Physiology of pain Flashcards

1
Q

what is the aim of analgesia?

A

elimination of pain

haemostasis

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2
Q

how does elimination of pain happen?

A

comes from the anaesthetic drug, deposition near a sensory nerve to temporarily prevent nerve conduction

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3
Q

where does haemostasis come from?

A

vasoconstrictor

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4
Q

what affect does haemostasis have on the tissues?

A

a blanching effect = gives local ischaemia , prolongs activity, reduces the toxicity

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5
Q

what is the order of a nerve cell?

A

dendrite - cell body - axons

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6
Q

what aspect of an axon contrubutes to conduction?

A

nodes of ranvier, end feet synapses - chemical transmission

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7
Q

what are the nodes of ranvier the site of?

A

ionic exchange of pain impulses

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8
Q

what do the nodes of ranvier allow?

A

jumping of the impulse and increased speed

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9
Q

what can analgesic solution do at the nodes of ranvier?

A

gain access to nerve fibre and blocks off nerve conduction

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10
Q

where are pain receptors found and what can they be sensitised by?

A

widely distriputed around the body

prostaglandins

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11
Q

what do chemical transmitters do?

A

transmit impulses from end feet of one neurone to the dentrites of the next

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12
Q

examples of chemical transmitters?

A

noradrenaline, serotonin, gamma amino butyric acid, dopamine

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13
Q

conditions causing pain?

A

inflammation, trauma, ischaemia, necrosis

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14
Q

substances that cause pain?

A

potassium, sodium, chloride, calcium

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15
Q

what are the 4 phases of physical conduction?

A

polarisation
depolarisation
action potential
repolarisation

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16
Q

what happens during polarisation?

A

no pain
potassium in cytoplasm
sodium outwith

17
Q

what happens during depolarisation?

A

destruction of polarity
ionic exchange
increase in sodium in the cytoplasm
increase in potassium outwith

18
Q

what happens during action potential?

A

change in membrane potential permeability
allows transfer of ions
potassium and sodium exchange

19
Q

what happens during repolarisation?

A

sodium potassium pump

reverts ion to polarised state

20
Q

what happens during resting?

A

same as polarisation
no pain
quiet resting stage