Ketamine and PCP Flashcards

1
Q

PCP full name

A

phencyclidine

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2
Q

What defines a dissociative anesthetic?

A

creates an out body/detached from environment experience

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3
Q

What was PCP tested as? What behaviors resulted?

A
  • an iv anesthetic agent
  • trance-like/catatonic-like state
  • vacant expression, fixed/staring gaze, reidigity or wavy flexibility
  • reminiscent of catatonic schizophrenia
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4
Q

Side-effects of PCP injection

A

hallucinations, agitation, violence

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5
Q

How does ketamine compare to PCP?

A

less potent and shorter acting than PCP

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6
Q

Current uses of ketamine

A

used as an anesthetic in children and veterinary medicine

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7
Q

Forms of ketamine:

A
  • crystals
  • manufactured as a liquid and evaporated to form powder or pill for elicit use
  • powder sprinkled on marijuana, tobacco, parsley and smoked
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8
Q

Behavioral effects of ketamine:

A
  • loss of sense of time
  • distoritons of body shape/size
  • sensations of floating/hovering/leaving one’s body
  • supernatural visions
  • at one with the universe
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9
Q

ketamine produces a ______ increase in ______

A

dose-dependent; psychotic-like symptoms

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10
Q

dextromethorphan

A
  • DXM or robo
  • recommened dosage: 15-30mg (1/6 - 1/3 oz)
  • recreational doses: 2 - +10oz
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11
Q

PCP, ketamine and dextromethorphan are _____ at ____ receptors

A

noncompetitive antagonists at glutamate NMDA receptors

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12
Q

glutamate is synthesized from glutamine by:

A

glutaminase

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13
Q

functions of glutamate

A
  • used as an amino acid in protein production

- most common excitatory neurotransmitter

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14
Q

glutamate synthesis

A

-in nerve terminal: glutamine is converted to glutamate by glutaminase

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15
Q

fates of glutamate after release

A
  • docks of postsynaptic glutamate receptor,
  • taken up by EAAT3 on nerve terminal and packaged into vesicle by VGLUT
  • taken up by EAAT1/EAAT2 on astrocyte
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16
Q

glutamate after uptake by astrocyte:

A
  • glutamate is converted to glutamine by glutamine synthetase
  • glutamine transported out of astrocyte and transported into nerve terminal
17
Q

EAAT

A

excitatory amino acid transporter

18
Q

VGLUT

A

vesicular glutamate transporter

19
Q

How is glutamate converted to GABA?

A

GABA amino acid transferase and flutamic acid decarboxylase act on glutamate to produce GABA

20
Q

GABA full name

A

gamma-aminobutyric acid

21
Q

GAT

A

GABA transporter

22
Q

GABA in astrocytes

A
  • GABA taken up by astrocyte by GAT-1,2, or 3
  • GABA converted to glutamate, then glutamine
  • glutamine transported out of astrocyte and into nerve terminal
23
Q

glutamate is an _____; example?

A

excitotoxin; MSG kills neurons in arcuate nucleus

24
Q

Name and number of metabotropic glutamate receptors:

A
  • mGluR1-8

- 8 subtypes

25
Q

How are ionotropic glutamate receptors named?

A

after the selective agonsits

26
Q

The ionotropic glutamate receptors and their selective agonists

A

AMPA- amino-propanoic acid
Kainate- kainic acid
NMDA- N-methyl-D-aspartate

27
Q

All ionotropic glutamate receptors conduct _____ ions into the cell

A

Na+

28
Q

NMDA receptors conduct ____ and ____ into the cell

A

Ca2+ and Na+

29
Q

NMDA receptor properties

A
  • glycine/serine and glutamate must bind to activate glutamate receptors
  • thus 2 different neurotransmitters are required to activate
  • contains a Mg2+ binding site
30
Q

Glycine/Serine are ____ with gluatmate at NMDA receptors

A

co-agonists

31
Q

Mg2+ binding site at resting membrane potential:

A

occupied, thus blocking the channel

32
Q

Mg2+ binding site at depolarized potential:

A

unoccupied, thus the channel is unblocked

33
Q

glutamate occupies NMDA receptor + insufficient membrane potential =

A

Mg2+ block remains

34
Q

glutamate occupies NMDA receptor + suffucient membrane depolarization =

A

Mg2+ block released

35
Q

PCP, ketamine and dextromorphan block the glutamate receptor at ____

A

a site other than the glutamate binding site

36
Q

PCP blocks NMDA receptor ____

A

below the Mg2+ block