chapter 16 Flashcards
autonomic nervous system is part of the
motor division of the PNS
subdivisions of the autonomic NS
sympathetic and parasympathetic
what does the autonomic NS do
maintains homeostasis by regulating unconscious activity: smooth and cardiac muscle and glands
constant response to change
ANS shunts blood to needy areas, increase or decrease HR, adjusts BP and temp and increases or decreases stomach secretions & role in sexual arousal and urinary functions
how many neurons are in somatic motor neurons
1
cell body is located in what division of the NS
CNS
the axon extends from CNS to
skeletal muscle
neurotransmitter in somatic motor neurons=
acetylcholine and always excitatory
autonomic motor neurons (how many)
2
what are the two types of autonomic neurons
preganglionic and postganglionic
1st neuron in the series of autonomic motor
preganglionic
in the preganglionic neuron the axon extends to
autonomic ganglion and synapses with postganglionic neurons
whats the neurotransmitter in the preganglionic neuron
Ach
whats the second neuron in the series
postganglionic neuron
cell body is where in the postganglionic neuron
autonomic ganglion in the pns
the synapse area of the postganglionic neuron contains
cell bodies of motor neurons
the axon of the postganglionic neuron extends to
effector and synapse with target tissues
what are the two subdivisions of the autonomic nervous system
sympathetic and parasympathetic
both the sympathetic and parasympathetic innervate the same
visceral organs
innervating the same visceral organs=
opposite effects
one stimulates and the other does what in ANS
inhibits
fight or flight, activates when increased physical activity or stress
sympathetic
rest and digest, activates when at rest
parasympathetic
what is the third subdivision of ANS
enteric
complex network of neuron cell bodies and axons within digestive tract walls
enteric
life threatening sitation would cause
fight or flight response
where is fight or flight response
thoracolumbar division of spinal cord (T1-L2), short preganglionic fibers
rapid hr/ force of contraction, elevated/deep RR, dry mouth, cold/sweaty skin, dilated pupils, sexual activity, reduces nonessential activity
fight or flight
2 types of sympathetic ganglia
sympathetic chain ganglia
collateral ganglia
shunting of blood to skeletal muscles and heart
fight or flight
fight or flight dilates bronchioles which
increases oxygen delivery to cells
fight or flight stimulates liver to release
glucose into blood
what is part of the e division
exercise, excitement, emergency, embarrassed
where is sympathetic chain ganglia located
L and R sides of vertebrae
what else is the sympathetic chain ganglia also called
paravertebral ganglia
what does the sympathetic chain ganglia exit via (4)
spinal nerves
sympathetic nerves
splanchnic nerves
adrenal gland medulla
to skin and skeletal muscles bvs
spinal nerves
to thoracic cavity
sympathetic nerves
sympathetic to collateral to effectors
splanchnic nerves
pass thru ganglia, synapse in medulla
adrenal gland medulla
unpaired ganglia in abdominopelvic cavity also called prevertebral ganglia
coollateral ganglia
thorocolumbar division of spinal cord, short preganglionic fibers is what division
sympathetic division
craniosacral divison of spinal cord is what divisioin
parasympathetic
does the parasympathetic division have short or long preganglionic fibres
long
what maintenance activities does the parasympathetic divison have
urination, defecation, digest food, lacrimal and salivary gland secretion
is there maximal or minimal body energy used in para
minimal
what does the para divison conserve and store
energy
d divisoin in para includes
digestion, diuresis, defecation
nerve plexuses in digestive tract wall (visceral) is what division
enteric
3 sources for enteric is
- sensory neurons from digestive tract to CNS
- ANS motor neurons connect CNS to digestive tract
- enteric neurons in enteric plexuses
what detects changes in chemical contents of digestion or detect stretch of digestive tract wall
enteric sensory neurons
connect sensory to motor in enertic division is
enteric interneurons
what neuron secretes ACh
cholinergic
where does cholinergic neurons secrete ACh from
ALL ANS preganglionic axons
all parasympathetic postganflionic axons
postganglionic axon innervating eccrine sweat glands
what neuron secretes NE
andrenergic
where does andrenogic neuron secrete NE from
most postganglionic sympathetic axons
what do cholinergic receptors and the ACh bind
nicotine receptors
muscarinic receptors
what do adrenergic receptors and both NE and epinephrine binds
alpha and beta receptors
PM of all postganglionic neurons is what receptor
nicotine receptor
Sarcolemma of Skeletal Muscle Cells in what and
is what receptor
NM Junction (somatic)
nicotine
PM of Adrenal Medulla Hormone producing what? in what receptor
cells
nicotine
what receptor is always excitatory
nicotine
what responds to mushroom posion
muscarinic receptors
PM of Effector Cells where ACh released from Postganglionic Neurons is what receptor
muscarinic
when Binds to Cardiac muscle =
inhibitory
when Binds to Stomach smooth muscle cells =
excitatory
PM of Effectors innervated by what and what receptor
sympathetic ns
adrenergic
Stimulate Directly by NS in Synapse or by Adrenal Gland release into blood, bind to receptors on PM of cells
NOT involved with Synapses
are adrenergic receptors excitatory or inhibitory
both
subtypes of adrenergic receptors
alpha 1
alpha 2
beta 1
beta 2
beta 3
= BV’s & Sympathetic Target organs.
Constricts BV, Dilates Pupils
alpha 1
Heart, Kidneys; Increase HR, Release Renin / Increase BP
beta 1
Pancreas, Platelets; Inhibits Insulin release, Blood clotting
alpha 2
Adipose; Stimulates Lipolysis
beta 3
Lungs, Sympathetic target Organs, Dilates BV & Bronchioles
beta 2
4 functional generalizations of ANS
Stimulatory vs Inhibitory Effects
Opposite Effects
Cooperative Effects
General vs Localized Effects
Work together = PNS initiates Penile erection SNS stimulates Semen secretion & initiates ejaculation
Cooperative Effects
Dual Innervation. Increased or Decreased Activity
Opposite Effects
SNS (Activity) vs PNS (Rest); BOTH
Stimulatory vs Inhibitory Effects
several areas of body involved
general
Only specific body region
local
= More general effect, Secretion of Epi & NE Stimulates effectors throughout the body
sympathetic
elevated BP
hypertension
hypertension is due too and is a response too
overactive sympathetic vasoconstrictor and is a response to a continuous high levels of stress
treatment for hypertension
Adrenergic Receptor Blocking Drugs (Metoprolol) (Blocks SNS effects on CV System)
hypertension is serious as forces heart to work harder and causes
heart decrease and increases wear and tear on arterial walls
what age does raynauds affect
15-30 females
raynauds is shunting of blood into
torso
what does raynauds cause in skin
turns red, white, blue
how is raynauds provoked
cold or emotional stress
raynauds leads to pain and may cause
ischemia and gangrene
how do you treat raynauds
avoid cold
quit smoking
caffeine
vasodilators
calcium channel blockers
what is reflex sympathetic dystrophy
chronic condition charactertized by severe burning pain
what does RDSD usually affect
extremitities
does RSDS affect women or men more
women and sometimes kids
usually what age does RSDS affect
30-60
what are pathological changes in bone and skin for RSDS
xs sweating
xs sensitivity to touch
change in skin temp
change in color
change in skin texture
change in nail and hair growth
tissue swelling and stiffness
motor disability
causes for RSDS
unknown etiology
could be due to SNS dysfunction
when does RSDS usually occur
post-truama to extremities
what is RSDS triggered by
sprain, fracture, surgery, damage to bs and nerve
stroke or myocardial infarcation
is there a cure for RSDS
no
treatment for RSDS
Physical Therapy /Psychotherapy
Medications - OTC Analgesia, Anesthetic Creams, Antidepressants, Anti-inflammatory, Anti-seizure, Nasal Spray (Bone loss)
Corticosteroids, Opioids (Morphine pump)
Transcutaneous Electrical Nerve Stimulation (TENS) Unit,
Nerve Block Injections
Surgery (Sympathectomy)
what happens without treatment for RSDS
permanent deformity
chronic pain and psychological issues