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27 Cards in this Set

  • Front
  • Back

What are the 2 ANS divisions?

The sympathetic division and the parasympathetic division

What is the sympathetic division?

Response to emergencies and the need for energy expenditure


Promotes flight or fight



What is the parasympathetic division?

Restoration and conservation of body energy


Rest and digest

What is a dual innervation?

Organs that receive impulses from both sympathetic and parasympathetic fibers are said to have dual innervation

Response to sympathetic response

Heart rate and blood pressure increase


Blood flow- increase to cardiac muscle, skeletal muscle, liver & adipose tissue


decrease to kidneys and GI tract


Airways- dilate mucus decreases


Eyes- pupils dilate


GI muscle- motility decreases


Adrenaline released


Increased blood glucose levels



Adrenoreceptor location:


a1

Vasoconstriction of peripheral blood vessels


Dilation of pupils

a2

Aggregation of platelets


Contraction of smooth muscle

B1

Increased heart rate


Increased contractility of heart

B2

Relaxation of uterus


Glycogenolysis


Dilation of bronchial smooth muscle

Adrenergic receptors are activated by?

noradrenaline and adrenaline

Noradrenaline and adrenaline bind with

Alpha AND beta receptors

What are adrenergic drugs?

Produce effects similar to those produced by the sympathetic nervous system



Most body tissues have both what?

Alpha and Beta receptors

The effect produced by the adrenergic drug depends on what?

On the type of receptor activated and by the number of affected receptors in the tissue

What is an agonist?

Is a substance that binds to and activates a receptor

What is an antagonist?

Is a substance that binds to and blocks a receptor thereby preventing a natural neurotransmitter or hormone from having an effect

What is a sympathomimetic drug? 2 Examples

Mimics the effects of stimulation by the sympathetic nervous system




Adrenaline and noradrenaline

What is sympatholytic drugs? 1 Example

Compete at receptor sites to inhibit adrenergic sympathetic stimulation


Beta Blockers

Adrenoreceptor agonists mimic the effect of sympathetic stimulation, name some ways how

Adrenaline (a and B receptors)


Increased cardiac contractility


Increased heart rate


Increased blood pressure


Bronchodilation


Noradrenaline (a receptors)


Increased blood pressure


Salbutamol (B2 receptors)


Bronchodilation

Name 5 indications for beta blocker use

Hypertension


Angina


Post MI


Heart failure


Arrhythmias

Response to parasympathetic response

Results in rest and digest response


SLUDD




decrease HR


decrease airway diameter


decrease pupil diameter

Cholinergic neurons release what?

acetylcholine

Acetylcholine binds with both what?

Nicotinic receptors AND muscarinic receptors

Cholinergic receptor location:


Muscarinic

Effectors innervated by parasympathetic nerves


Sweat glands


Skeletal muscle blood vessels

Nicotinic

Plasma membrane of chromaffin cells of adrenal medullae


Neuromuscular end plates of skeletal muscles

Drugs acting at muscarinic receptors:


Muscarinic agonists

Parasympathomimetics or cholinergics


Very few in clinical use



Muscarinic receptor antagonists

Anticholinergic drugs


Several different indications for use:


During surgery and in palliative care to inhibit bronchial secretions e.g. atropine


To reduce intestinal spasmIn Parkinson’s disease


To prevent motion sickness e.g. hyoscine


To dilate the pupil in opthalmological examination e.g. Pilocarpine eye drops


For brochodilation e.g. Ipratropium