Test #3 Flashcards

1
Q

Neuropharmacology

A
  • The study of drugs that alter processes controlled by the nervous system.
  • constitutes a large family of important drugs.
  • Essientially anything that can control a bodily process such as sneezing, dilation or constriction of blood vessels….Why do I have a snotty nose. Uterus contractions ect.. anything that can be controlled by the brain.
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2
Q

What is located between the Pre-Ganglonic Neuron and the Post-Ganglionic Neuron?

A

The Ganglian

Nerve endings….nerve cells

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3
Q

What is located at the end of the Post-Ganglonic Neuron?

A

The Post Ganglionic Nerve Terminal

This is where Neurotransmitters are stored inside vessicles

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4
Q

Where are neurotransmitters released into?

A

The Synapse

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5
Q

After the neurotransmitters are released into the synapse, what do they do next?

A

They interact with their target cell specifically at the receptor.

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6
Q

True or False

All we can do is manipulate what God already placed in us, We cannot create new functions.

A

True

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7
Q

Axonal Conduction in the neuron-

A

The process of an action potential being delivered down the axon.

It heads down the axon towards the nerve terminals

There is only one class of drugs that effect this and it is local anesthetics

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8
Q

What is an action Potential

A

it is an electrical process or a burst

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9
Q

Synaptic Transmission

A

Where information is transferred across the synaptic gap between the neuron and the target cell.

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10
Q

What are the steps in synaptic transmission?

A
  1. Transmitter synthesis
  2. Transmitter Storage (vessicles)
  3. Transmitter release
  4. Receptor Binding **
  5. Termination of Transmission
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11
Q

Transmitter synthesis

A

Where neurotransmitters are synthesised by precursor molecules.

drugs can increase or decrease or cause production of other neurotransmitters

Potential target for drug therapy.

You can wipe out a neurotransmitter completely by taking away the precursor molecules. The body cannot synthesis the neurotransmitters without the precursor molecules to do so.

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12
Q

Neurotransmitter storage

A

Once the neurotransmitter is synthesised, it is set to be stored in the vessicles.

If we alter the bodies ability to store neurotransmitters, we could compromise the bodies ability to have a bunch of those cells to be released.

This is another potential target for drug therapy

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13
Q

Neurotrnasmitter release-

A

After an action potential reaches the post-ganglionic nerve terminal (where neurotransmitters are stored within the vessicles), it will release the neurotransmitter into the synaptic gap.

AP —> down axon to Nerve Terminal —> Release of NT into SG

This is another potential target for drug therapy

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14
Q

Receptor Binding- ***

A

When a neurotransmitter diffuses across the synaptic gap, it interacts with specific receptors.

The bodies own natural neurotransmitters are always a reversible binding process.It wont sit on the receptor site forever. It will get on there and get off.

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15
Q

True or False

We can make drugs that are irreversible

A

True

But they are very rare

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16
Q

True or False

The bodies own natural neurotransmitters are always a reversible binding process.

A

true

It wont sit on the receptor site forever. It will get on there and get off.

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17
Q

Termination of Transmission

A

once the neurotransmitter disassociates it has 1 of 3 options:

  1. It can be recycled- restored and reused
  2. It can degraded by enzymes
  3. It can be diffused and float away.

so Recycled, Degraded, Diffused

But there are drugs that can alter this process

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18
Q

Once Acetylcholine Dissassociates from the target cell what happens?

A

It is degraded by enzymes very quickly

But if we wipe out the enzymes that degrade it by using drug therapy, it will accumulate very quickly and will react with the receptors over and over again.

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19
Q

Drug Effects

A

Ultimately, the impact of the drug on a neuronally regulated process is dependant on the ability of that drug to directly or inditectly influence receptor activity on target cells

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20
Q

True or false

Every nerve in the body has different axons

A

False

Every nerve in the body has the SAME axon.

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21
Q

If you created a drug that took out the axon what would result from that?

A

It would wipe out the whole nervous system because all axons are the same

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22
Q

What is the MOA of a local anesthetic?

A

It is a temporary axonal inhibitor. It shuts down your entire nervous system in that local area.

examples- xylocaine, anything “caine”

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23
Q

Where does most of the drug therapy target

A

The synaptic Transmission

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24
Q

What disease state is associated with low levels of norepinephrine and serotonin?

A

Depression

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25
Q

Agonists

A

stimulate receptor sites

they look a lot like a neurotransmitter and will elicit a response from the target cell

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26
Q

Antagonists

A

Block the receptor sites on the target cell

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27
Q

What happens when Beta 1 cells are stimulated

A

it increases heart rate and contractility

enhances the electrical conduction through your heart

28
Q

Beta Blockers

A
  • Decrease heart rate
  • Decrease contractility
  • Decrease electrical conduction through your heart

Used for patients who have an elevated HR, have HTN, and have arrithmias

side effects: could have heart failure

29
Q

What are the divisions of the nervous system?

A

The CNS- Central Nervous System

PNS- Peripheral Nervous System

30
Q

What does the CNS consist of

A

The Brain

The Spinal Cord

31
Q

What does the PNS Consist of

A

The Somatic (Volunary)
and
Autonomic (Involuntary)
^
Parasympathetic Sympathetic

32
Q

Drug effects

A

How we manipulate the target cell

33
Q

Cholenergic primary neurotransmitter

A

Acetylcholine

34
Q

Beta 1 stimulation

A

Increases contractility and heart rate

Sympathetic. Adenergic

35
Q

Muscarinic receptors

A

Parasympathetic

Decreases hr contractility

36
Q

Parasympathetic

A

Decreases heart rate and contractility

37
Q

Sympathetic

A

Increases heart rate and contractility

38
Q

Autonomic tone

A

When parasympathetic and sympathetic are in opposition of each other. Which one is in control?

Most of the time the parasympathetic is in control

39
Q

Complementary

A

Erection is stimulated by parasympathetic

Whereas ejaculation is stimulated by sympathetic

They complement each other

40
Q

Vascular system is solely controlledby the

A

Sympathetic nervous system

41
Q

If you rid the body of acetylcholine you would essentially shut down the

A

Parasympathetic and sympathetic ns

42
Q

Acetylcholine is the neurotransmitter for the

A

Parasympathetic ns

43
Q

Gun shows -

A

Acetylcholine is the neurotransmitter for the somatic motor nervous system which is skeletal muscle.

44
Q

Acetylcholine is not the post ganglionic neurotransmitter in the sympathetic except for one organ system…

A

Sweat glands

45
Q

The neurotransmitter for the sympathetic ns except for sweat glands is

A

Norepinephrine

46
Q

Epinephrine or adrenalin

A

Is out flight or flight response which is released from the kidneys

47
Q

Primary cns neurotransmitter is

A

Dopamine

Dilates the kidney. Enhances blood flow

48
Q

Cholinergic receptors are stimulated by

A

Acetylcholine

Primarily pns

49
Q

What are the three types of cholinergic receptors

A

Nicotinic N- nerves- pns and sns

Nicotinic M- muscles. Somatic

Muscarinic. On target organs. The locks. Key is acetylcholine.

50
Q

Muscarinic agonists

A
Increase sweat
Increase spit
Myosis- small pupil
Decreases heart rate
Wheezing
Increases secretions
Go potty
Increases gi 
Erection
Vasodilation
51
Q

Agenergic receptors

A

Sympathetic

Alpha 1
Alpha 2
Beta 1
Beta 2
Dopamine
52
Q

Alpha 1

A

Vaso constriction

Alpha 1 blockade used for bph

53
Q

Whoa receptor

A

Alpha 2

Shuts Down additional release of neurotransmitters

54
Q

Beta 1

A

On heart.

Increases conduction, contraction, rate

55
Q

Beta 2

A

Arteries. Dilation

Sympathetic

Lungs- cause bronchi dilation- albuterol

Liver- glycogen breakdown

Skeletal muscle- enhances contraction

56
Q

Albuterol

A

Beta 2 agonist

57
Q

Epinephrine stimulates

A

Alpha 1
Alpha 2
Beta 1
Beta 2

58
Q

Norepinephrine stimulates

A

Alpha 1
Alpha 2
Beta 1

59
Q

Dopamine stimulates

A

Alpha 1
Beta 1
Dopamine

60
Q

Acetylcholine is broken down by

A

Acetylcholinesterase

61
Q

Norepinephrine is

A

Recycled in the nerve terminal

Or broken down by monoaminoxydase

62
Q

Epi

A

Disassociates and floats away and is metabolized by the liver

63
Q

Bethanechol

A

Cholinergic agonists

Makes muscarinic man

Their competition is acetylcholine

Use in chronic constipation
Urinary retention
Xerostomia
Glaucoma

64
Q

Atropine

A

The antidote to muscarinic overdose

65
Q

Atropine is anticholinergic

A

Used for pre-anesthesia

66
Q

Tubocurarine and atracurium

A

Block nic m receptors

Does not effect cns

Antidote is physostigmine

67
Q

Physostigmine

A

Antidote give atropine