ANS Flashcards

(36 cards)

1
Q

what are alpha 1 receptors called

A

vasopressors

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2
Q

what is the fuction of alpha 1 and where are they located

A

they are resposible for smooth mucles vasocontriction when stimulated

  • found on in the postsynaptic space unlike alpha 2 which are found in the presynaptic space
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3
Q

give an example of a vasopressor

A

phenylephedrine

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4
Q

what are beta 1 receptors called and what are they specific to

A

ionotropes, they are specific to the heart

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5
Q

what is an example of an inotrope

A

dobutamine

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6
Q

what does alpha 1 stimulation lead to

A

increased contractility of the heart muscle

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7
Q

give an example of an alpha and beta antagonist and what it does

A

Labetalol, it drops blood pressure and heart rate

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8
Q

why cant you give beta blockers to asmatics

A
  • they can cause bronchospasm due to blockage of the beta 2 receptor
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9
Q

what does magnasium salphate do

A
  • treats unexplained high blood pressure
  • give 1to 2 grams.
  • also used to treat preeclampsia
  • can also be used to treat asthma
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10
Q

what do Alpha receptor antagonists treat

A
  • pheochromocytoma
  • ## they oppose the function of phenylephedrine
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11
Q

give examples of alpha receptor antagonists and where they act

A
  • Phentolamine – α1 and 2
  • Phenoxybenzamine - α1 (non-competitive)
  • Prazosin and Doxazosin - α1
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12
Q

what is the afferent pathway important for

A
  • reflex regulation
  • sensory feedback
  • it travels from tartget/peripheral tissue to CNS
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13
Q

indirect acting cholinegic agent

what does rivastigmine treat

A

Alzheimers

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14
Q

indirect acting cholinegic agent

what does Neostigmine treat

A
  • Myasthenia gravis
  • is a reversal agent for non-depolarising muscle relaxants following surgery
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15
Q

indirect acting cholinegic agent

what does physostigmine treat

A

Myasthenia gravis

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16
Q

indirect acting cholinegic agent

what does pyridostigmine treat

A
  • Myasthenia gravis
  • is a reversal agent for non-depolarising muscle relaxants following surgery
17
Q

indirect acting cholinegic agent

what is edrophonium used for

A

diagnosis of myastigna gravis

18
Q

which agent is the only irreversible indirect acting cholinegic agent

A

Organophosphorus compounds

19
Q

Direct acting cholinergic agents (agonists)

what is Methacholien used for

A

to asess airway reversibility in the diagnosis of asthma

20
Q

Direct acting cholinergic agents (agonists)

what is Pilocarpine used for

A

for the management of glaucoma in consultation with a specialist

21
Q

Direct acting cholinergic agents (agonists)

what is mascarine and where is it found

A
  • it is an alkaloid toxin
  • it can be found in wild mashrooms
22
Q

what is the most frequent early sign of myastigna gravis

A
  • drooping eye lid
  • diagnosis can be confirmed by using neostigmine
23
Q

what happens in myastigna gravis

A

you have receptors for ach blocked by antibodeis and this then in turn causes muscular weakness

24
Q

what does DUMBELSS stand for and what causes this phenomenon

A
  • diarrhoea
  • urination
  • miosis
  • bronchocontriction
  • skeletal exitation
  • lacrimation
  • salvation
  • sweating
  • this is caused by prolonged exposure of Ach due to the blockage of AchE inhibition to help improve muscle strength in autoimmune disorders such as neostigmine.
25
what are the principle sof neurotransmission
- syntheis - storage - release - interaction - removal/degradation
26
what is clonidine and what does it do
- it is a antihypertensive drug that lowers BP by binding to presynaptic alpha 2 receptors with inhibition of the release of NA (which acts are vasoconstrictor).
27
what is the treatment for organophosphate poisoining
Atropine
28
29
what is Ipratropium Bromide used to treat
Asthma and COPD
30
when is Glycopyyrolate used
It is used in perioperative medicine for reduction of secretions, prevention of bronchoconstriction and bradycardia.
31
what is Imipramine and what does it do
TCA with strong antimuscarinic action, reduced bladder contraction, reduces incontinence
32
what is Oxybutynin and what does it do
cholinergic stimulation of bladder leads to detrusor muscle contraction, therefore blocking cholinergic stimulation will have urinary antispasmodic effect.
33
what are the direct acting muscurinic agonists
- pilocarpine - methacholine - muscurine
34
what are the indirect reversible acting musurinic agonits
- neostigmine - rivastigmine - physisostignine - pyridostigmine - endrophonium
35
# ** what are the Muscurinic antagonist
- Atropine - glycopyrulate - oxybutanin - ipratoprium bromide
36