_
MINI BRAIN (contains all elements of NS) Function autonomously Confined within GIT walls
ENTERIC NS
2 divisions of Enteric NS
MYENTERIC (AUERBACH’S PLEXUS)
MEISSNER’S (SUBMUCOSAL PLEXUS)
Located within the muscle layers of intestinal walls
Regulation of motor activity (peristalsis) of the GI tract
MYENTERIC (AUERBACH’S PLEXUS)
Located within the submucosal layer (glands) of GI wall
Regulation of secretory activities of GIT
MEISSNER’S (SUBMUCOSAL PLEXUS)
It will synapse in ENS
Inhibitory
Motor and Secretory act
Sympathetic post ganglionic fibers
It will synapse in ENS
Excitatory
Motor and Secretory act
Parasympathetic pre ganglionic fibers
Sympathetic NS other name
Thoracolumbar Ouflow (T1-T12; L1-L4)
Larger Division
Prepares individual to cope with emergency
Ensures body can respond appropriately to a stressful or emergency situation
“Fight or flight”
Sympathetic NS (Thoracolumbar Ouflow)
Responses of the Sympathetic NS
- Mydriasis
- Stimulation of heart and BV
- Vasoconstriction
- Increased rate of blood coagulation
- Redistribution of blood flow from skin and splanchnic regions towards skeletal muscle and heart
- Increase RR and bronchodilation for an increased exchange of blood gases
- Salivary secretion - decreased volume but mucus secretion increases (lubrication of mouth despite increased ventilation)
- Increased blood glucose level (epinephrine)
- Activated of sweat glands (heat)
- Cold, clammy perspiration (skin constriction and sweat glands activation)
- Piloerector muscle (goosebumps)
- Decreased GIT activity (inhibitory) - defacation
- Increase mental activity
- Reticular formation
3 GANGLIA IN SYMPATHETIC NS
PARAVERTEBRAL GANGLIA (superior, middle, inferior CG)
PREVERTEBRAL GANGLIA (celiac, superior, inferior mesenteric ganglion)
**Adrenal medulla
Parasympathetic NS
CRANIOSACRAL OUTFLOW
Dominates in quiet, relaxed situation
Activity tends to conserve energy and restore the body’s resources (anabolic NS)
Cranial outflow supplies the visceral structures in the head through CV 3, 7, and 9 and the structures in the thorax and upper abdomen through CN 10
Sacral outflow supplies pelvic viscera
Parasympathetic NS (CRANIOSACRAL OUTFLOW)
Only ganglion in the Parasympathetic NS
Terminal ganglion (3. ciliary [eye], 7. pterygopalatine [lacrimal gland], 7 submandibular [sublingual and submandibular], 9. otic ganglion [parotid glands])
Circular muscle in the iris that causes constriction of the pupil
PS
CN 3
Pupillary Sphincter Muscle
Radial muscle in the iris that causes dilation of the pupil
Sympathetic
SUPERIOR CERVICAL GANGLION - release of norepinephrine
Dilator pupillae muscle
Exert opposite effects but operate reciprocally to produce coordinated responses
Hear: S (+) and PS (-) Normal HR = net result of S and PS CUT Vagus = Increased HR CUT S = Decreased HR BOTH Cut = Increased HR
Dual innervation
The 2 division can also act in a synergistic or cooperative manner
Example:
Both S and PS are excitatory but effects are opposite
Why? They innervated diff. Muscles in the same organ
PS: CIRCULAR muscle of iris = pupillary constriction/ myosis
S: RADIAL muscle of iris = pupillary dilation/ mediasis
DUAL INNERVATION
Synergicstic action on sexual function
Penis:
PS: Erection
S: Ejaculation
Complemetary effect: Salivary gland
GIT
PS: Relaxation
S:
Dual INNERVATION
Bladder filling
SYMPATHETIC EFFECT
Bladder full
Parasympathetic Control
Single Innervation
SYMPATHETIC ONLY
SWEAT
ADRENAL
MOST BV
PILIMOTOR MUSCLE
Single Innervation
PARASYMPATHETIC ONLY
LACRIMAL (TEAR GLAND) CILIARY MUSCLE (ACCOMMODATION)
Ach is NT
All parasympathetic NS have this either pre or post ganglionic
Preganglionic sympathetic contains this nerve
+ Postganglionic sympathetic in sweat glands
CHOLINERGIC NERVE
NOREPI is the NT
Postganglionic Sympathetic contains this nerve (singly innervated structure)
ADRENERGIC NERVE
-
NANC (Non adrenergic-non cholinergic)
Cholinergic nerve receptors
Muscarinic
Nicotinic
Adrenergic receptors
Alpha (1 and 2) and beta (1, 2 and 3) receptors (viceral effector organ)
It is a receptor seen in sweat gland and smooth muscle that is innervated with postganglionic nerves
Muscarinic receptor
Have affinity for nicotine (small amounts) Excess nicotine acts as blocking agent Location: Acts as direct ligand-gated ion channel Activated = depolarization
Nicotinic Receptor
Have affinity for muscarine (mushroom poison)
Sites: PS effector cells and S cholinergic effector cells
Blocking agent: ATROPINE
MUSCARINIC RECEPTORS
TYPES OF MUSCARINIC RECEPTORS
M1
M2
Enhances gastric acid secretion
IP3 and DAG
M1
-
M2
-
M3
-
M4
-
M5