Basic Concepts 3 Flashcards
ganglion block: what happens to targets under symp tone? ex?
parasymapthetomimetic effects. for example: blood vessels normally constricted, but now will dilate
targets under parasymp tone with ganglion block + example
exhibit sympathomimetic effects: for ex heart will speed up after applying hexamethonium
4 targets under sympathetic tone
blood vessels: arterioles and veins. spleen. kidney.
12 targets under parasympathetic tone
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.
blood vessels: two types? tone? effect? after ganglionic blockade?
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
spleen and kidney: tone? effect? after ganglionic blockade?
both sympathetic. spleen = contraction of capsule and activation of immune response. block = relaxation. kidney: renin secretion. block = decrease renin, hypotension
eye: what two muscles? tone? effect? after ganglionic blockade?
parasymp tone. sphincter muscle of iris normall contracted - miosis. block = mydriasis (dilation). ciliary muscle usually accomodated for near vision, block = far vision
heart: what two parts? tone? effect? after ganglionic blockade?
parasymp. SA node decreased HR: block = tachycardia. AV node normally has decreased conduction, block = reduced AV delay
lungs: tone? effect? after ganglionic blockade?
parasympthetic tone: normally have contraction of bronchial smooth muscle and secretion. block = bronchodilation and decreased secretion
GI tract: tone? effect? after ganglionic blockade?
parasymp. contraction of smooth muscle, relaxation of sphincters, secretion. block = constipation + difficulty in digestion
bladder: tone? effect? after ganglionic blockade?
contraction of detrussor muscle, relaxation of sphincter. ganglion block = urinary retention
sweat glands: tone? effect? after ganglionic blockade?
normally parasymp, so generalized secretion. ganglion block = anhydrisis or lack of sweating
predominance of S/P tone determines?
how much that tissue will respond to systemic admin. of muscarinic or adrenergic blocking agents
atropine causes what? why?
mAChR blocker = constipation, tachycardia, dry mouth, urinary retention because gut/cardiac pacemakers/salivary glands/bladder are under cholinergic tone
blood vessels under ___ tone, in a tonic state of ____. so admister what will cause what.
adrenergic tone = tonic state of constriction outflow. give a-adrenoreceptor blocker = vasodilation, lower BP
ANS is arranged as ?
series of parallel and interacting reflexes
symp and parasymp nerves can ? (about reflex to targets)
capable of reflex evoked directed discharge to SPECIFIC targets
baroreceptor reflex: decreased aortic blood pressure results in? what parts of the brain?
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
baroreceptor reflex: efferent outflow does what, and how (3)
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
baroreceptor reflex: high blood pressure results in?
increased baroreceptor discharge = activate vagal outflow, decrease sympathetic outflow so you get decreased HR and vasoldilation
baroreceptor reflex responsible for ___ control of___
short term, minute to minute control of BP (ex: tachycardia after assuming upright posture
if you record from carotid sinus nerve: what happens with increased BP
increase BP = more afferent activity in nerve (higher nerve impulse frequency)
relation between: arterial pressure, CSN impulses, sympathetic and parasympathetic impulses
decrease arterial pressure = decreased CSN impulses = decreased parasymp, increased sympathetic. increased BP = increased CSN impulse = increase parasymp, decrease symp
sympathetic and feedbaa=ck?
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