Drugs And PNS Flashcards

1
Q

What is the precursor for ach productjon

A

Choline and acetyl coA added

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2
Q

Which enzyme produces ach from choline and acetyl coA

A

Cholineacetyl transferase

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3
Q

What are the 2 types of nicotinic receptor

A

Neuronal : at the autonomic ganglia of both SNS and PNS

Muscle type: somatic Ns causing an EPP

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4
Q

Name things which happen due to agonists at the muscarinic receptor and Ach (PNS)

A
Constriction of pupils 
Bronchoconstriction 
Bradycardia 
Increase digestion 
Increased salivation 
Increased sweating 
Contraction of bladder 
Relaxation of rectum
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5
Q

What are agonists for the muscarinic ach receptor called

A

Parasympathomimitics

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6
Q

What are agonists for muscarinic receptor called

A

Parasympatholytics

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7
Q

How can agonists be used for glaucoma treatment

A

Can cause construction in pupil

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8
Q

How can salivation via muscarinic receptors be a treatment

A

Agonists when they bind cause salivation which helps xerostomia dry mouth

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9
Q

Why would muscarinic antagonists be used in eye surgery

A

To help dilate the pupil by stopping signalling at muscarinic receptor

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10
Q

Why do muscarinic antagonists parasymaptholytics help treat asthma

A

They cause bronchidilation

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11
Q

Which drugs would be used to treat travel sickness and why

A

Parasympatholytics

They decrease digestion / GI mobility

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12
Q

Which systems do nicotinic drugs affect

A

SNS , PNS and autonomic

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13
Q

Why don’t nicotinic agonists or antagonists get used at the PNS and SNS

A

Because they would stimulate or inhibit both the SNS and PNS systems which would cause confusion

Because they are found at autonomic ganglion

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14
Q

Why are muscle type nicotinic agonists called depolarisation blockers

A

They initially cause depolarisation because they mimic ach at nmj, but because they aren’t metabolised by achesterase these then paralyse the muscle and depolarisation is blocked

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15
Q

What are muscle type nicotinic antagonists called and why

A

Non depolarising blockers

They never cause initial depolarisation but cause hyperpolarisation stopping epp by blocking ach

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16
Q

Which drug prevents ach esterase metabolism

A

Anti ach esterase

17
Q

What is the effect in the PNS due to anti choline esterase

A

Increased PNS effects like Bradycardia, constriction , bronchoconstriction, increased saliva