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What are the 2 parts of the Autonomic Nervous System? |
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Sympathetic and Parasympathetic |
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How many pairs of Cranial Nerves? |
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Sympathetic Neurotransmitter |
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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 |
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Reduction of blood flow to abdominal organs. • Decreased digestive activity. • Relaxation of smooth muscle in urinary bladder |
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Direct SNS Stimulation (Cont'd) |
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results in release of the neurotransmitters norepinephrine and epinephrine. • These chemicals travel further to target receptors known as adrenergic receptors. |
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Peripheral Vasoconstriction Increased contractile force Decreased Heart Rate |
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Vasodilation and Decreased blood pressure |
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Increased Heart Rate Increased Contractile force Increased automaticity |
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Peripheral Vasodilation Bronchodilation Uterine smooth wall Relaxation GI smooth muscle relaxation |
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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. |
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Decrease in heart rate and force of contraction. • Pupillary constriction. • Stimulates digestive gland secretion. • Increased smooth muscle contraction along the digestive tract. • Bronchoconstriction. |
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nerve fibers from CNS interact with nerve fibers from ganglia to target organs |
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autonomic nerve fibers exit CNS; terminate in autonomic ganglia |
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autonomic nerve fibers exit ganglia; terminate in target tissues. |
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space between nerve cells |
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space between nerve cell and target organ. |
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conduct nervous impulse between nerve cells or between nerve cell and target organ. – Acetylcholine (ACh); norepinephrine |
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synapses that use acetylcholine as neurotransmitter |
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synapses that use norepinephrine as neurotransmitter. Oculomotor nerve (III) Facial nerve (VII) Glossopharyngeal nerve (IX) Vagus nerve (X) |
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Stimulation of parasympathetic nervous system results in |
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Definition
Pupillary constriction Secretion by digestive glands Reduction in heart rate; cardiac contractile force Bronchoconstriction Increased smooth muscle activity along digestive tract |
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Parasympathetic system has two types of ACh receptors |
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Location and Effect of Muscarinic Receptor |
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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 |
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Cholinergic drugs act directly or indirectly. – Prototype direct-acting cholinergic: bethanechol. – Direct-acting cholinergics simulate effects of ACh. – Indirect-acting cholinergic drugs affect acetylcholinesterase. |
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Salivation Lacrimation Urination Defecation Gastric motility Emesis |
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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. |
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Ganglionic stimulating agents |
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alkaloid nicotine stimulates these receptors |
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Sympathetic nervous system |
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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 |
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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 |
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Clinical purpose for medications that stimulate alpha1 receptors |
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peripheral vasoconstriction |
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increases heart rate, contractility, conduction; cardiac arrest and hypotension. |
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treat asthma and excessive narrowing of bronchioles |
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stimulate effects of adrenergic receptors; work directly, indirectly, combination of the two |
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norepinephrine, epinephrine, dopamine |
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dobutamine and isoproterenol. |
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Alpha adrenergic antagonists |
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noncompetitive, long-acting; competitive, short-acting |
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Beta adrenergic antagonists |
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beta- blockers; tachycardia, hypertension, angina. |
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