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Autonomic System
Prehospital Pharmacology ANS
41
Anatomy
12th Grade
09/22/2022

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Term
What are the 2 parts of the Autonomic Nervous System?
Definition
Sympathetic and Parasympathetic
Term
Sympathetic overview
Definition
"fight or flight"
Term
Parasympathetic overview
Definition
Feed and breed
Term
How many pairs of Cranial Nerves?
Definition
12
Term
Sympathetic Neurotransmitter
Definition
Norepinephrine
Term
Direct SNS stimulation
Definition
Increase in heart rate
and force of
contraction.
• Sweat gland
stimulation.
• Constriction of blood
vessels in skin.
Increase in blood flow
to muscles.
• Bronchodilatation.
• Increase in glucose
breakdown in liver
Term
Collateral Stimulation
Definition
Reduction of blood
flow to abdominal
organs.
• Decreased digestive
activity.
• Relaxation of smooth
muscle in urinary
bladder
Term
Direct SNS Stimulation (Cont'd)
Definition
results in release of
the neurotransmitters norepinephrine
and epinephrine.
• These chemicals travel further to target
receptors known as adrenergic
receptors.
Term
Alpha 1 Receptor
Definition
Peripheral Vasoconstriction
Increased contractile force
Decreased Heart Rate
Term
Alpha 2 Receptor
Definition
Vasodilation and Decreased blood pressure
Term
Beta 1 receptor
Definition
Increased Heart Rate
Increased Contractile force
Increased automaticity
Term
Beta 2 Receptor
Definition
Peripheral Vasodilation
Bronchodilation
Uterine smooth wall Relaxation
GI smooth muscle relaxation
Term
Parasympathetic
Definition
Known as “Feed or Breed” system or
“craniosacral” system because of
exiting of nerves from base of cranial
vault and the sacral vertebrae.
• Primary neurotransmitter is ACh.
• ACh acts on muscarinic and nicotinic
receptors.
Muscarinic receptors are primary
receptors that result in responses seen
in emergency medicine.
Term
Direct PNS Stimulation
Definition
Decrease in heart rate and force of
contraction.
• Pupillary constriction.
• Stimulates digestive gland secretion.
• Increased smooth muscle contraction
along the digestive tract.
• Bronchoconstriction.
Term
Autonomic ganglia
Definition
nerve fibers from
CNS interact with nerve fibers from
ganglia to target organs
Term
Preganglionic
Definition
autonomic nerve fibers
exit CNS; terminate in autonomic
ganglia
Term
Postganglionic
Definition
autonomic nerve fibers
exit ganglia; terminate in target tissues.
Term
Synapse
Definition
space between nerve cells
Term
Neuroeffector junction
Definition
space between
nerve cell and target organ.
Term
Neurotransmitters
Definition
conduct nervous
impulse between nerve cells or between
nerve cell and target organ.
– Acetylcholine (ACh); norepinephrine
Term
Cholinergic
Definition
synapses that use
acetylcholine as neurotransmitter
Term
Adrenergic
Definition
synapses that use
norepinephrine as neurotransmitter.
 Oculomotor nerve (III)
 Facial nerve (VII)
 Glossopharyngeal nerve (IX)
 Vagus nerve (X)
Term
Stimulation of parasympathetic nervous
system results in
Definition
Pupillary constriction
 Secretion by digestive glands
 Reduction in heart rate; cardiac contractile
force
 Bronchoconstriction
 Increased smooth muscle activity along
digestive tract
Term
Parasympathetic system has two types
of ACh receptors
Definition
nicotinic and
muscarinic.
Term
Location and Effect of Muscarinic Receptor
Definition
Heart Decreased heart rate
Decreased conduction rate
Sinoatrial node
Atrioventricular node
Arterioles
Dilation
Dilation
Dilation
Coronary
Skin and mucosa
Cerebral
GI tract
Relaxed
Increased motility
Increased salivation
Increased secretion
Sphincters
Salivary glands
Exocrine glands
Lungs
Bronchoconstriction
Increased mucus
production
Bronchiole smooth
muscle
Bronchial glands
Gallbladder Contraction
Copyright © 2017, 2013, 2009 Pearson
Education, Inc. All Rights Reserved.
Bryan E. Bledsoe
Richard A. Cherry
Robert S. Porter
Table 13-14 (continued) Location and Effect of Muscarinic Receptors (2 of 2)
Organ Functions Location
Urinary bladder Relaxation
Contraction
Urinary sphincter
Detrusor muscle
Liver Glycogen synthesis
Lacrimal glands Secretion (increased
tearing) Eye
Eye Contraction for near vision
Constriction Ciliary muscle Pupil
Penis Erection
Term
Cholinergic Drugs
Definition
Cholinergic drugs act directly or
indirectly.
– Prototype direct-acting cholinergic:
bethanechol.
– Direct-acting cholinergics simulate
effects of ACh.
– Indirect-acting cholinergic drugs affect
acetylcholinesterase.
Term
Sludge
Definition
Salivation
 Lacrimation
 Urination
 Defecation
 Gastric motility
 Emesis
Term
ANS DRUGS CON't
Definition
Anticholinergic agents oppose
parasympathetic nervous system.
– Muscarinic cholinergic antagonists: block
effects of acetylcholine at muscarinic
receptors (anticholinergics or
parasympatholytics).
– Prototype anticholinergic drug: atropine
Nicotinic cholinergic antagonists: block
acetylcholine only at nicotinic sites.
– Ganglionic blocking agents:
trimethaphan and mecamylamine.
 Both used to treat hypertension
Neuromuscular blocking agents:
produce state of paralysis without
affecting consciousness.
– Depolarizing or nondepolarizing,
depending on mechanism of action.
Term
Ganglionic stimulating agents
Definition
alkaloid
nicotine stimulates these receptors
Term
Sympathetic nervous system
Definition
Stimulation of secretion by sweat glands
 Constriction of blood vessels in skin
 Increase in blood flow to skeletal muscles
 Increase in heart rate and force of
cardiac contractions
 Bronchodilation
 Stimulation of energy production
Term
Collateral ganglia
Definition
abdominal cavity.
 Reduction of blood flow to abdominal
organs
 Decreased digestive activity
 Relaxation of smooth muscle in wall of
urinary bladder
 Release of glucose stores from liver
Term
Clinical purpose for medications that
stimulate alpha1 receptors
Definition
peripheral
vasoconstriction
Term
Alpha1 antagonism
Definition
controlling
hypertension
Term
Beta1 stimulation
Definition
increases heart rate,
contractility, conduction; cardiac arrest
and hypotension.
Term
Beta1 antagonists
Definition
control blood
pressure
Term
Beta2 agonists
Definition
treat asthma and
excessive narrowing of bronchioles
Term
Adrenergic agonists
Definition
stimulate effects of
adrenergic receptors; work directly,
indirectly, combination of the two
Term
Natural catecholamines
Definition
norepinephrine,
epinephrine, dopamine
Term
Synthetic catecholamines
Definition
dobutamine
and isoproterenol.
Term
Alpha adrenergic antagonists
Definition
noncompetitive, long-acting;
competitive, short-acting
Term
Beta adrenergic antagonists
Definition
beta-
blockers; tachycardia, hypertension,
angina.
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