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Pheochromocytoma
tumor of the adrenal medulla' secretes excessive amounts of catecholamines with inc secretion of 3-methoxy-4-hydroxymandellic acid (VMA)
What is the result of a pheochromocytoma?
excess sweating, irregular heart rate, abdominal pain
When the insulin receptor cannot accept the insulin hormone the result is...
hyperglycemia
motor sensory autonomic =
innervation of muscles
What does the autonomic nervous system do?
innervates internal organs in thoracic, abdominal and pelvic cavities, also the endocraine glands, sweat glands, B vessels and BP
What are the 2 types of the autonomic nervous system?
sympathetic and parasympathetic
Which of the ANS systems works when the body is asleep?
parasympathetic
Which ANS system adjusts the body while it is active?
sympathetic
Locations of the parasympathetic system
in the cranium, and in sacral spinal cord areas s2-s4
Location of the sympathetic system?
T1-> l2/l3 on spinal cord
what is another name for the parasympathetic system?
"cranio- sacral"
What is another name for the sympathetic system?
"thoraco-lumbar"
The sympathetic system increases respiration rate during activity because more O2 is needed, in this process it also...
relaxes the smooth muscles of the bronchi
What part of the parasympathetic system innervates the pelvic internal organs?
Pelvis splanchnic nerve
What are the 3 nuclei in the brain stem?
sensory
motor
autonomic
The autonomic nuclei located in the brain stem are for what system?
parasympathetic sys of ANS
What are some roles of the parasympathetic system of the ANS?
dec heart rate, myocardial contraction
active in GI tract for digestion and absorption
inc maternal GI
Inc secretion of gastric hormone gastric acid
The cranial system of the parasympathetic system of the ANS communicates with what cranial nerves?
3,7,9,10
What number is the vegas nerve in the brain?
10
What is a role of the sympathetic system during a work out?
excess sweating, inc heart rate, more blood to muscles, more circulation
2 types of fibers of the sympathetic system
preganglionic and post ganglionic
the preganglionic of the sympathetic system does what?
releases the nuerotransmitter Ach from nueron to be accepted by receptor
Ach receptors =
cholinergic receptors
2 types cholinergic receptors
nicotinic and muscarinic
The post ganglionic fiber of the sympathetic system releases
norepinephrine (noradrenaline) to its receptor
Noradrenaline receptor
= Adrenergic receptors
4 types of adrenergic receptors
alpha 1, alpha 2, beta 1, beta 2
what does NE effect depend on?
Type and location of receptor
Alpha 1 adrenergic receptors located at
GI tract, Smooth muscle of blood vessel, vascular smooth muscle of skin, splanchnic regions, GI, bladder sphinchters, radial muscle of iris
What happens to blood vessels when norepinephrine binds to it's alpha 1 receptor?
vasoconstriction, contraction, squeezes blood vessels
What are roles of NE attached to Alpha 1 receptor?
vasoconstriction, muscle contraction, contraction of sphincters in GI tract
What is the result of over secretion of NE concerning the alpha 1 receptor?
hypertension
What is the result of over stimulation of the alpha 1 receptor?
hypertension
The G protein has 3 subunits, further divided into 6 based on inhibitory or simulator qualities, what are they called
alpha, beta, gamma
After alpha 1 is bound to NE, travels to cytoplasm G protein to meet with it's subunit, then What?
phospholipidase C is activated, activates IP3 enzyme which stimulates the sarcoplasmic recticulum releasing concentrated Ca2+ into cytoplasm = muscle contraction
The alpha 1 receptor is inhibitory or stimulatory?
stimulatory
The alpha 2 receptor is inhibitory or stimulatory?
inhibitory = relaxation/dilation
Where is the alpha 2 receptor found in the human body?
platelets in blood cells, fat cells, GI tract, presynaptic compartment of nerve
What are the steps that occur after 1) the NE binds to alpha 2 receptor on cell membrane?
2)activates G Protein alpha i = inhibitory p
3) inhibits adenylase cyclase
4) dec. intracellular NRG decrease in cyclic adenosine monophosphate (cAMP)
5) Effect = relaxation + dilation
What is overall effect on GI tract system when alpha 2 receptor accepts NE?
relation of sphincter/smooth muscle in GI tract
Where is the beta 1 receptor located?
the heart
Beta 1 receptor attaches to NE, steps after?
2) stimulates GP's alpha stimulatory
3) inc adenylase cyclase
4) increases cAMP
Beta 1 is more sensitive than what other receptor?
Alpha 1
Overall effect of beta 2 receptor?
inc heart rate, inc contractivity of myocardium, inc conduction velocity
Which areas on heart is the beta 1 receptor found?
sinoatrial node, atrioventricular node, myocardial muscle( ventricular muscle of heart)
Overstimulation of beta 1 or oversecretion of NE with beta 1 recpetor=
palputation, tachycardia = inc heart rate, inc contraction, inc conduction velocity
!!!! this is a pathologic condition
What medication does someone need for the beta 1 receptor overstimmulation, or oversecretion?
beta 1 blocker
What is the main beta 1 blocker medication
proplanolol
Asthmatic people, people with heart problem, and those with palputations cant take proplanolol, why?
recognizes beta 2 and blocks beta 2 and has a side effect on the bronchi
What is the alternative medication for certain people who cant have proplanolol?
Atenolol = specific to beta 1 blocking
Where can the beta 2 recpetors be found?
smooth muscle of bronchi, GI tract, Urinary bladder, bronchi, vascular smooth skeletal muscle
Beta 2 receptors are more senstitive to NE or E?
Epinephrine, more sensitive to it than alpha 1
overall, Beta 2 mechanism is the same as
Beta 1
After beta 2 binds to NE, ...
GP alpha s = stimulatory is activated, has a positive effect = relaxes smooth muscle of bronchi, sphincter of GI and bronchi
Albuterol is a medication used to act as a
beta 2 agonist
is a bronchodilator
acts as beta 2 relaxes bronchi
Where is the parasympathetic system most active?
GI tract - digestive system
What does the parasympathetic system do for the GI tract?
inc peristalsis, inc gastric hormone secretion, inc HCl secretion, inc nuerotransmitter secretion,
Parasympathetic simulatneously acts in GI and does...
dec heart rate, + dec contractivity of myocardium
The pregaglionic fiber of the parasympathetic system will have synapse with postganglionic fiber at the...
inside wall of internal organs
There is no specific ganglion of sympathetic system, therefore the preganglionic fiber of parasympathetic is
longer
Where is the origin of the parasympathetic system?
Cranio-sacral
nuclei of cranial nerves, s2-s4
Where is the origin of the sympathtic system?
T1- l2/l5 on spine
synapses of pre and post ganglionic fibers of the symp. system accrues in ___ for the use of by Parapsympth sys
sympathetic chain
The synapses of pre and post ganglionis of PS accrues where?
in walls of internal organs
Preganglionic fiber or Symp sys releases ____ and post of sympth releases ____.
Ach, NE
Pre and post ganlionic fibers of Parasympathetic fibers release whatt?
Ach
Ach receptor
cholinergic
Norepinephrine receptor
adrenergic
muscarinic receptors
activated by Ach + muscarine, blocked by atropine
stimulate smooth muscle and slow the heart rate
Where are musacarinic receptors?
heart, smooth muscle, glands
How do musacarinic receptors work at the Heart's sinoatrial node?
1) inhib adenylase cyclase
2) opening of K+ channels
3) slowing of depolarization
effect= decreased heart rate
How do musacarinic receptors work at smooth muscle and glands?
formation of IP3 and inc in intraellular Ca2+
Which receptor is active in parasymp. and symp systems?
cholenergic
medulla oblongata
Part of the brainstem that controls vital life-sustaining functions such as heartbeat, breathing, blood pressure, and digestion, coughing
Brain stem
midbrain, pons, medulla oblongata
midbrain controls what?
renal system
Hypothalamus controls?
autonomic nervous system, limbic sys = emotional behavior and control, sexual behavior, memory, learning
Alpha 1 =
post synaptic
Alpha 2 =
presynaptic
Beta 1 =
in heart
Beta 2 =
bronchi (lungs), liver, pancrease
chronotropic
affects heart rate
coronary arteries
func in vasodilation
supply oxygen-rich blood to the myocardium
sympathetic nervius system of ANS decreses mucus secretion by ...
smooth musckes in bronchi
in the liver the symp sys decresases what?
glucongeneosis
in the liver the PS of the ANS
accumulates glucose to form glycogen
CCK (cholecystokinin)
increases release of bile when there is an increase of lipids or proteins
in the gallbladder, the sympathetic system controls the
sphinter
in gallbladder, the PS sys controlls
CCK (cholecystokenin) in digestive tract
Pancreas sympathetic system controll everything
t1-t11
The PS role in the pancreas is to
inc the activation of enzymes for carbon digestion
adrenal medulla has role in
NE and E secretion
innervation of adrenal medulla is only performed by the...
preganglionic of sympathetic system
what is the nuerotransmitter of the adrenal medulla
Ach
Symp sys of urinary bladder =
feeling bladder fullness
Para symp of urinary bladder =
emptying of bladder control
Uterus is controlled by what system?
PS
Which receptor is for uterine birth contraction?
alpha 1
What receptor is for uterine non pregnant contraction
Beta 2
Both genitals have emission by what system?
sympathetic