PNS and drugs Flashcards

1
Q

what are the two branches of the peripheral nervous system

A

somatic- sensory organs and voluntary movement through muscles autonomic- involuntary vital functions in the body and the organs and the glands

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2
Q

what is included in the autonomic portion of the nervous system

A

parasympathetic and sympathetic

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3
Q

what can we expect the body to be when it is in the parasympathetic state?

A

Pupils will dilate mydriasis salvation and digestion is inhibited blood pressure and heart rate are increasing bronchioles expand which increases respiratory State glucose has mobilized in the blood bladder is relaxed sex organs are inhibited

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4
Q

what happens in cholinergic transmission and what nervous system does it occur in?

A

acetylcholine releases and binds to cholinergic receptors parasympathetic

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5
Q

what are the receptors called in a cholinergic transmission?

A

Nicotinic or muscarinic

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6
Q

what is the termination of ACH response?

A

When ACH is removed from synaptic cleft by enzyme acetylcholinesterase

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7
Q

what do cholinergic Agonist do?

A

Promotes the action of acetylcholine- produce effects that imitates parasympathetic nerve action

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8
Q

three parts of breakdown of ACH from acetylcholinesterase

A

1- acetylcholine is broken down into acetate and choline
2-choline return back to presynaptic neuron
3. More acetylcholine is made

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9
Q

what do cholinergic antagonists do

A

interrupt or block parasympathetic nerve impulses allows sympathetic nerve impulses to dominate

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10
Q

what are the expected actions of cholinergic Agonist?

A

We would see parasympathetic signs and symptoms

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11
Q

how does acetylcholinesterease work?

A

Indirectly by increasing the amount of ACH at the receptor sites, autonomic receptors, CNS receptors and neuromuscular Junctions.

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12
Q

What actions can you expect from the acetylcholinesterase inhibitors?

A

An increase in parasympathetic nervous system increase contraction of the mm

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13
Q

what happens in myasthenia gravis?

A

Normal each needed for contraction strength of muscle but the antibodies attack ACH receptors on muscle causing weakness and fatigue in the muscle drooping eyelids difficult to the a cheering and swallowing occur

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14
Q

what is cholinergic overdose/crisis

A

caused by an overdose of indirect cholinergic medications or star and nerve gas, organophosphates insecticides. NeNe Leakes of ACH at the synapses reads too intense parasympathetic stimulation miosis, N/V, urinary incontinence, increase secretions, diarrhea leading to extreme muscle weakness, paralysis.

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15
Q

Would you expect to happen to the body with a cholinergic antagonist drug?

A

Sympathetic nervous system responses

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16
Q

What is the Main neurotransmitter in adrenergic transmission?

A

Norepinephrine

17
Q

where are alpha 1 receptor types found?

A

Capillaries in the nose, blood vessels in the body

18
Q

where are alpha 2 receptors found?

A

CNS and PNS actions all over

19
Q

where are beta 1 receptor types found?

A

In the heart and coronary vessels

20
Q

where are beta type 2 receptors found?

A

In the lungs and smooth muscle

21
Q

what do adrenergic drugs mimic?

A

Norepinephrine they can be non-selective and bind to Alpha and beta receptors at the same time or they can be selective and buying to selective receptor types alpha or beta

22
Q

do adrenergic Agonist drugs do?

A

Promote the action of norepinephrine effects that imitate sympathetic nerve action

23
Q

what do androgenic antagonist drugs do you?

A

Interrupt your block sympathetic nerve impulses allow parasympathetic nerve impulses to dominate

24
Q

what is the expected outcome of adrenergic Agonists?

A

Fight or flight response

25
Q

what are the three prototypes of the adrenergic Agonist

A

epinephrine (adrenalin), phenylephrine (neo synephrine), isoproterenol (isuprel)

26
Q

what will epinephrine do two blood vessels?

A

It will cause vasoconstriction and therefore increase cardiac output and will increase bronchodilation in the lungs. This will increase blood pressure and give the heart a jump start also help with the expansion of the lungs so that breathing will be more effective

27
Q

what is a concerning reading for hypotension?

A

Systolic of 90