Pharm Block 1 (Parasympathetic - Intro) Flashcards

1
Q

PNS & SNS

Receptors

A
  • Nn (nicotinic neural)
  • Nm (nicotinic muscle)
  • M (muscarinic)
  • alpha, beta, D(dopamine)
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2
Q

PNS and SNS

6 most common Neurotransmitters

A
  • Ach(acetylcholine)
  • NE (norepinephrine) & Epi (epinephrine)
  • D (dopamine)
  • Serotonin
  • Histamine
  • y-aminobutyric acid (GABA)
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3
Q

PNS

  1. Preganglionic nerves leave the CNS from the ____ and _____ regions
  2. Preganglionic nerves are ____; Postganglionic ____
A
  1. Cranial, Sacral

2. Long, Short

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4
Q

SNS

  1. Preganglionic nerves leave the CNS from ____ and ____ regions
  2. Preganglionic nerves are ____; Postganglionic ___
A
  1. Thoracic, Lumbar

2. Short, Long

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5
Q

_____ are secreted by specialized endocrine cells into the blood that travel throughout the body exerting effects on broadly distributed target cells in the body

A

Hormone

Ex)Insulin, thyroid hormone

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6
Q

Local mediators

A
  • rapidly destroyed
  • do NOT enter the blood and travel throughout the body

Ex) histamine

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7
Q

Acetylcholine Metabolism

What does Acetylcholinesterase (AChE) do during Acetylcholine Metabolism?

A

Hydrolysis or breakdown Ach

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8
Q

What does Acetylcholinesterase Inhibitors (AChEI) do during Acetylcholine Metabolism?

A

Prevent Ach from being hydrolyzed

  • Prolongs action of Ach at muscarinic receptor site
  • Indirect Agonist
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9
Q

Muscarinic receptors

M1

A
  • Nerves
  • Secretion from salivary glands and stomach
  • CNS effects? (Memory)
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10
Q

M2

A
  • Cardiac cells
  • Bladder
  • Smooth Muscle
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11
Q

M3

A
  • Bladder
  • Exocrine glands
  • Smooth muscle
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12
Q

M4 & M5

A
  • Not well described

- CNS effects?

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13
Q

An _________ gland secretes its products (hormone) DIRECTLY into the bloodstream (ductless gland), whereas an ____________ gland secretes its products (digestive enzymes) into a duct that leads to the environment

A

Endocrine, Exocrine

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14
Q

Cholinergic Agents modulate Ach effects into these

A
  • MImic (agonist)
  • Antagonize (antagonist)
  • Prolong Actions (indirect agonist)
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15
Q

Drugs that mimic or prolong the actions of Ach

A

Parasympathomimetics or cholinomimetics

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16
Q

Drugs that antagonize or block

A

Anticholinergics

17
Q

Direct and indirect -acting agents are synonymous w/ __________

_____________ are synonymous with the terms Anti-Cholinergics, anti-muscarinics, or anti-nicotinics

A

Cholinomimetics

Cholinergic antagonists