Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
69 Cards in this Set
- Front
- Back
|
Name 5 features of the ANS
|
1. function is to regulate the many body organ systems during times of physiological war and peace
2. Acts below level of consciousness 3. ANS has EFFERENT/motor and AFFERENT/sensory components 4. perriphal and central components 5. interacts with endocrine and immune system |
|
|
Name 3 internal body functions of ANS
|
regulates heart
regulates secretory glands like sweating,saliva,gastric, bronchial regulates smooth muscle ---bronchi/blood vessels/GI/urogenital |
|
|
The nervous sysytem includes 2 main category
|
CNS
PNS |
|
|
The periphal nervous system has what under it
|
autonomic-not voluntary
somatic- is voluntary |
|
|
Under the ANS are what 2 categories and what do they do
|
Parasympathetic- rest /digest
Sympathetic- fight or flight |
|
|
parasympathetic NS _________ sympathetic nervous system
|
counterbalnces
|
|
|
Name 7 regulatory functions of PSNS
|
1. decreased heartrate
2. increased gas secretions 3. bladder emptying..relax 4. bowel empting...relax 5. focus on near vision 6. constriction of pupil 7. contraction of bronchial smooth muscle |
|
|
Name 7 regulatory functions of SNS
|
1. increased heartrate
2. decreased gas secretions 3. bladder tense 4. bowel tense 5. focus on far way vision 6. dilation of pupil 7. relaxation of bronchial smooth muscle |
|
|
what is the structual arrangement of PNS
|
pre gang
post gang rest and digest |
|
|
which two sites do drugs act at PNS
|
1. Synapse btw pre and post
2. junction btw post and effector cells |
|
|
what are PNS nuerotransmitters
|
preganglion fibers- actrlcholine LONG
postganglion fibers- acetlecholine SHORT CHOLINGERIC FIBERS |
|
|
PNS...ACh release can activate 2 receptor
|
Muscarnic
Nicotinic activation ACH causes movement of Na into cell and K out of cell |
|
|
Explain the SNS?
structual arrangemment ? sites where drugs act? |
Fight or flight
pre= short post= long adrenal medulla(at top of kidneys) synapse btw pre post junction btw post and effector cells adrenal medulla releases NT that acts on the effector organs |
|
|
what are the nuerotransmitters for the SNS?
|
pre= acetlcholine
post= norephnephrine adrenal medulla= erpinephrine and norepinephrine ALSO CALLED ADRENERGIC FIBERS |
|
|
WHAT IS THE EXCEPTION WITH SWEAT GLANDS IN THE SNS
|
THEY USE ACH
|
|
|
NAME THE MAJOR ADRENERGIC RECEPTORS
|
a receptors(1,2)
b receptors (1,2) dopamine |
|
|
PNS IS THE SAME AS_______ AND SNS IS THE SAME AS _________. NICOTINE/MUSCARINIC ARE______ AND ALPHA/BETA/DOPHAMINE ARE ______
|
CHOLERGINIC
ADRENERGIC PNS/CHOLERGIN SNS/SYMPATHETIC |
|
|
WHAT IS AN AGONISTS
|
A DRUG THAT BINDS AND CHANGES ACTIVITY OF A RECEPTOR
|
|
|
WHAT IS AN ANTAGONISTS
|
A DRUG THAT DOES NOT PROVOKE A BIOLOGICAL RESPONSE ITSELF UPON BINDING TO A RECEPTOR, RATHER BLOCKS AGONIST MEDIATED REPSONSES
|
|
|
SNS ADRENERGIC AGONISTS, WHAT R THE 3 TYPES
|
INOTROPHIC-INCREASE FORCE OF CONTRACTION IN THE HEART
CHRONOTROPIC- INCREASE HEARTRATE DROMOTROPHIC- INCREASE ELECTRICAL CONDUCTION THRU AV NODE |
|
|
WHAT R 3 TYPES OF ALPHA AND BETA AGONISTS? BETA AGONISTS?
|
DOPAMINE
EPINEPHRINE NOREPHNIPHRINE DOBUTAMINE ISOPROTONOL |
|
|
WHAT ARE THE INDICATIONS OF ADRENICGIC AGONISTS?
|
RESPIRATORY, OPATHALMIC, CARDIOVASCULAR
|
|
|
WHEN WOULD U NOT WANT TO GIVE ANADRENGIC AGONIST?
|
DRUG ALLERGY
HYPERTENSION |
|
|
I JUST TOOK A PILL THAT WORKS ON THE ALPHA RECEPTORS AND IS AN ADRENERGIC AGONISTS WHAT WOULD BE THE ADVERSE SIDE EFFECTS
|
HA,RESTLESSNESS,INSOMNIA,HTN, TACHY,DRY MOUTH,LOSS OF APPETITTE
|
|
|
WHAT ARE THE ADVERSER SIDE EFFECTS OF BETA AGONISTS
|
MILD TREMORS,HA,NERVOUS,DIZZY,INCREASED HEART RATE
|
|
|
A ADRENGINIC DRUG DOES WHAT
|
STIMULATES THE SNS
|
|
|
ANOTHER NAME FOR SNS ADRENGIC DRUG IS
|
SYMPOPTHOMIMETICS
|
|
|
ADREGENIC DRUGS MIMIC THE SNS NUEROTRANMITTERS WHICH ARE WHAT
|
NE
EPI DOPAMINE |
|
|
WHERE ARE ADRENCGIC RECEPTORS?
|
ALL THRU BODY
THE RECEPTORS FOR THE SYMPATHETIC NEUROTRANSMITTERS= ALPHA,BETA,DOPAMINERGINICS(ONLY RESPOND TO DOPAMINE) |
|
|
HOW ARE A1 AND A2 DIFFERENTATED
|
BY LOCATION ON THE NERVES
|
|
|
ON POST SYNAPTIC EFFECTOR CELLS
CELL/MUSCLE/ORGAN THAT CELLS STIMULATES |
WHERE ARE A1 RECEPTORS AT
|
|
|
WHERE ARE A2 RECEPTORS AT
|
ON PRESYNAPTIC NERVE TERMINAL , NERVE THAT STIMULATES EFFECTOR CELL
|
|
|
_____ ______ CONTOL THE RELEASE OF NUUROTRANSMITTER
|
A2 ADRENERGIC RECEPTORS
|
|
|
NAME THE 2 PREDOMINANT RESPONSES OF ADRENERGIC AGONIST
|
VASOCONSCRITON(INCREASED BLOOD FLOW)
CNS STIMULATION |
|
|
WHERE ARE BETA ADRENERGIC RECEPTORS AT
|
POSTSYNAPTIC CELLS
B1- HEART B2-SMOOTH MUSCLE OF BRONCHIOLES,ARTERIOLES,VISCERAL ORGANS |
|
|
WHAT WOULD BE THE RESPONSE IF I GAVE U BETA ADREN AGONIST
|
RELAXED BRONCHIALS,GI,UTERINE,GLYCOGNOLYSIS= BREAKS DOWN SUGAR QUICKER WHICH ALLOWS U HAVE MORE ENERGY TO RUN
CARDIAC STIMULATION |
|
|
DOPANMINERGIC RECEPTORS
|
- AN EXTRA ADREN RECEPTO
- STIMULA BY DOPAMINE - CAUSES DILATION OF FOLLOWING VESSELS RENAL,MESNTRIC , CORONARY,CERREBRAL |
|
|
what is a catecholamine
|
substance that can make a sympathiticmimetic response
endogenous(body make)e,n,dop synthetic- dobutamine phenylephrine |
|
|
what is a direct sympathomimetic
|
binds directly to receptor and causes a physiologic response
|
|
|
explain a indirect acting sympathmimetic
|
causes a release of catecolamine from the vesicles, then binds to receptors and causes physiolic response
|
|
|
i just gave joe a drug and is working on the alpha adrenergic receptor what are the effects
|
-vasoconstriction of blood vessels=high BP
- RELAX OF GI - CONTRACTION OF UTERUS /BLADDER - MALE EJACULATION - DECREASED INSULIN RELEASED - DILATION OF PUPILS |
|
|
I AM TAKING A DRUG THAT IS ACTING ON THE B1 ADRENGENC RECEPTORS ON MYOCARDIUM,AV,SA NODES= CARDIAC STIMULATION
|
INCREASED HEART RATE,FORCE OF CONTRACTION,CONDUCTION THRU AV NODE
|
|
|
B2 HAS WHAT SIDE EFFECTS
|
BRONCHODILATION, UTERINE RELAXATION,GLYCOGGENOLYSIS IN LIVER, INCREASED RENIN(RAISES BP??)
|
|
|
I HAVE ASTHMA, WHAT WOULD U GIVE AND WHERE WOULD IT ACT AT
|
BRONCHODILATOR
B2 ADREN RECEPTORS OF BRONCHIAL SMOOTH MUSCLE WHICH WOULD CAUSE RELAXATION SO MORE AIR CAN GET THRU |
|
|
EXPLAIN VASOCONSTRICITON
|
FLOW OF BLOOD IS SLOWED=HIGHER BP AND INCREASED VASCULAR RESISTENCE
|
|
|
VASODILATION
|
VESSEL IS WIDENED AND BLOOD FLOW IS INCREASED, LOWER BLOOD PRESSURE, DECREASE IN VASCULAR RESISTENCE
|
|
|
TERBUTILINE IS WHAT
|
B2 ADRENERGIC,SNS,CAUSES RELAXATION OF UTERINE SMOOTH MUSCLE , STOPS PRETERM LABOR
|
|
|
I HAVE OPEN GLAUCOMA WHAT WOULD U GIVE AND WHRE WOULD IT ACT
|
A OR B2 RECEPTORS, CAUSES PUPIL DILATION, EX: EPINEPHRINE
|
|
|
I HAVE CONJUCTIVE CONGESTION WHAT WOULD U GIVE ME
|
WORK ON A-ADRENGERIC RECEPTORS, DECREASE SECRETIONS
EX: EPINEPHRINE, TETRHYROZOLINE(VISINE) |
|
|
EX OF NASAL DECONGESTANT
|
EPHEDRINE
|
|
|
VASOACTIVE SYMPATHOMIMETICS ALSO CALLED_____ ________. ALSO A PRESSOR/INOTROPE. WHAT IS THIS USED TO SUPPORT THE HEART IN?
|
CARDIOSELECTIVE SYMPATHOMIMETICS
SHOCK OR CARDIAC FAILURE A AND B RECEPTORS |
|
|
WHAT WOULD INTERACT WITH SNS ADRENERIC DRUGS
|
ANESTHESTICS, TRICYL ANTIDEPRESS, MAOIS, ANTIHISTMINES, THYROID PREPARATIONS, ANTIHYPERTENSIVES,
THESE WILL DIRECTLY ANTAGONIZE ANOTHER ADRENGIC DRUG RESULTING IN REDUCED EFFECT |
|
|
WHEN GIVING ADRENNIC DRUGS WHAT WILL U ASSESS
|
HYPERTENSION, CARDIAC,RENAL,LIVER,CARDIAC TREATMENT
GET BASELINE VITALS,PERIPHAL PULSES, SKIN COLOR, TEMP, CAP REFILL,POSTURAL BP, |
|
|
WHEN GIVING A ADRENCIC AGONIST IV MAKE SURE TO
|
USE PUMP, INFUSE SLOWLY TO AVOID DANGER HEART PROBLEMS, MOITOR CARDIAC RYTHM
|
|
|
WHEN GIVING ADRENGIC AGOANIST AND THEY HAVE CHRONIC LUNG DISEASE MAKE SURE TO
|
TELL CLIENT TO AVOID THINGS THAT EXACERBTE SYMPTOMS
ENCOURAGE FLUID INTAKE EDUCATE ABOUT PROPER DOSING |
|
|
WARNING ABOUT ADRENERGIC DRUGS
|
GIVING 2 TOGETHER MAY BRING ON SEVERE CARDIO EFFECTS LIKE TACHY AND HYTENSION
|
|
|
WHAT ARE THERPUETIC EFFECTS ON THE HEART WHEN GIVING ADRENGERIC AGONISTS
|
INCREASED LOC,IMPROVED SKIN COLOR AND TEMP,NORMAL VITALS,INCR OUTPUT, DECREASED EDEMA
|
|
|
i have asthma what are the therpuetic effects of adrenagonists
|
normal rr, few crackles, increasd air exchange, improved blood gases, incre activity tolerance
|
|
|
what does aadrengeric blocker do ?
|
bind to adrenergic receptors but BLOCK STIMULATION OF THE SNS
THERE ARE ALPHA AND BETA BLOCKERS |
|
|
ADRENERGIC BLOCKERS HAVE THE ______ ______ OF ADRENERGIC DRUGS
|
OPPOSITE EFFECT
|
|
|
NAME 3 SYNONYMS 4 ADREN BLOCKERS
|
- ADREN ANTAGONISTS
- SYMPATHOLYTICS - A,B,AB BLOCKERS |
|
|
ERGOT ALKOIDS A BLOCKERS
Alpha blocking |
- CONSTRICT DILATED ARTERIOLES IN THE BRAIN
- USED TO TREAT VASCULAR HA - STIMULATES UTERINE CONTRACTIONS AND INDUCE LOCAL VASOCONSTRICTION - CONTROLS POSTPARTUM BLEEDING |
|
|
PRAZOSIN, MINIPRESS
Alpha blocking |
USED FOR HYPERTENSION, URINARY OBSTRUCTION IN MEN WITH BPH, DILATES VESSELS, ORAL, WATCH ORTHOSTATIC HPTENSION
|
|
|
REGITINE PHENTOLAMINE
Alpha blocking |
REDUCES PERIPHAL VASCULAR RESISTANCE , TREAT HYPTENSION,
ACUTE PROLONGED HYPOTENSION IS ADVERSE EFECT |
|
|
ERGOSTAT
|
VASOCONSTRICTION OF DILATED BLOOD VESSELS BY ALPHA RECEPTORS
|
|
|
ATENOLOL-TENORMIN
Beta blocking |
B BLOCKER, DECREASES BP BY LOWERING, BRADY, ERECTLYE DSYFUNCTION,PREVENTS MI,TREAT ANGINA
|
|
|
METOPROLOL
Beta blocking |
HYPERTENSION , LATE EARLY MI, CARDIAC FAILURE, ACT- SLOWS SA NODE
|
|
|
PROPRANOLOL
Beta blocking |
DECREASES BP AND HEART RATE, CAN PASS BLOOD BRAIN BARRIER, DONT GIVE WITH BRONCHIAL ASTHMA, CAN CAUSE MENTAL DEPRESSION
|
|
|
ESMOLOL B BLOCKER
Beta blocking |
TREAT HPT, BEST ROUTE IV, NON ALCOHOL INTOLERANCE
|
