Exam Questions Flashcards
What is a synapse
A synapse is a junction between two nerve cells
Pass by diffusion of a neurotransmitter
Frequency nerve impulse > neuro transmitter > vesicle response
What are the main characteristics of the parasympathetic nervous system
Long preganglionic fibres
Short POST ganglionic fibres
Neurotransmitter is Acetocholyine acts on Nn and NM receptors
Cholinergic transmission
Ligand is cholinergic it can produce alter or release ACH
What are the sympathetic nervous system characteristics
Fight or flight
A + B receptors
Neurotransmitters:
Ach - preganglionic- short fibres
NORAD - post ganglionic - long fibres
ACH is the ligand for Nachr
True or false
True
Outline the strategies or behaviours that prescribers can develop a concordance relationship
Agreement and harmony
Shared decision making
Holistic care
key to management of risk and uncertainty
RAPID-CASE model
What is concordance
NICE (2009) cg76 Medicine adherence, involving patients in decisions about prescribed medicines and supporting adhearence
What does adherence mean to prescribing
Relies on the patient to take the medication
16% of patients take new medication as prescribed
Ten days after a medication has commenced they stop it or not taking properly
What is non - adherence
Intentional - patient decide not to take the medication
unintentional - they want to take it but barriers stop them doing this.
Shared expertise is required to ensure regime is explained
What is a RAPID - Case model
R- rapport
A - assessment
P- psycho social
I - investigations
D - Diagnosis
C- cost effective
A - Appropriate
S- safe
E - Effective
Nicotinic + Muscarinic belong to what receptors
Cholinergic
What do Nicotinic receptors do
Coupled to cation channels (depolarisation)
Activate agonists - ACH- Suxamethonium -short acting
Antagonist- non depolarising, long acting, reversible
