PNS and drugs Flashcards
what are the two branches of the peripheral nervous system
somatic- sensory organs and voluntary movement through muscles autonomic- involuntary vital functions in the body and the organs and the glands
what is included in the autonomic portion of the nervous system
parasympathetic and sympathetic
what can we expect the body to be when it is in the parasympathetic state?
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
what happens in cholinergic transmission and what nervous system does it occur in?
acetylcholine releases and binds to cholinergic receptors parasympathetic
what are the receptors called in a cholinergic transmission?
Nicotinic or muscarinic
what is the termination of ACH response?
When ACH is removed from synaptic cleft by enzyme acetylcholinesterase
what do cholinergic Agonist do?
Promotes the action of acetylcholine- produce effects that imitates parasympathetic nerve action
three parts of breakdown of ACH from acetylcholinesterase
1- acetylcholine is broken down into acetate and choline
2-choline return back to presynaptic neuron
3. More acetylcholine is made
what do cholinergic antagonists do
interrupt or block parasympathetic nerve impulses allows sympathetic nerve impulses to dominate
what are the expected actions of cholinergic Agonist?
We would see parasympathetic signs and symptoms
how does acetylcholinesterease work?
Indirectly by increasing the amount of ACH at the receptor sites, autonomic receptors, CNS receptors and neuromuscular Junctions.
What actions can you expect from the acetylcholinesterase inhibitors?
An increase in parasympathetic nervous system increase contraction of the mm
what happens in myasthenia gravis?
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
what is cholinergic overdose/crisis
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.
Would you expect to happen to the body with a cholinergic antagonist drug?
Sympathetic nervous system responses