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29 Cards in this Set

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Neuropharmacology

How drugs affect the function of the central nervous system (CNS)

neurotransmitter

chemical signalling sent to the next neuron after receiving an action potential signal

start of information transfer

begins at the denrite

synapse

information transfer between two neutrons once an action potential reaches the pre-synaptic nerve terminal

definition

synaptic cleft

space between the two communicating neurons

pre-synaptic nerve vs. post-synaptic nerve

post-synaptic neuron has neural transmitters bound to it




pre-synaptic neuron contain vesicles that contain neurotransmitters

Classes of neurotransmitters

1.Monoamines


2.Amino acids


3.Other (acetylcholine)

Types of Monoamines

norepinephrine


epinephrine


dopamine


seratonin

Types of Amino Acids


(neurotransmitters)

1. excitatory


- glutamate/aspartate


2.inhibitory


-GABA/glycine

In Parkinson's, dopaminergic neurons are lost where?

Substantia nigra of the brain

What is the cause of the movement disorders observed in PD?

GABA

2 types of loss of effect

Wearing off (gradual)


On-off (abrupt)

Ways to prevent wearing off

1.shorten drug intervals


2.give drug that inhibits L-Dopa metabolism (COMT inhibitor)


3.add dopamine agonists to therapy

Ways to prevent on-off

1.divide medication to 3-6 doses/day


2.using controlled release formulas


3.moving protein-containing meals to the evening

Alzheimer's disease

Progressive degeneration of cholinergic neurons in the hippocampus and prefrontal cortex

Hallmarks of Alzheimer's brain sample

Neurofibrillary tangles and neuritic plaques

Neurofibrillary tangles

Abnormal production of Tau (responsible for proper organization of cross bridges btw microtubules in the nerve)


- Microtubule arrangements are disrupted

Neuritic plaques

Found outside of neurones


Composed of beta amyloid - shown to kill hippocampal cells (tested in monkeys)

Positive Symptoms (Schizophrenia)

Exaggerate or distort normal neurological function

Definition

Positive symptom examples

Combativeness


Hallucinations


Agitation


Paranoia


Delusions


Disorganized Speech


Disorganized thinking

7 examples


CHAPDDD

Negative symptom examples

Social withdrawal


Poverty of Speech


Poor Self care


poor insight


Poor judgement


Emotional Withdrawal


Blunted affect


Lack of motivation

8 Examples


SPPPPEBL

Negative symptoms (schizophrenia)

Loss of normal neurological function

Definition

6 brain regions involved in schizophrenia

1) Occipital Lope


2) frontal cortex


3) Basal ganglia


4) hippocampus


5) Limbic system*


6) Auditory system

FLAB HO

Occipital Lobe

Visual information


improper interpretation of images/ reading others facial expressions/ recognizing motion

Auditory system

Hearing


- overactivity contributes to hallucination

Hippocampus

Involved in learning and memory


-decreased in schizophrenic patients

Frontal lobe

Problem solving and insight

-difficulty planning actions and organizing thoughts



Limbic system

Dealing with emotions


Contributes to agitation

Basal Ganglia

movement and emotions


paranoia/ hallucinations