Basic Concepts 3 Flashcards

1
Q

ganglion block: what happens to targets under symp tone? ex?

A

parasymapthetomimetic effects. for example: blood vessels normally constricted, but now will dilate

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2
Q

targets under parasymp tone with ganglion block + example

A

exhibit sympathomimetic effects: for ex heart will speed up after applying hexamethonium

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3
Q

4 targets under sympathetic tone

A

blood vessels: arterioles and veins. spleen. kidney.

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4
Q

12 targets under parasympathetic tone

A

eye: sphincter muscle of iris + ciliary muscle. heart: SA and AV node. lung smooth muscle + glands. GI tract: smooth muscle and sphincters and secretion. bladder: detrussor muscle and sphincter. sweat glands.

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5
Q

blood vessels: two types? tone? effect? after ganglionic blockade?

A

arterioles and veins normally under sympathetic tone = vasoconstriction. block = vasodilation so increased peripheral blood vessel, blushing, hypotension, pooling of blood, decreased venous return, decreased cardiac output

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6
Q

spleen and kidney: tone? effect? after ganglionic blockade?

A

both sympathetic. spleen = contraction of capsule and activation of immune response. block = relaxation. kidney: renin secretion. block = decrease renin, hypotension

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7
Q

eye: what two muscles? tone? effect? after ganglionic blockade?

A

parasymp tone. sphincter muscle of iris normall contracted - miosis. block = mydriasis (dilation). ciliary muscle usually accomodated for near vision, block = far vision

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8
Q

heart: what two parts? tone? effect? after ganglionic blockade?

A

parasymp. SA node decreased HR: block = tachycardia. AV node normally has decreased conduction, block = reduced AV delay

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9
Q

lungs: tone? effect? after ganglionic blockade?

A

parasympthetic tone: normally have contraction of bronchial smooth muscle and secretion. block = bronchodilation and decreased secretion

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10
Q

GI tract: tone? effect? after ganglionic blockade?

A

parasymp. contraction of smooth muscle, relaxation of sphincters, secretion. block = constipation + difficulty in digestion

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11
Q

bladder: tone? effect? after ganglionic blockade?

A

contraction of detrussor muscle, relaxation of sphincter. ganglion block = urinary retention

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12
Q

sweat glands: tone? effect? after ganglionic blockade?

A

normally parasymp, so generalized secretion. ganglion block = anhydrisis or lack of sweating

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13
Q

predominance of S/P tone determines?

A

how much that tissue will respond to systemic admin. of muscarinic or adrenergic blocking agents

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14
Q

atropine causes what? why?

A

mAChR blocker = constipation, tachycardia, dry mouth, urinary retention because gut/cardiac pacemakers/salivary glands/bladder are under cholinergic tone

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15
Q

blood vessels under ___ tone, in a tonic state of ____. so admister what will cause what.

A

adrenergic tone = tonic state of constriction outflow. give a-adrenoreceptor blocker = vasodilation, lower BP

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16
Q

ANS is arranged as ?

A

series of parallel and interacting reflexes

17
Q

symp and parasymp nerves can ? (about reflex to targets)

A

capable of reflex evoked directed discharge to SPECIFIC targets

18
Q

baroreceptor reflex: decreased aortic blood pressure results in? what parts of the brain?

A

decreased aortic blood pressure = reduces baroreceptor discharge in carotid sinus, aortic arch, lungas and heart altered afferent information sent to the nucleus tractus solitari and ventrolateral medulla

19
Q

baroreceptor reflex: efferent outflow does what, and how (3)

A

increases blood pressure via: reduce vagal parasymp outflow to heart. increased symp outflow stimulates cardiac b-adrenoreceptors = increase HR/contraction. increased symp outflow stimulates alpha adrenoceptors in blood vessels - constriction

20
Q

baroreceptor reflex: high blood pressure results in?

A

increased baroreceptor discharge = activate vagal outflow, decrease sympathetic outflow so you get decreased HR and vasoldilation

21
Q

baroreceptor reflex responsible for ___ control of___

A

short term, minute to minute control of BP (ex: tachycardia after assuming upright posture

22
Q

if you record from carotid sinus nerve: what happens with increased BP

A

increase BP = more afferent activity in nerve (higher nerve impulse frequency)

23
Q

relation between: arterial pressure, CSN impulses, sympathetic and parasympathetic impulses

A

decrease arterial pressure = decreased CSN impulses = decreased parasymp, increased sympathetic. increased BP = increased CSN impulse = increase parasymp, decrease symp

24
Q

sympathetic and feedbaa=ck?

A

sympathetic nerves that innervate a given target are able to respond to afferent info from that target. may be via spinal, supraspinal, and/or local reflexes involving peripheral ganglia

25
Q

ex of symp + feedback

A

inferior mesenteric ganglion that exerts inhibitory control over intestinal contractions receives excitatory input from substance P containing fibers that originate in the gut

26
Q

classical example of interaction between CNS and ANS (3)

A

Pavlov: dogs salivating after emotional cue, blushing with embarassment, frightening situations wher eyou get cutaneous vasodilation + piloerection

27
Q

sympathetic system poised for _____ but also ________

A

generalized all or none widespread activation, but also can exert reflex invoked control over relatively specific sites and functions

28
Q

autonomic effects determined by what 3 things

A

autonomic tone, tissue localization and receptor subtypes, reflex and central control