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what is the autonomic nervous system
controls involuntary functions
two branches of the autonomic nervous system
sympathetic and parasympathetic
importance of autonomic nervous system for pharmcotherapy
the ANS is targeted by drugs to treat certain condition
which of these systems behave like an "on-off switch"
none of the above
which statement is most accurate about the sympathetic and parasympathetic nervous systems
some organs are only innervated by one of these
synapse
the space that is between the end of a nerve cell and another cell
neuroeffector junction
connection between a neuron and a target cell, this is where the neuron releases a neurotransmitter
neurotransmitter
chemical messenger that nerve cells release
parasympathetic nervous system neuroeffector junction locations
cardiac and smooth muscle, gland cells, nerve terminals
sympathetic nervous system neuroeffector junction locations
-sweat glands
-cardiac and smooth muscle, gland cells, nerve terminals
-renal vascular smooth muscle
preganglionic nerve fibers in the sympathetic nervous system are _____ and the postganglionic are ____
short, long
preganglionic nerve fibers in the parasympathetic nervous system are _____ and the postganglionic are _____
long, short
examples of cholinoceptors
muscarinic 1-5 and nicotinic N/M
examples of adrenoceptors
alpha 1-2 and beta 1-3
typical locations of M1 receptors
CNS neurons, sympathetic postganaglionic neurons, some presynaptic site
typical locations of M2 receptors
myocardium, smooth muscle, some presynaptic sites, CNS neurons
typical locations of M3 receptors
exocrine glands, vessels (smooth muscle and endothelium), CNS neurons
typical locations of M4 receptors
CNS neurons, possibly vagal nerve endings
typical locations of M5 receptors
postganglionic neurons, some presynaptic cholinergic terminals, pentameric receptors typically contain alpha and beta subunits
typical location of N^N receptors
postganglionic neurons, some presynaptic cholinergic terminals, pentameric receptors typically contain alpha and beta subunits only
typical location of N^M receptors
skeletal muscle neuromuscular end plates, pentameric receptors typically contain two alpha and beta subunits in addition to gamma and delta subunits
typical location of alpha 1 receptors
postsynaptic effector cells, especially smooth muscle
typical location of alpha 2 receptors
presynaptic adrenergic nerve terminals, platelets, lipocytes, smooth muscle
typical location of beta 1 receptors
postsynaptic effector cells, especially heart, lipocytes, brain, presynaptic adrenergic and cholinergic nerve terminals, juxtaglomerular apparatus of renal tubules
typical location of beta 2 receptors
postsynaptic effector cells, especially smooth muscle and cardiac muscle
typical location of beta 3 receptors
post synaptic effect cells, especially lipocytes, heart
what drugs affect the transmission process of alpha 1 adrenoceptor agonist
phenylephrine
what drugs affect the transmission process of alpha 2 adrenoceptor agonist
clonidine
what drugs affect the transmission process of beta 1 adrenoceptor agonist
dobutamine
what drugs affect the transmission process of muscarinic receptor agonist
bethanechol
what drugs affect the transmission process of muscarinic receptor antagonist
atropine, ipratropium, scopolamine, tropicamide
what effect does ACh have
its impact is dependent on the present receptor subtype
what type of receptor involves ACh
cholinergic
muscarinic receptors are typically in the parasympathetic nervous systems, what are the two locations of muscarinic receptors in the sympathetic system
skeletal muscle vessels and eccrine sweat glands
what type of receptors involve epinephrine and norepinephrine
adrenergic
what is cotransmission
release of a substance with the neurotransmitter
what does activation at the M3 receptor on skeletal muscle vessels do in the sympathetic nervous system
relaxes the skeletal muscle vessels
what happens when ACh binds to the M2 receptor in the heart
decreases heart rate