PPT Notes Chapter 14 Flashcards

1
Q

Autonomic Nervous System (ANS)

A

The ANS consists of motor neurons that:
Innervate smooth and cardiac muscle and glands
Make adjustments to ensure optimal support for body activities
Operate via subconscious control
Other names
Involuntary nervous system [due to its subconscious control]
General visceral motor system [indicating the location of most of its effectors]

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2
Q

Somatic and Autonomic Nervous Systems

A

The two systems differ in:
Effectors
Efferent pathways (and their neurotransmitters)
Target organ responses to neurotransmitters

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3
Q

Innervation of Effectors

A
Somatic nervous system
Skeletal muscles
ANS
Cardiac muscle
Smooth muscle
Glands
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4
Q

Efferent Pathways

A
Somatic nervous system; one motor neuron
The cell bodies of the neurons are in the spinal cord and their axons extend to the skeletal muscle they innervate.
ANS pathway is a two-neuron chain
Pre-  (before)
Post- (after)
Let’s take a look:
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5
Q

Neurotransmitter Effects

A

Somatic nervous system
All somatic motor neurons release acetylcholine (ACh)
Effects are always stimulatory
ANS
Preganglionic fibers release ACh
Postganglionic fibers release norepinephrine or ACh at effectors
Effect is either stimulatory or inhibitory, depending on type of receptors

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6
Q

Two Divisions of the ANS

A

Sympathetic division
Parasympathetic division
Dual innervation
Almost all visceral organs are served by both divisions, but they cause opposite effects

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7
Q

Functional Role of the Parasympathetic Division: “rest and digest”
Promotes maintenance activities and conserves body energy
Its activity is illustrated in a person who relaxes, reading, after a meal
Blood pressure, heart rate, and respiratory rates are low
Gastrointestinal tract activity is high
Pupils are constricted and lenses are accommodated for close vision

A

Promotes maintenance activities and conserves body energy
Its activity is illustrated in a person who relaxes, reading, after a meal
Blood pressure, heart rate, and respiratory rates are low
Gastrointestinal tract activity is high
Pupils are constricted and lenses are accommodated for close vision

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8
Q

Functional Role of the Sympathetic Division:“fight or flight”

A

Mobilizes the body during activity; is the “fight-or-flight” system
Promotes adjustments during exercise, or when threatened
Blood flow is shunted to skeletal muscles and heart
Bronchioles dilate
Liver releases glucose

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9
Q

Sympathetic (Thoracolumbar) Division

A

Preganglionic neurons are in spinal cord segments T1 – L2
Sympathetic neurons produce the lateral horns of the spinal cord
Preganglionic fibers pass through the white rami communicantes and enter sympathetic trunk (paravertebral, or chain) ganglia

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10
Q

Sympathetic Trunks and Pathways

A

There are 23 paravertebral ganglia in the sympathetic trunk (chain)
3 cervical
11 thoracic
4 lumbar
4 sacral
1 coccygeal
Upon entering a sympathetic trunk ganglion a preganglionic fiber may do one of the following:
Synapse with a ganglionic neuron within the same ganglion
Ascend or descend the sympathetic trunk to synapse in another trunk ganglion
Pass through the trunk ganglion and emerge without synapsing

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11
Q

Visceral Reflexes

A

Visceral reflex arcs have the same components as somatic reflexes
Main difference: visceral reflex arc has two neurons in the motor pathway

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12
Q

Referred Pain

A

Visceral pain afferents travel along the same pathway as somatic pain fibers, contributing to the phenomenon of referred pain.
Pain stimuli arising in the viscera are perceived as somatic in origin

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13
Q

Neurotransmitters

A

Cholinergic fibers release the neurotransmitter ACh
All ANS preganglionic axons
All parasympathetic postganglionic axons
Adrenergic fibers release the neurotransmitter NE
Most sympathetic postganglionic axons
Exceptions: sympathetic postganglionic fibers secrete ACh at sweat glands and some blood vessels in skeletal muscles

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14
Q

Receptors for Neurotransmitters

A

Cholinergic receptors for ACh

Adrenergic receptors for NE

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15
Q

Cholinergic Receptors

A
Two types of receptors bind ACh
Nicotinic 
Muscarinic
Named after drugs that bind to them and mimic ACh effects
[nicotine & muscarine]
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16
Q

Nicotinic Receptors

A

Found on
Motor end plates of skeletal muscle cells (Chapter 9)
All ganglionic neurons (sympathetic and parasympathetic)
Hormone-producing cells of the adrenal medulla
Effect of ACh at nicotinic receptors is always stimulatory

17
Q

Muscarinic Receptors

A

Found on
All effector cells stimulated by postganglionic cholinergic fibers
The effect of ACh at muscarinic receptors
Can be either inhibitory or excitatory
Depends on the receptor type of the target organ

18
Q

Adrenergic Receptors

A
Two types 
Alpha () (subtypes 1, 2)
Beta () (subtypes 1, 2 , 3)
Effects of NE depend on which subclass of receptor predominates on the target organ
19
Q

Interactions of the Autonomic Divisions

A

Most visceral organs have dual innervation
Dynamic antagonism allows for precise control of visceral activity
Sympathetic division increases heart and respiratory rates, and inhibits digestion and elimination
Parasympathetic division decreases heart and respiratory rates, and allows for digestion and the discarding of wastes

20
Q

Sympathetic Tone

A

Sympathetic division controls blood pressure, even at rest
Sympathetic tone (vasomotor tone)
Keeps the blood vessels in a continual state of partial constriction
Sympathetic fibers fire more rapidly to constrict blood vessels and cause blood pressure to rise
Sympathetic fibers fire less rapidly to prompt vessels to dilate to decrease blood pressure
Alpha-blocker drugs interfere with vasomotor fibers and are used to treat hypertension

21
Q

Parasympathetic Tone

A

Parasympathetic division normally dominates the heart and smooth muscle of digestive and urinary tract organs
Slows the heart
Dictates normal activity levels of the digestive and urinary tracts
The sympathetic division can override these effects during times of stress
Drugs that block parasympathetic responses increase heart rate and block fecal and urinary retention

22
Q

Cooperative Effects

A

Best seen in control of the external genitalia
Parasympathetic fibers cause vasodilation; are responsible for erection of the penis or clitoris
Sympathetic fibers cause ejaculation of semen in males and reflex contraction of a female’s vagina

23
Q

Unique Roles of the Sympathetic Division

A
The adrenal medulla, sweat glands, arrector pili muscles, kidneys, and most blood vessels receive only sympathetic fibers
The sympathetic division controls
Thermoregulatory responses to heat
Release of renin from the kidneys [rennin is a protein involved with raising blood pressure]
Metabolic effects
Increases metabolic rates of cells
Raises blood glucose levels
Mobilizes fats for use as fuels
24
Q

Localized Versus Diffuse Effects

A

Parasympathetic division: short-lived, highly localized control over effectors
Sympathetic division: long-lasting, bodywide effects

25
Q

Effects of Sympathetic Activation

A

Sympathetic activation is long lasting because NE
Is inactivated more slowly than ACh
NE and epinephrine are released into the blood and remain there until destroyed by the liver

26
Q

Control of ANS Functioning

A

Hypothalamus—main integrative center of ANS activity
The brainstem appears to exert the most direct influence over autonomic functions.
Other controls come from the cerebral cortex, the reticular formation of the brain stem, and the spinal cord

27
Q

Hypothalamic Control

A

Control may be direct or indirect (through the reticular system)
Centers of the hypothalamus control
Heart activity and blood pressure
Body temperature, water balance, and endocrine activity
Emotional stages (rage, pleasure) and biological drives (hunger, thirst, sex)
Reactions to fear and the “fight-or-flight” system