CNS Flashcards
brain
what are the surface lobes of the cerebrum?
- frontal lobe
- temporal lobe
- parietal lobe
- occipital lobe
brain
the outer cerebrum has the cerebral cortex which is responsible for?
sensory and motor functions
intellectual and cognitive abilities
brain
cerebrum
largest part, R and L hemispheres of teh brain, cerebral cortex, memory, speech, supervises lower brain function and ANS
brain
what part of the brain edoes pharamacologic effects of drugs with indrect influence on cortical function and alters lower brain and spinal cord happen?
cerebrum
brain
basal ganglia location
deep within cerebral hemispheres
brain
what part of the brain is associated with parkinsons and huntingtons chorea?
basal ganglia
brain
part of the brain that includes thalamus and hypothalamus
diencephalon
brain
nuclei that integrates sensation (somatosensroy cortex)
thalamus
brain
part of the brain that controls temperature, appetite, water balance, certain emotional reactionis, hormonal release from pituitary gland
hypothalamus
brain
mesencephalon
midbrain (serves as bridge between cerebrum and diencephalon)
brain
includes the pones and medulla oblangata
brainstem
brain
part of the brain taht is associated with repiration and cardiovascular function
mesencephalon and brain stem
brain
part of the brain that pharmacologic effects include sedative and excitatory drugs effect the retucular formation neurons
mesencephalon and brain stem
brain
comprised of neurons that extend from spinal cord to midbrain to thalamus, monitors and controls consciousness, regulates arousal/altertness
reticular formation
brain
part of the brain where functions include plan and coordinate motor activity, actual vs intended movement, interprets sensory input and motor output, controls balance and posture
cerebellum
brain
part of the brain that is usually not targeted by pharmacologic effects
cerebellum
brain
part of the brain associated with pharmacologic effects that include antianxiety and antipsychotic medications
limbic system
brain
motivatioin, aggression, sexual activity is associated with which part of the brain?
limbic system
cns
part of the body associated with pharmacoloiigc effects taht include synaptic transmissioin of gray matter and white matter
spinal cord
CNS
associated with pharmacologic effects that include passing through bloodstream into the brain and spinal cord with endogenous transport system
blood brain barrier
CNS
lipid-soluble molecules that pass freely through the endothelial cells of the BBB without requiring energy
passive transport system
CNS
type of passive transport that uses specialized protein channels or carriers to help specific water-soluble molecules cross the BBB, such as glucose and amino acids
facilitated diffusion
CNS
energy dependent process that moves molecules against their concentration gradient, typically requiring ATP. crucual for transporting essential nutrients and ions that the brain needs
active transport
CNS
allows larger molecules or complexes, such as hormones and antibodies to enter the brain
endocytosis
CNS
type of neurotransmitter in the cerebral cortex, basal ganglia, limibc, thalmaic, spinal interneurons
acetylcholine
CNS
excitatory neurotransmitters
mneumonic : excitatory neurotrasmitters are GAS-E
acetylocholine
glutamate
substance P
enkephalins
CNS
type of neurotransmitter in neurosn origniating in the brainstem and hypothalamus that projects throughout other areas of brain
norepinephrine
CNS
type of neurotransmitter in basal ganglia and limbic system only (inhibitory response)
dopamine
the inhibitory response comes into play strictly for growth hormone (inhibitory) and prolactin inhibation
CNS
a neurotransmitter assocaited with movement, attention and learning and the brains pleasure and reward system
dopamine
CNS
type of neurotransmitter that project upward from brainstem to hypothalamus and downward to spinal cord
seratonin
name the neurotransmitter
a neurotransmitter that affects mood, hunger, sleep, arousal; linked to depression and treated by prozac
seratonin
name the neurotransmitter
a major inhibitory neurotransmitter. undersupply linked to seuzures, tremors and insomnia
GABA (gamma-aminobutyric acid)
name the neurotransmitter
inhibitor that is essential for regulating motor control and reflexes, reducing muscle spasticity, and providing a balance to excitatory signals from other neurotransmitters
glycine
CNS mechanisms -type of transmission
what is the general mehcanism of CNS drugs?
modify synaptic transmission
name the neurotransmitters
neurotransmitters in CNS effected by sedative-hypnotic drugs
There are 5
GABA, gluatamate, serotonin, melatonin, histamine
name the drug
type of CNS drug that is associated with depressant, treatment for epilepsy, muscle relaxation and decrease alertness
sedative-hypnotic
name the type of drug
a category of drugs taht includes the barbiturates and benzodiazepines, drugs that diminish feelings of anxiety
antianxiety drugs
name the drug
the most common group of antianxiety drugs, which includes valium and xanax (promotes sleep)
benzodiazepines
name the drug
highly addictive, small therapeutic index
nonbenzodiazepines
*10x the dose can be fatal
when a drug has a small therapuetic index what does that mean?
only very very litttle needed -
for example nonbenzodiazepines are small TI and if 10x the recommended dose is taken it can be fatal
disturbance in CNS, neurotransmission taht effects serotonin, norepinephrine and dompamine
depression
drugs that increases teh presence of amine neurotransmitters in teh synaptic cleft
antidepressant
pharmacokinetics of antidepressants
include: administration, target organ, metabolism and excretion
admin: oral
target organ: brain
metabolism: liver
excretion: kidney
disturbance and impaired perception of reality. more severe form of mental illness
psychosis
a psychological disorder in which a person loses contact with reality, experiencing irrational ideas and distored perceptions
psychosis
a psychological disorder characterized by delusions, hallucinations, disorganized speech, and or diminished, inappropriate emotional expression
schizophrenia
most common psychosis, overactivity of dopamine pathways in the limbic system
schzophrenia
chronic brain disorder characterized by recurrent seizure activity. cerebral neurons that are hyperexcitable
epilepsy
drug that suppresses the excitability of neurons that initiate seizures. decrease Na+ and Ca++ entry
antiepileptic drugs
movement disorder with resting tremor, bradykinesia, postural instability and rigidity. neuortransmitter imbalance in basal ganglia (dopamine deficiency)
parkinsons disease
parkinsons disease has a deficiency of which neurotransmitter?
dopamine
dopamine precursor: used in parkinsonism. usually combine with carbidopa
levodopa
what is levadopa?
peripheral inhibitor of dopamine metabolism
what is bradykinesia
execusion of movement (kinesia) is slow (brady)