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brain and spinal cord
the central nervous system includes:
nerves
the peripheral nervous system includes the:
synaptic transmission
body signals are sent through:
nerve impulses
the presynaptic neuron contains:
vesicles containing neurotransmitters telling them to release across the synaptic cleft
the nerve impulses from the presynaptic neuron activates:
receptors
the post-synaptic neuron contains:
presynaptic; postsynaptic
nerve impulses from the _________________ neuron cause the release of neurotransmitter that attach to receptors on the _________________ neuron
nerves
with synaptic transmission, signals are sent through:
cholinesterase
enzyme responsible for breaking down acetylcholine
synaptic cleft
neurotransmitter degradation occurs in the:
enzymes
degradation of neurotransmitters occurs because of:
enzyme
ase =
increase
if the enzyme responsible for breaking down x neurotransmitter is inhibited, the level of neurotransmitter x will _____________, increasing the interaction between the drug and receptor
somatic and autonomic sytem
the peripheral nervous system is broken down into the:
voluntary movements
the somatic motor system is responsible for:
involuntary control
the autonomic nervous system is responsible for:
sympathetic and parasympathetic systems
the autonomic nervous system is broken down into:
heart rate, secretory glands and smooth muscle
the autonomic nervous system serves to control these three things:
bladder, bowel, blood vessels, eyes and lungs
the autonomic nervous system control smooth muscle of the:
parasympathetic
which system is also referred to as the rest and digest system
decrease heart rate, increase secretions and smooth muscle constriction
what are the general effects of the parasympathetic nervous system
increased heart rate, decreased secretions and smooth muscle relaxation and constriction
what are the general effects of the sympathetic nervous system
contraction
what effect will the parasympathetic system have on the bladder
relaxation
what effect will the sympathetic system have on the bladder
contraction
what effect will the parasympathetic system have on the bowels
constriction
what effect will the parasympathetic system have on the pupils
miosis
constriction of the pupils
constriction
what effect will the parasympathetic system have on the bronchioles
because you don't need as much air when relaxing
why does the parasympathetic system cause contraction of bronchial smooth muscle
constriction to redirect flow to brain and skeletal muscles
what effect will the sympathetic system have on the blood vessels
dilation
what effect will the parasympathetic system have on the blood vessels
increase
what effect will the sympathetic system have on heart rate and blood pressure
dilation
what effect will the sympathetic system have on the pupils
mydriasis
dilation of the pupils
dilation
what effect will the sympathetic system have on bronchial smooth muscle
sympathetic
which system is also referred to as the fight or flight system
mobilization to skeletal muscles
what effect will the sympathetic system have on the glucose in the body
feedback regulation
used to help the body decide if it should turn on the parasympathetic or sympathetic nervous system
sensors
send information through nerves to the brain
effector signals
exit the brain to tell the body what to do
acetycholine
neurotransmitter always released from the preganglionic neuron
parasympathetic
in which system is ach released from the pre and postganglionic neuron
acetylcholine
hallmark neurotransmitter of the parasympathetic system
cholinergic system
the parasympathetic system is also referred to as the:
acetylcholine; norepinephrine and epinephrine
in the sympathetic nervous system, _________________ is released from the preganglion neuron and ______________________ is released from the postganglionic neuron
adrenergic system
the sympathetic system is also called the:
somatic
which system has one nerve that releases acetylcholine to control skeletal muscles
ne and epinephrine
primary neurotransmitters for the sympathetic nervous system
skeletal muscle contraction
the release of ach by the somatic motor system causes:
receptors
because ach has many different sites of action, medications are given to act on specific ____________ in the body
ganglia
cluster of nerves
nicotinic neuronal
receptors at the ganglia in both the sympathetic and parasympathetic system
parasympathetic system and sweat glands
where are muscarinic receptors located
nicotinic and muscarinic
ach acts on what type of receptors
nicotinic and muscarinic
types of cholinergic receptors
alpha and beta
ne and epinephrine act on what type of receptors
alpha and beta
what are the adrenergic receptors
nicotinic muscle
what type of receptor is located in the somatic motor system
more ach to be released
activation of the nicotinic neuronal receptor causes:
skeletal muscle contraction
activation of the nicotinic muscle receptor causes:
decreased heart rate, increased secretions and smooth muscle contractions
activation of the muscarinic receptor causes:
increased heart rate and contraction force
activation of the beta 1 receptor causes:
dilation of bronchial smooth muscle and increased glucose release
activation of the beta 2 receptor causes:
constriction of blood vessels
activation of the alpha 1 receptor causes:
beta 1
which receptor acts on the heart
beta 2
which receptor acts on the lungs
alpha 1
which receptor is referred to as the squeeze receptor
alpha 2
which receptor is referred to as the off switch
decrease
would an alpha 2 agonist increase or decrease the effects of norepinephrine
alpha 2 receptors
stop button for the sympathetic nervous system
dilation of renal blood vessels to promote filtration
at regular levels, what is the action of dopamine:
beta 1 and alpha 1
at higher doses, dopamine also fits into these receptors
increased heart rate and blood vessel constriction
at increased doses of dopamine, these things may occur:
true
t/f dopamine has dose-dependent activity
parasympathetic
which system increases peristalsis
sympathetic
which system relaxes the uterine muscle
parasympathetic
which system increases salivation
cholinergic agonists
cholinomimetics are also called:
cholinergic agonists
mimic the effect of acetylcholine in the parasympathetic nervous system
bethanechol, pilocarpine, metoclopramide
muscarinic agonists
receptor
direct agonists act on the:
enzyme
indirect agonists act on the:
nicotine and varenicline
nicotinic agonists
bethanechol
what is the prototype for direct cholinergic agonists
pyridostigmine
what is the prototype for indirect cholinergic agonists
stigmines and edrophonium
cholinesterase inhibitors
oral and subcutaneous
routes for bethanechol
ophthalmic
route for pilocarpine
iv, im, nasal, oral
routes for metoclopramide
urinary retention
therapeutic use for bethanechol
glaucoma
therapeutic use for pilocarpine
gastroparesis and gerd
therapeutic use for metoclopramide
gastroparesis
partial paralysis of the gi system
prokinetic agent
metoclopramide is referred to as a:
bronchospasms, bradycardia, hypotension, salivation, increased acid secretion, abdominal cramps and diarrhea
what are the adverse effects of muscarinic agonists
bethanechol and metoclopramide
which muscarinic agents have more risk for adverse effects
reduces
giving a medication at the site where it needs to work _____________ the risk for adverse effects
excess
adverse effects happen in _____________ doses
salivation, lacrimation, urination, diarrhea, gi cramps, emesis, bronchospasms, bradycardia, bronchorrhea
cholinergic excess/cholinergic crisis
increased mucus in the lungs
what is bronchorrhea