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78 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
what does the central nervous system consist of?
the brain and spinal cord
what is the central nervous sytem responsible for?
-vision
-touch
-pain
-pressure
-cold
-warmth
-touch
-smell
what do afferent nerves do?
they send messages inwards and towards
what does efferent nerves do?
they convey or conduct messages away
what does peripheral nervous system do?
efferent and afferent nerves are collectively know as the peripheral nervous system
-they accept and send messages
what does the motor nervous system do?
controls the skeletal muscle contractions
what does the autonomic nervous system do?
helps regulate BP, Temp, light regulation in the eyes
what are neurons
in each nerve of the central and peripheral nervous sytem
what is a synapse
the part between on neuron and the next
what are neurotransmitters?
transmitters of nerve impulses
what is norepinephren and acetylcholine?
neurotransmitters of the autonomic nervous system
what are cholinergic fibers
the endings that liberate acetycholine
what are adrenergic fibers
secrete norepinephren
what are adrenergic agents
medications that cause effects similar to those produced by the adrenergic neurotransmitters
what are cholinergic agents?
medications what cause effects in the body similar to those produced by acetocholine
what are anticholinergic agents?
block or inhibit cholinergic activity
what are adrenergic blocking agents?
agents that inhibit the adrenergic system
what are catecholamines
stimulates the adrenergic nervous system , the body's naturally occurring neurotransmitters
what are alpha receptors?
serves as a mediator of negative feedback. preventing further release of noreepinephren
what are beta receptors
causes relaxation of smooth muscle in the broncho (bronchodialation) , uterus and urine output because of stimulation of specific receptors in the kidneys that results in better renal perfusion
what are dopamine receptors
improves the symptoms associated with Parkinsons disease
what is the autonomic nervous system
the most important, and is involuntary,
controls BP, GI secretions and motility, urinary bladder function, sweating and body temp
true or false

effects from medications similar to those produced by acetocholine are called cholinergic agents or parasympathetic agents
true
true or false

medications that effect similar to those produced by the adrenergic neurotransmitters are called adrenergic agents
true

what are colinergic/anti agents & adrenergic/anti agents?
blocking agents
what are beta blocking agents used for? and what are two of them
the heart

propranolol -used to treat hypertension , anxiety and panic

metoprolol- used to treat hypertension, angina, acute myocardial infarction, super ventricular tachycardia
what do beta blockers do to the heart?
they slow it down
what is pilocarpine?
a medication used to treat glaucoma, a condition in which increase pressure in the eye can lead to gradual loss of vision
what are atropine and belladonna (bladder spasm med given suppository route) do?
they work against cholinergics
what causes Parkinson disease?
low dopamine in the brain caused by acetocholine over production
true or false

Dopamine is a inhibitor
true
what is the book definition for Parkinson disease
a chronic progressive disorder of the central nervous system
true or false

Parkinson disease is the second most neurodegenerative disease after Alzheimer disease
true
what age category is Parkinson Disease most common in?
the elderly
what causes Parksinson Disease?
a relative excess of acetocholine because of a deficiency of dopamine
what kind of drugs may be taken to counter balance the availability of acetocholine
anticholinergenic medicines
what percentage of older adults with Parkinson`s have depression
40%
caused by reduced availability of active metabolites of dopamine in the brain
true or falseÉ

Parkinson`s is progressive and incurable
true
what is the goal for treatment of Parkinson`s disease
the goal of treatment is to moderate the symptoms and slow the progression of the disease
what is important to teach a client taking Parkinson;s disease medsÉ
to take them as scheduled and stay as active and involved in daily activities as possible
what is a common side effect that you can get from taking parkinson`s disease medication
orthostatic hypo tension
what kind of bowel issues do patients taking parkinson`s disease medication get
constipation
what is the goal of treatment for PD
minimizing the effects because there is no cure for PD
what does dyskinesia mean
impairment of the individuals ability to preform voluntary movements
what are the meds Selegilence and rasagiline
potent monoamine oxidase inhibitors that reduce the metabolism of dopamine in the brain allowing greater dopamine activity
what does chorea mean
abnormal movements of your limbs and head
what is rheumatoid arthritis
-long term disease
-inflamation of the joints and surrounding tissues
-*auto immune disease (attacks healthy tissue)
-women get it more then men
what is osteoporosis
thinning of the bone tissue and loss of bone density over time
-most common type of bone disease
-caused from when the body fails to form enough new bone and when to much old bone is reabsorbed by the body or both happens
what is gout
occurs when uric acid builds up in the blood causing joing inflamation
-very painful
-on the big toes
-uric acid crystalizes and the crystals deposit in joints and tendons and surrounding tissues
what does puritis mean
itching
what is gabapentin used for
used for pain
-preventing seizures
-damaged nerves
what is baclofen used for
used to treat muscle spasms
pain
stiffness
what are NSAIDS used for
anti inflammatory
moderate to mild pain
fever
what are atarax used forÉ
sedating antihistamines
what does echymoses mean
bruise, bluish discoloration of an area of skin or mucous membrane cause by the extra vasation of blood into the subcutaneous tissue as a result of trauma to the underlying blood vessels or frailty of the vessel walls
what does petechiae mean
pinpoint size of red)purple spots on the skin caused by small hemorrhage in the skin layers
what is coumadin
warfrin,blood thinner
anticoagulant that acts by inhibiting the activity of vitamin k which is required for the activation of clotting factors and proteins C and S.
-used for treatment and prophylaxis of venous thrombosis and embolism
-prevents blood clots associated with atrial fibrillation
-reduced risk of death, recurrent MI and Thromboli associated with cardiac valve replacement
what causes a Miocardial infarction
sudden decrease in coronary blood flow or an increase in myocardial oxygen demand without adequate coronary perfusion. infarction occurs because of ischemia (which is reversible) and necrosis (which is not reversible) of myocardial tissue
true or false

do men and woman fell the same kind of warning signs of a MI
no, women mistake it as indigestion and men usually describe it as a crushing, squeezing or stabbing pain
what happens when you have a MI
pain my be retrosternal and left pericardial and it may radiate down the left arm to the neck, jaws, teeth, epigastric area, and back . the pain occurs at rest or on exertion, lasts more then 30 minutes and is unrelieved by rest, position change or sublingual nitroglycerine administrations.
what is the action of nitrates
nitrates relieve angina pectoris by inducing relaxation of peripheral vascular smooth muscles, resulting in dilation of arteries and veins. This reduces venous blood return (reduced preload) to the heart, which in turn leads to decreased oxygen demands on the heart. nitrates increase myocardial oxygen supply by dilating large coronary arteries and redistributing blood flow, enhancing oxygen supply to ischemic areas.
when someone is having a hard time breathing what would you give them
smooth muscle dialater, bentalin
what does someone with parkinson`s disease look like
sluggish, dragging a foot or leg, vacant look on their faces
how much of the dopamine in the neurons and where are they located
80%
- in the substancia nigra pars compacta (grey matter)
orthostatic hypo-tension, nocturnal sleep disturbances with daytime somnolence, depression and progressing dementia are often non-motor symptoms associated with what disease
Parksinsons
what type of dementia is caused by a reduction in dopamine producing cells in the substantia nigra par
primary or idiopathic parkinsonism
what type of dementia is cause by head trauma, intracranial infections, tumors and drug exposure
secondary dementia
what part of the body is usually affected first with parkinson`s
upper part of the body
what is sinemet
the combination of levadopa and carbidopa,used to treat Parkinson`s disease by stopping acetecholine from producing so dopamine can produce
where does heparin come from
natural substance extracted from gut and lung tissue of pigs and cattle. Heparin acts as a catalyst accelerate the rate of action of a naturally occurring inhibitor of thrombin. antithrombin 3 (sometimes called heparin confactor).
true or false

Heparin cannot dissolve existing clots but can help prevent new ones from establishing
true
what is heparin used to treat
deep venous thrombosis. pulmonary embolism and peripheral arterial embolism, myocardial infarction and for per-cutaneous coronary interventions
what are some therapeutic outcomes from using heparin
when used in low doses prophylactically, heparin prevents deep venous thrombosis
-when used in large doses it is used to treat a thromboembolism and promote neutralization of activated clotting factors and preventing the extension of thrombi and the formation of emboli
what can you not give to someone taking Heparin and why
aspirin
-because aspirin knocks heparin off the receptor and leaves more of it available to be absorbed
what is furosamide and how and where does it work
loop dieuretic
Furosemide displaces warfarin from albumin-binding sites, increasing the amount of unbound anticoagulant. This interaction is managed by decreasing the warfarin dosage.furosemide is a diuretic used to treat excess fluid accumulation and edema. it increases renal blood flow and glomular filtration rate
what happens to the brain and spinal cord when you start to get old
there is a decline in brain weight and a reduction in the blood flow to the brain
-does not affect thinking and behavior
-can not detect these because they are nonspecific and slowly progressing
what is arthritis
inflammatory disease and ti is an auto immune disease but it is a metabolic disorder because you are unable to get ride of uric acid
-common in older adults more so in women then in men
what does intermittent claudication mean
(primary pathophysiology)
is obstruction of blood flow through the arteries resulting in ischemia to the tissues supplied by those arteries.