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Beginning of Human AP II
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Nervous System Organization
brain and spinal chord
central nervous system (CNS)
spinal nerves, ganglia, sensory receptors
peripheral nervous system (PNS)
transports sensory info to CNA from environment, external and internal
sensory (afferent) division
transports commands from CNS to body
motor (efferent) division
directs skeletal muscle movement → neuromuscular junctions
somatic motor division
subconscious; directs smooth and cardiac muscles and glands
automatic nervous system (ANS)
directs mobilization in response to stress, fight or flight response
sympathetic division
directs resting activitiy, promotes homeostasis, “rest and digest”
parasympathetic division
cluster of neurons where signals are compiled/combined in peripheral nervous system. In ANS, they act as waystations with a ganglion neuron innervating the target organ after its dendrites have been advised by many neurons
ganglion
all preganglionic synapses (both divisions), all parasympathetic, all somatic neuromuscular junctions, also used in parts of adrenal that produce epinephrine
I) Acetylcholine (ACh)
release acetylcholine
cholinergic fibers
2 types
cholinergic receptors
all somatic neuromuscular junctions
all preganglionic synapses (parasymp. and symp.)
in parts of adrenal that produce epinephrine
always stimulatory
nicotinic receptors
all postganglionic parasympathetic targets
muscarinic receptors
most symp. postganglionic synapses
II) Norepinephrine (NE)
release norepinephrine
adrenergic fibers
2 types, alpha and beta
adrenergic receptors
more extensive than parasymp. (must run to skin glands and piloerectors)
nerves originate from T1-T2
SYMPATHETIC DIVISION
sympathetic trunk, immediately outside spina chord, then run to head or thorax
T1-T6 nerves synapse in ganglia in:
splanchnic nerves, running to collateral ganglia in abdominal aortic plexus, then run to abdomen or pelvis
T5-L2 nerves from symp. trunk merge into:
deals with short term crisis
fight or flight
systemic vasoconstriction
sympathetic stimulates general:
tightening of arteris; higher BP
vasoconstricion
relaxation of smooth muscle in arteries; lower BP; associated with lower sympathetic activity
vasodilation
sympathetic division must always keep partial vasoconstriction even at rest
avoid shock
in case fast response is needed
vasometer tone
chronically high BP (>140/90
too much chronic stress
too much chronic activation of sympathetic division
hypertension
(>120/80)=at risk
diastole more important than systole
other possible causes (such as too much NaCl in diet)
prehypertension
SYMPATHETIC DIVISION
stimulates (cold sweat, goose bumps (piloerectors))
Skin
Wide open (pupils dilated); ciliary muscles relaxed
Eyes
higher breathing rate and volume
Pulmonology
higher heart rate and force of heartbeat
CV system
General vasoconstriction of body arteries
Blood Vessels
Mobilizing glycogen stores; getting read for action
Muscles/Liver
High (can only be counter-acted by time; there is no parasympathetic control of metabolism)
Basal Metabolism
lower filtration by kidney; inhibiting urination
Urinary system
lower digestive activity, mouth goes dry
Digestion
controls orgasm and ejaculation in both sexes ONLY if parasympathetic has already caused erection. Otherwise, erectile dysfunction/frigidity
Reproductive
Causes copious release of NE (positive feedback; self-reinforcing sympathetic stimulation) and its stronger chemical cousin, epinephrine
Adrenals
nerves originate from brain stem (cranial nerves) and S2-S4 regions only
PARASYMPATHETIC DIVISION
target organs
ganglia are very close to:
innervates virtuallt entire visceral cavity (90% of body’s entire parasympathetic load)
vagus nerve (CN X)
large intestine/rectum, bladder, and reproductive system
sacral nerves run to:
“rest and digest”; promotes general homeostasis
PARASYMPATHETIC DIVISION
higher digestive activity (motility and enzyme production)
higher saliva production; promotes defacation
Digestion
lower heart rate
CV system
lower breathing rate and volume
Pulmonology
controls ciliary body accommodation (making lens bulge)
Eyes
relaxes bladder sphincters; promotes urination
no effect of kidney
Urinary system
Vasodilation of arteries going to clitoris/penis leads to erection and all other phenomena associated with sexual stimulation (both sexes)
Genitalia
knowing locations of specific cholinergic and adrenergic receptors allows us to target drugs to specific areas without screwing up whole system
DRUGS
adrenergic receptors keeps heart from getting overexcited
stimulation of alpha-adrenergic receptors (ex: phenylephrine) stimulates vasoconstriction in sinuses leads to less congestion
Beta-Blockers vs Cardiac Beta
chemical relative, also increases norepinephrine release
pseudoephredine
stimulates parasympathetic divisioon leads to vasodilation in penis/clitoris
sildenafil (Viagra)
Next part in the automatic nervous system
THE BRAIN
hair
scalp
Cranial bones
Brain Protection
C.T. sheaths covering/protecting CNS
Meninges
2 dense irregular sheets surrounding brain
a) Dura mater
superficial layer
Periosteal layer
deep layer
Meningeal layer
(dural sinuses) for drainage of blood and CSF from arachnoid villi
Meningeal layer is mostly fused, seperate in special areas:
1 layer areolar C.T. enclosing and circulating cerebrospinal fluid (CSF)
Arachnoid mater
AM projections into DM sinuses; where CSF drains back into blood
arachnoid villi
thin delicate areolar connective tissue that directly covers entire brain; marks brains outer edge
Pia mater
clear liquid cushion for mechanical protection:
-softens impact with cranium walls
-floats brain, decreasing effective weight by over 97%
Cerebrospinal fluid (CSF)
(Na+, K+, Cl-) for APs and H+ for homeostatic pH
optimal ionic concentrations:
some nutrients, ions, and hormones
assists with circulation of:
complete turnover=8 hours
~150 mL (5oz.):
capillary nest surrounded by PM and ependyma
choroid plexus
CSF reservoirs within brain
ventricles
brain and spinal chord regions
CSF circulates throughout:
blood through arachnoid villi into DM sinuses for drainage into jugular veins
CSF drains back into:
(“water on brain”) blockage in CSF drainage
hydrocephalus
structural feature of intra-brain capillaries
Blood-brain barrier (BBB)
chaotic environment full of nasty things, all in flux:
blood
combines with H20, → H2CO3, → H+, which messes up pH
CO2
Na+, K+, Cl- (all of which mess with APs)
ionic electrolytes
hormones
(some of which can double as neurotransmitters)
amino acids
foreign microbes
2% of bodt weight, but uses 20% of O2 and glucose consumed (glucose is only fuel usable by astrocytes → neurons)
brain:
chiefly from carotid artery
brain needs constant blood flow:
surrounds capillaries winding their way through brain
capillary wall epithelium sealed with tight junctions
surrounded glycoprotein basement membrane (basal lamina)
anchored bty astrocytes
What is the blood brain barrier?
are allowed entry; most all else is prohibited
essential nutrients and electrolytes, glucose, and hydrophobic molecules:
actively pumped out of blood-brain barrier into blood
non-essential materials and wastes are:
(CH3CH2OH)=hydrophobic
ethanol
hydrophobic
most anesthetics
hydrophobic
most psychoactive drugs
collection of neurons in brain with specific function; analogous to ganglia in PNS
Nucleus
part of central nervous system
Spinal Cord
control reflexes
ascending sensory tracts and descending motor tracts
interneurons
Controls ANS and innervation of head
a) Medulla oblongata
b) Pons
c) Midbrain
d) reticular formation
I) BRAIN STEM
scattered throughout other 3
Reticular Formation
upper continuation of spinal cord; ascending sensory tracts and descending motor tracts
A) Medulla oblongata
crossover point for brain lateralization
Pyramids
R→L; L→R
brain lateralization
5 cranial nerves
Nuclei of:
hearing, equilibrium sensation
VIII Vestibulocochlear
taste, sense of carotid BP
IX Glossopharyngeal