ANS Con't - Sympathetic (Adrenergic) Flashcards

1
Q

Constrict pupils =

A

M3

(PNS)

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2
Q

Stimulate salivation =

A

M3

(PNS)

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3
Q

Slow HR =

A

M2

(PNS)

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4
Q

Constrict airways =

A

M3

(PNS)

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5
Q

Stimulate activity of stomach =

A

M3

(PNS)

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6
Q

Stimulate activity of intestine =

A

M3

(PNS)

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7
Q

Contract bladder =

A

M3

(PNS)

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8
Q

Dilate pupils =

A

a1

(SNS)

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9
Q

Inhibit salivation =

A

B

(SNS)

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10
Q

Increase HR =

A

B1

(SNS)

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11
Q

Relax airways =

A

B2

(SNS)

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12
Q

Inhibit activity of stomach =

A

B2

(SNS)

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13
Q

Stimulate release of glucose

Inhibit gallbladder =

A

B2

(SNS)

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14
Q

Inhibit activity of intestine =

A

B2

(SNS)

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15
Q

Secrete EPI & NE =

A

nicotinic

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16
Q

Relax bladder =

A

B2

(SNS)

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17
Q

Promote ejaculation & vaginal contraction =

A

a1

(SNS)

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18
Q

Effect of symp & parasymp on eyes:

  1. Pupillary opening
A
  1. Pupillary opening
    - symp. - radial muscle of iris; contraction (a1), midriasis
    - para - circular muscle of iris; contraction (M3), miosis
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19
Q

Effect of symp & parasymp on eyes:

  1. Lens focusing
A

parasymp - ciliary muscle; contraction (M3), near vision

20
Q

Effect of parasym on:

Gastrointestinal glands, salivary glands, lacrimal glands, nasal glands (GLANDS)

A

• Effect from M3 muscarinic stimulation
– Watery secretory product

(increase water secretions)

21
Q

Effect of sym on:

Gastrointestinal glands, salivary glands, lacrimal glands, nasal glands (GLANDS)

A

• Effect from B adrenergic stimulation – Secretion of protein: enzyme and mucus
• Effect from a adrenergic stimulation – Vasoconstriction➔decrease water
decrease and concentrate secretion

(decrease water secretions, therefore if wanna control runny nose, you’ll activate SNS to dry nose)

(cause a thicker secretion)

22
Q

Effect of sym on:

Systemic blood vessels (Vasular smooth muscle)

A
  • Skin, splanchnic vessels –> contraction (a1)
  • vessels in skeletal muscle –> relaxation (muscarinic)
23
Q

Effect of parasym on:

Systemic blood vessels (Vasular smooth muscle)

A
  • Endothelial cells - release EDRF (M3)
24
Q

NE mainly stimulate…

A

a1 receptors (in vessels)
- increase BP markedly

25
E has higher affinity for...
B receptor (in cardiac muscle) - increase HR & contractility - less effect on mean arterial pressure
26
Effect of sym on: GI smooth muscle
- GI smooth muscle --> relaxation (B2) - GI sphincter --> contraction (a1) (used for drugs that'll cause nasal drip inhibition & decrease BP)
27
Effect of parasym on: GI smooth muscle
- GI smooth muscle --> contraction (M3) - GI sphinter --> relaxation
28
How does the baroreceptor reflex work?
(When: heart failure, hypovolemia, hemorrhage, postural changes) 1. decrease BP 2. carotid sinus/aortic arch decrease firing rate of afferents 3. cardiovascular centre 4. increase symp. nerve activity & decrease parasymp nerve activity 5. increase HR, increase SV, arteriolar constriction 6. return BP back towards normal
29
What is the result of the heart & arteriole (BP or arteriole constriction) systems always working in conjugation?
if give a drug that decrease BP, it'll cause rxn of heart to increase HR to try to return to normal of if you give a drug that decrease HR SV, you'll cause arteriole constriction b/c its trying to return BP back & therefore give lower amounts & then ramp it up b/c have to consider rxn of other system
30
What is Denervation supersensitivity?
Destruction of sympathetic or parasympathetic nerves – Decrease function – Chemical adaptation of organ, hence, increase intrinsic tone Increase response to external neurotransmitter of organs denervated – Up regulation of cholinergic and adrenergic receptors in end organs
31
Adrenergic receptors
There are at least 4 types: a1, a2, b1 & b2 – Effector organs: cardiac muscle, smooth muscle and glands – All respond to both Norepinephrine (NE) and Epinephrine (E) •NE: a>b •E: b>a
32
Functions of Adrenergic Receptor Subtypes Alpha1
– Vasoconstriction (medical: nasal decongestant, increase BP (trauma, shock), – Pupil dilation (Medical: eye exams) – Inhibits uterine contraction in pregnancy (Medical: Delay birth, side effect) – Ejaculation (Medical: None yet- drugs in development) – Contraction of bladder neck and prostate (Medical: Negative side effect)
33
Functions of Adrenergic Receptor Subtypes Alpha2
– Located in presynaptic junction – Inhibits NT release, thus inhibiting sympathetic (adrenergic) activation (inhibits its own system/NT release; only on certain system (so won't act. everywhere) - used for changes in BP, & changes in bladder & prostate activity - act. of a2 will inhibit
34
Alpha2 responses
Though it inhibits adrenergic activation, its not complete nor perfectly opposite of 1
35
Functions of Adrenergic Receptor Subtypes Beta1
– Kidney • Renin release causes vasoconstriction – Heart: • Increases – Heart rate (tachycardia) – Force of contraction (increase workload of heart to increase BF) – Velocity of conduction in AV node (ability of heart to beat faster)
36
Functions of Adrenergic Receptor Subtypes: Beta2 & Dopamine
Beta2 (lungs, metabolism & uterinary contraction) – Bronchial dilation – Relaxation of uterine muscle – Vasodilation – Glycogenolysis – Glucagon release (increase glucose into blood) • Dopamine – Dilates renal blood vessels *
37
If you activate ___, you're helping the lungs to breath. How?
B2 - but if you're given a drug that activates B2, it's gonna activate B1 & a1, so you'll get increase BP, increase HR (therefore not specific but we can use an inhaler)
38
a1-
Increases vasoconstriction, pupil dilation, relaxes uterine contraction, contraction of bladder and prostate neck, ejaculation (increase BP)
39
a2-
Cardiac vasoconstriction, Inhibits NE brain release, Inhibits insulin release
40
B1 -
Increases HR and contraction, Renin release
41
B2 -
Lung bronchi dilation, relax uterus, vasodilation, Glucose release
42
a1 2nd messengers, distribution, agonist & antagonist
IP3, DAG blood vessels, GI sphincter agonist: pseudophedrine (taken to dry your nose) antagonist: prazosin (inhibits a1 (good to decrease BP or contraction of bladder neck)
43
a2 2nd messengers, distribution, agonist & antagonist
decrease cAMP presynaptic terminal agonist: clonidine (act. a2 which inhib a1, which lower BP)
44
b1 2nd messengers, distribution, agonist & antagonist
increase cAMP heart (to make it beat harder) agonist: isoproterenol, dobutamine - act B1, which increase HR & SV (caffeine, nic, etc. any stimulates do this as well) antagonist: propanolol - decrease heart activity
45
B2 2nd messengers, distribution, agonist & antagonist
increase cAMP airway, GI urogenital agonist: isoproterenol, terbutaline - act. B2, help lungs, increase cAMP antagonist: propanolol - inibit B2