Autonomic NS Flashcards

1
Q

Are the Cranial Nerves sympathetic or parasympathetic?

A

Parasympathic

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2
Q

Which CNs are part of the autonomic NS and how?

A
3- pupil constriction
7- tear secretion 
9- salivary gland
10- Bronchoconstriction
 Bronchosecretion
Gut Motility and tone
Pancreatic secretion
Micturition
Defecation
Erection
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3
Q

In the Sympathetic NS what are the 2 types of receptor? Are they inhibitory or excitatory?

A

Alpha- excitation

Beta- inhibition

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4
Q

What spinal level does the sympathetic NS come off at?

A

T1-L3

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5
Q

What things are affected by alpha sympathetic receptors?

A
Pupil dilation
Thick saliva secretion
Gut motility and tone
Gluconeogenesis
Adrenaline release
Ejaculation
Piloerection
Contracts urinary sphincters
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6
Q

What kind of receptors are those in the sympathetic NS (postganglionic)

A

NORADRENERGIC

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7
Q

What are the parasympathetic receptors?

A

ACTYLCHOLINE in MUSCARINIC receptors

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8
Q

What are the receptors and neurotransmitter in preganglionic receptors in both sympa and parasympa

A

Ach in NICOTINIC receptors

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9
Q

What do beta 1 sympathetic receptors trigger?

A

Vasodilation

Intestinal smooth muscle relaxes

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10
Q

What do beta 2 sympathetic receptors trigger?

A

Increased heart rate and force
Bronchodilation
Glycogenolysis
Detrusor reflex

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11
Q

What are Muscarinic antagonists

A

Atropine (surgery)
Ipatropium (asthma)
Benzatropine (PD)

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12
Q

What are Muscarinic antagonists used for?

A

Limit secretions and maintain consistent heart rate during surgery
Parkinsons
To reduce intestinal spasm in IBS
Bronchodilator

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13
Q

What are sympathomimetics?

A

Sympathetic NS agonists (alpha and beta agonists)

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14
Q

What is Salbutamol?

A

Short acting Beta Agonist (B2) used in asthma to relax bronchi
B2 therefore has minimal impact on the heart

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15
Q

What is Dobutamine?

A

B1 agonist used to stimulate the heart in severe heart failure- speeds it up!

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16
Q

What are Methyldopa and Clonidine?

A

Centrally acting antihypertensive drugs by acting on alpha 2 receptors

17
Q

What is amphetamine?

A

Alpha agonist (think dilated pupil and adrenaline release!)

18
Q

What are beta adrenoreceptor antagonists?

A

BETA BLOCKERS

19
Q

What are B1 selecitve BBs used for? Give examples

A

Cardioselective- slows heart rate and increases contractility.
Metoprolol
Atenolol
Acebutolol

20
Q

What are B2 selective BBs used for? Give examples

A

Vasodilators used to reduced hypertension

Propanolol Nadolol

21
Q

What are the downsides of B2 BBs?

A

Cold peripheries

22
Q

When are BBs contraindicated?

A

Asthmatics as can cause bronchospasm