Action Potentials Flashcards

ARU MEDICINE PRINCIPLES - ACTION POTENTIALS

1
Q

Define action potentials.

A
  • Change in membrane potential associated with propagation down a neuron
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2
Q

How are action potentials triggered in pressure-responsive perpheral neurons?

A
  • Pressure sensitive ion channels open
  • Influx of sodium ions
  • Interior of cells becomes more positive - depolarisation
  • Once threshold potential met, action potential generated
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3
Q

What occurs upon meeting threshold potential?

A
  • Opening of voltage gated sodium channels
  • Further influx of sodium ions
  • Membrane potential becomes positive relative to outside
  • Further activation of voltage-gated sodium channels - allows action potential to propagate
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4
Q

How does lidocaine work?

A

**- Block voltage gated sodium channels
- Prevents propagation of action potentials in pain sensing fibres

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5
Q

Describe repolarisation.

A
  • Voltage gated sodium channels remain open until membrane potential of +40 mV reached
  • Voltage gated sodium channels close into a voltage insensitive state
  • Opening of voltage gated potassium channels - efflux of potassium
  • Membrane potential becomes progressively more negative
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6
Q

Why does the undershoot occur?

A
  • Voltage-gated potassium channels stay open longer than required
  • Close and voltage gated sodium channels become voltage sensitive
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7
Q

Describe the absolute refractory period.

A
  • Sodium channels are in a refractory state
  • Potassium channels open
  • Further action potentials not generated, regardless of level of depolarisation
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8
Q

Describe relative refractory period.

A
  • Occurs during hyperpolarisation
  • Potassium channels close/sodium channels become voltage-sensitive
  • Action potential can be triggered - requires greater level of depolarisation than normal
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9
Q

Describe how the refractory period allows monodirectional propagation of action potentials?

A
  • Voltage gated sodium channels will open - influx of sodium - triggers further channel opening
  • Once further channels opened, preceding channel enteres refractory state
  • If not, action potential would stimulate opening of preceding channels. Action potential propagates back up axon.
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10
Q

Using the Goldman-Hodgkin-Katz equation, what hapens in patients with hyperkalaemia?

A
  • Decrease in resting membrane potential - brought closer to threshold potential
  • Spontaenous propagation of action potentials
  • Effect on cardiomyocytes - greater susceptiblity to fluctuations in potassium
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11
Q

Describe saltatory conduction. PART 1

A
  • Voltage-gated sodium channels exist at nodes of Ranvier
  • Arrival of depolarising signal causes membrane depolarisation at node
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12
Q

Describe saltatory conduction. PART 2

A
  • Sodium diffuses down axon until reaches next node
  • Cycle repeats
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13
Q

What does the axon contain?

A
  • AXOPLASM - containing mitochondria, microtubules and vesicles
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14
Q

How does axon diameter influence velocity? PART 1

A
  • SMALL DIAMETER - axoplasmic organelles are non-conductive. Occupy larger amount of space relative to axon size. Greater resistance to propagation
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15
Q

How does axon diameter influence velocity? PART 2

A
  • LARGE DIAMETER - space around axoplasmic organelles to conduct ions. Greater number of voltage-gated sodium channels - greater sodium conductance
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16
Q

What is the difference between A- and C-fibres?

A
  • A-fibres - heavily myelinated, large diameter, fast action potential conduction
  • C-fibres - thin, unmyelinated, slow conduction velocities
17
Q

What are failed action potentials?

A

When depolarisation occurs but insufficient to reach threshold potential e.g during summation

18
Q

Define temporal summation.

A

Single synapse fires multiple times within a very short time space

19
Q

Define spatial summation.

A
  • Multiple synapses fire simultaneously
  • Large influx of sodium across the whole body of a neuronal soma
20
Q

What are the three types of receptors neurotransmitters bind to?

A
  • Ligand gated cation channel - causes depolarisation
  • Ligand-gated anion channel
  • GPCRs - Gs/Gq = depolarisation || Gi = hyperpolarisation