Nervous systems and drugs Flashcards
Examples of excitatory neurotransmitters?
noradrenaline dopamine serotonin acetylcholine glutamate
examples of inhibitory neurotransmitters
GABA
glycine
types of drugs that mainly act on nervous system
- anaesthetics
- anxiolytic/hypnotic
- neuromusculars blocking drugs
- antidepressant drugs
- antiparkinsonian
- anticolvusants
how are anaesthetics administered?
Intravenously
inhalation
why are anaesthetics?
to promote analgesia, unconciousness, amnesia, loss of reflexes
how do anaesthetics work?
they promote insensitivity via crossing blood-brain barrier (as they are lipid soluble). they can affect neurone excitability via binding to receptors and can affect ion channels
side effects of anaesthetics
nausea/cvomiting
shallow/rapid rbeathing
crosses placenta
loss of temperature control
what are the 4 stages of anaesthetics?
stage 1- analgesia
stage 2- excitement
stage 3- surgical anaesthesia via skeletal relaxation and loss of reflexes
stage 4- medullary paralysis> loss of respiratory/ vasomotor control
what the types of general anaesthetics?
barbiturates
gases
non-barbiturate
volatile liquids
what is nitrous oxide use for?
for maintaining anaesthesia with oxygen
its a potent analgesic
other examples of inhaled anaesthetics?
isoflurane
desflurane
sevoflurane
what the commonly used intravenously administered drugs?
propofol-non barbiturate
thiopental- barbiturate
advantages of propofol
rapid action and rapid recovery
disadvantages of propofol?
may cause convulsions
advantages of thiopental?
useful for brief procedures
disadvantages of thiopental?
rapid awakening
other examples of anaesthetics?
etomidate- it causes no hangover effect and less hypotension but causes muscle movements and suppresses the adrenocortical function
ketamine- used to shock patients. it increases blood pressure and heart rate and causes bad hallucinations and bad dreams
what are anxiolytics/hypnotics drugs?
benxodiazepines